APPLICATION FORM TO THE SUMMER SCHOOL “MouingKnowledge17” _____________________________________________________ TO BE FILLED AND MAILED IN PDF FORMAT TO [email protected] BY APRIL 24, 2017. PLEASE ATTACH THE PERSONAL CURRICULUM VITAE IN ENGLISH PLEASE ATTACH THE BACHELOR DEGREE THESIS IN PDF FORMAT (FOR BACHELOR’S DEGREE GRADUATES ONLY) PLEASE ATTACH THE MASTER DEGREE THESIS IN PDF FORMAT (FOR MASTER’S DEGREE GRADUATES ONLY) PLEASE ATTACH YOUR MOTIVATION LETTER CANDIDATES SHOULD HAVE 2 LETTER OF RECOMMENDATION (IN ENGLISH) MAILED TO [email protected], THE LETTER SHOULD BE MAILED DIRECTLY BY THE REFEREE. YOUR CV SHOULD CONTAIN THE FOLLOWING INFORMATION: _____________________________________________________ PERSONAL DETAILS FIRST NAME: LAST NAME: MALE/FEMALE: DATE OF BIRTH (day/month/year): PLACE OF BIRTH: NATIONALITY: ADDRESS: E-MAIL ADDRESS: PHONE NUMBER (with international code): MOBILE PHONE NUMBER (with international code): SKYPE-CONTACT: ACADEMIC AND EDUCATIONAL BACKGROUND HIGH SCHOOL DIPLOMA (please specify school and graduation grade): CURRENT OCCUPATION (if a full-time student, please state your academic institution): UNIVERSITY: PLEASE SPECIFY YOUR ACADEMIC STATUS BACHELOR GRADUATE (please specify University and faculty): MASTER DEGREE STUDENT (please specify University and faculty): MASTER GRADUATE (please specify University and faculty):
INFORMATION RELATIVE TO THE BACHELOR DEGREE: NUMBER OF EXAMS PASSED (ACADEMIC TRANSCRIPT): LIST AND DATE OF EXAMS PASSED (please add scores and ECTS or CFU for each exam): AVERAGE SCORE: TOPIC OF BACHELOR DEGREE THESIS, TITLE, AND REFEREE (IF AVAILABLE): BACHELOR DEGREE FINAL SCORE (IF AVAILABLE): PLEASE INCLUDE BACHELOR DEGREE THESIS IN PDF FORMAT (IF AVAILABLE): INFORMATION RELATIVE TO THE MASTER DEGREE: NUMBER OF EXAMS PASSED (ACADEMIC TRANSCRIPT): LIST AND DATE OF EXAMS PASSED (please add scores and ECTS or CFU for each exam) AVERAGE SCORE: PLEASE LIST THE EXAMS TO COMPLETE THE MASTER DEGREE, WITH AN INDICATION OF THE EXAMS EXPECTED WITHIN NEXT SUMMER SESSION: IF THE CANDIDATE HAS ALREADY CHOSEN A TOPIC FOR THE MASTER DEGREE THESIS, PLEASE SPECIFY TITLE, TOPIC AND REFEREE: IF THE CANDIDATE IS A MASTER GRADUATE, PLEASE SPECIFY FINAL GRADUATION SCORE: LANGUAGE SKILLS: NATIVE: ENGLISH: LISTENING: READING: SPEAKING: COMPUTING SCIENCE (please specify operating systems, programming languages, for example C, C++, Java, or else - Knowledge of the CERN package ROOT is much appreciated): PLEASE SPECIFY IF THE CANDIDATE HAS ALREADY ATTENDED OTHER SUMMER/WINTER SCHOOLS IN THE PAST, PLEASE PROVIDE THE LIST: PLEASE SPECIFY IF THE CANDIDATE HAS ALREADY APPLIED TO OTHER SUMMER/WINTER SCHOOLS IN THE YEAR 2017, PLEASE PROVIDE THE LIST:
CANDIDATES SHOULD HAVE 2 LETTERS OF RECOMMENDATION (IN ENGLISH) MAILED TO [email protected], THE LETTER SHOULD BE MAILED DIRECTLY BY THE REFEREE. PLEASE ATTACH THE PERSONAL CURRICULUM VITAE IN ENGLISH IN EUROPEAN FORMAT TO THIS APPLICATION FORM PLEASE ATTACH THE MOTIVATION LETTER IN PDF FORMAT PLEASE ATTACH THE BACHELOR DEGREE THESIS IN PDF FORMAT (FOR BACHELOR’S DEGREE GRADUATES ONLY) PLEASE ATTACH THE MASTER DEGREE THESIS IN PDF FORMAT (FOR MASTER’S DEGREE GRADUATES ONLY) I hereby give my consensus that my personal data provided with this application will be used for all the procedures involved and required by this selection. Date Signature (hand-signed)
