APPLICATION
FORM
Personal Data
Family name
First name
Middle name
Date of Birth (dd/mm/yyyy)
Place of Birth
Nationality
Gender
Address
Phone
City
ZIP Code
Country
Fax
e mail
Education
Please list Universities/Colleges where you have earned a degree (or expect to receive it).
College/University Name
Subject
Address
Degree
Starting Date (mm/yyyy)
College/University Name
Completion Date (mm/yyyy)*
Subject
Address
Degree
Starting Date (mm/yyyy)
College/University Name
Completion Date (mm/yyyy)*
Subject
Address
Degree
Starting Date (mm/yyyy)
Completion Date (mm/yyyy)*
* indicate expected date, if in progress
Employment
Please list scientific relevant positions apart from your studies only
Company
Type of Work
Dates (from - to)
Research Experience
Please describe the research project(s) you have been involved in so far (e.g. diploma thesis, MSc thesis, etc.), and your contribution to the project.
Do not exceed the space provided.
Institution
Supervisor
Title of the project
Your Contribution
Institution
Supervisor
Title of the project
Your Contribution
Institution
Title of the project
Your Contribution
Supervisor
Coursework
Please list only major courses you have taken at the College/University including the grades obtained. Do not exceed the space provided.
Publications/Presentations
List articles in peer-reviewed journals, books, patents or other publications and your contributions (posters or talks) at international meetings.
Awards/Prizes/Fellowships
Language Skills
Proficiency
native
fluent
fair
limited
English
Technical Laboratory Experience
List techniques you have used during your previous research work (diploma/master thesis)
Computer literacy
List computer programmes/programme languages you have a profound knowledge in. Also list specialized programmes for DNA/Protein analysis
you have used in your previous research work.
Choose Projects
First Choice
please select
Second Choice
please select
Third Choice
please select
Explain your reasons for choosing those projects (do not exceed this page)
References
First Referee
Family name
First name
Position
Middle name
Relation to Applicant
Institute
Department
Address
Phone
City
ZIP Code
Fax
Country
e mail
Second Referee
Family name
First name
Position
Middle name
Relation to Applicant
Institute
Department
Address
Phone
City
ZIP Code
Country
Fax
e mail
Comments/Additional Information
How did you become aware of our PhD program?
Webside
Advertisment in Scientific Journal
other
Poster
please specify
please specify
Colleagues
Enclosures
* Copy of your diploma or masters certificate and the translation into English if not originally in English or German
* Copy of your certificates obtained for coursework, including grades (transcript of records)
* Copy of your passport
Please send this application form and all enclosures as PDF files to [email protected].
Make sure that your referees will send the evaluation forms within the deadline (February 12th 2015).
