Application Form PhD position 2018

Transcription

1 Application Form PhD position 2018 First Name Last Name Nationality Full address (to be used for any correspondence) Address City ZIP code Country Phone no. (home) Phone no. (cellular) Fax n. Date of birth (dd/mm/yyyy) Place of birth (City, Country) Male/Female Single/Married N of Children Did you live in Italy in the past 3 years? No Yes If Yes, how long (time in months)? How did you learn about this Phd position?

2 Highest degree earned (indicate the degree in the original language do not translate) Highest Degree University Duration dates (from-to) Date (indicate if expected) Grade (if Known) Major Topic Additional degree(s) (if applicable) (indicate the degree in the original language do not translate) Highest Degree University Duration dates (from-to) Date (indicate if expected) Grade (if Known) Major Topic Please indicate here if your education has been interrupted, or if you have obtained additional degrees since the MSc degree or equivalent.

3 RESEARCH EXPERIENCE Please, describe the research activities in which you have been involved so far. Highlight your own contribution in terms of practical and intellectual work. Do not exceed one page. Include a list of publications, if applicable.

4 RESEARCH PROPOSAL Role of Piwi-piRNA pathway in somatic stem cell specification and differentiation. Write a short report including the following: - A general introduction about the topic - A presentation of the scientific questions - The strategies and methodologies that you propose to use to answer the questions - What you expect your personal contribution would be. The report must not be longer than one page. IMPORTANT NOTE: You must elaborate and propose your own ideas about the project, therefore please avoid to copy and paste text from the project proposal.

5 EXPECTATIONS Please indicate your expectations from a PhD program and why you consider to be eligible for this Program (max 10 lines). REFERENCES Please list below the names and addresses of the two referees to whom you have forwarded the enclosed form and who have agreed to write a letter of recommendation on your behalf. Please, indicate their professional address, and phone numbers. Referee n. 1 Referee n. 2

6 Please, provide: 1) Scanned copies of the official certificate(s) of completion of the degree(s) with examinations passed and grades; 2) Curriculum vitae (European format); 3) 2 Recommendation Letters; In order to comply with Data Privacy (art. 13 and 14 of the European Regulation over Personal Data Protections, GDPR (ref. Reg. EU 679/2016) and art. 13 of the interim Italian Legislative Decree no. 196/2003), the candidate is kindly asked to give his/her consent to allow IIT to process his/her personal data. We inform you that the information you provide will be solely used for the purpose of assessing your professional profile to meet the requirements of Genomix4Life. Your data will be processed by Genomix4Life, with its headquarters in Baronissi, Via S. Allende 1, acting as the Data Holder, using computer and paper-based means, observing the rules on the protection of personal data, including those relating to the security of data. These data could be only transmitted to public administrations directly involved in the selection procedure or in the legal-economic position of the candidate. Please indicate your authorization: I authorize the processing of my personal data pursuant to art. 13 GDPR 679/16 European regulation on the protection of personal data. Place and date