"Application Form (following pp"
Application Form (following 8 pp.) INSTRUCTIONS Please, read all instructions/captions carefully before filling in or putting questions to the office, and follow them exactly. ► Type in English ► Scan all documents. Do not submit original certificates etc.; we do not return any materials. Certificates must show marks and contain or be accompanied by the rating scale the issuing institution is applying. ► Do not submit attestations for courses, etc. ► Do not submit an additional C.V. ► Do not submit unsolicited materials. ► Send your application with all documents in one pdf file by E-mail to firstname.lastname@example.org ; if there is no possibility to sign the e-mailed application, please, send us in addition a FAX of the front page of the application form (p. 2) bearing your signature. Without signature the application is not valid. ► Please, do not return this Instruction Sheet. Contact: HIGRADE office email@example.com FAX: ++49 341 235 1830 Seite von 9Seite von 999 1 Application page 1/8 APPLICATION Sex (Male/ Female) Family Name First Name Name Middle name(s) Date of Birth Place of Birth Nationality Address for Correspondence Institute Country Street No. Postal code City Phone + Mobile Fax no. e-mail I affirm the correctness of all information and documents, and I herewith apply for a HIGRADE scholarship. Date Signature Application page 2/8 EDUCATION School Graduation Gymnasium/College Dates (from – to) Title Date University Degrees First Degree (Vordiplom, Bachelor, etc.) University/College Dates (from – to) Title Date Main Subject of Studies Second Degree (Diplom, Masters, etc.) University/College Dates (from – to) Title Date/Expected date Subject of Studies Name of Advisor (if applicable) Subject area of study If you have obtained other degrees please specify: University/College Dates (from – to) Title Date Subject Please include photocopies, not originals, of all these certificates. If your education has been interrupted please specify the occupation(s) you have pursued in the interim. Institution / Company Dates (from – to) Subject of work (if necessary use an extra page): Seite von 9Seite von 999 3 Application page 3/8 1. EDUCATION AND TRAINING Please give a summary (in tabular form) of your education and training after leaving school at college, university, etc. List your course work including all upper level at university (Hauptstudium; Masters) and other relevant courses (practicals, internships) outside the University. If applicable, provide the grades obtained. Seite von 9Seite von 999 4 Application page 4/8 2. RESEARCH EXPERIENCE Please give the title and a description of your Diploma(thesis) research (Abstract!), or equivalent. Indicate its significance and aims and specify your contributions and give the period of time you have spend on it. If you have carried out other research prior to or after your Diploma, please describe it briefly in a separate paragraph. If any work resulted in publication, please list. 3. PUBLICATIONS AND ABSTRACTS Seite von 9Seite von 999 5 Application page 5/8 4. HONOURS AND PRIZES Please list honours, prizes, scholarships. 5. SOCIAL PROFILE Please list your hobbies and social activities (e.g. services, tutor activities, or active participation in student organisations). Seite von 9Seite von 999 6 Application page 6/8 6. FUTURE Give a short summary of your future scientific interests and explain your motivation for your HIGRADE application and the chosen topics (max. 1 page). Seite von 9Seite von 999 7 Application page 7/8 SCIENTIFIC FIELD PREFERENCES The various research fields in HIGRADE are: Water Resources and Aquatic Ecosystems Analysis Environmental Biogeochemistry, Microbiology and Technology Environmental Chemistry and Ecotoxicology Biodiversity and Ecosystem Functions Environmental Modelling and Informatics Society and Environment Environmental Health Research Please look on the website www.higrade.ufz.de/index.php?en=14667, where the 18 topics for open HIGRADE scholarships in the various research fields are listed, select one to three topics and indicate them below: Topic Nr. Topic Nr. Topic Nr. REFERENCES Please fill in below the names and complete addresses of the referees who would be available for a potential recommendation. (Letters of recommendation are NOT required.) Referee 1: Referee 2: Name: Name: Institution: Institution: e-mail: e-mail: Seite von 9Seite von 999 8 Application page 8/8 LANGUAGE SKILLS Good English skills (written and spoken) are a prerequisite. We also recommend visiting German courses during the potential stay in Germany. DECLARATION OF CONSENT I hereby declare that the above statements are correct and that I am of sound health to carry out the envisaged project. The Graduate School HIGRADE has my permission to electronically keep and process my personal information, including for the purpose of statistics and evaluation. I give my permission that all data concerning my application will be distributed among the supervisors involved in the selection procedure (please tick the box). If you do not agree, your application cannot be further processed according to German laws for protection of personal data. Date Signature FOR OUR STATISTICS How did you learn about the program? (Please tick and/or add answer. Multiple answers are possible) [ ] Internet search [ ] Information talks, advisory service (provided by?) [ ] Friends, Colleagues, Supervisors (please specify) [ ] Articles, Adverts in journals, Newsletters (in which?) [ ] HIGRADE-Flyer [ ] Other (please specify) Seite von 9Seite von 999 9