外国专家特聘研究员项目推荐表中英文Word文档下载推荐.docx
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姓名
性别
国籍
出生日期
职位
电话
E-Mail
传真
研究方向
(中英文)
工作单位
联系地址
外国科学家简历
主要学术和技术成就
在国外机构任职情况
在国际组织任职情况
国际期刊任职情况
承担项目情况
曾获得的主要国际学术奖
外国专家在我院工作计划安排
外国科学家在我院期间的具体合作研究项目、学术交流、科研指导、人才培养、拟解决问题等活动计划
依托单位合作者的情况以及推荐意见
联系人员信息
职务
手机
研究领域
推荐单位意见以及相关承诺
推荐单位负责人:
(盖章)年月日
专业局意见
专业局局领导:
国际合作局的意见
国际合作局领导:
国际合作主管院领导意见
主管院领导:
年月日
APPLICATIONFOR
CHINESEACADEMYOFSCIENCESVISITINGPROFESSORSHIPFORSENIORINTERNATIONALSCIENTISTS
1.NameinFull
2.Gender
3.DateofBirth
FamilyFirstMiddle
□Male□Female
DayMonthYear
4.Nationality
5.Citizenship
6.PermanentResidence
7.CurrentAppointmentand/orStatus
Title:
Division:
Institution:
8.AcademicDegree(Ph.D.)
Type:
DateObtained(orExpected)
Field:
/
University:
Country:
DayMonthYear
9.HigherEducation(Startingfromthelatest)
NameofUniversity/Institution
Location
Degree
Field
CompletionDate(Month/Year)
10.PreviousEmployment(Startingfromthelatest)
NameofInstitution
Position
From–to(Month/Year)
11.AcademicAwards(Pleaseindicatetitle,yearandconferrer.)
12.ResearchFieldandSpecialization
13.NameofProposedHostResearcherandHostInstitution
HostResearcher:
HostInstitution:
14.ResearchprojectinCAS(upto100lettersincludingspacesandsymbols)
15.ProposedTenureofCASVisitingProfessorship
From:
to
Total:
DayMonthYearDayMonthYearMonths
16.ResearchPlaninCAS:
Pleaseincludeatleastthefollowingitems:
a.Presentresearchrelevanttoproposedresearchplan
b.Purposeofproposedresearch
c.ProposedPlan
d.Expectedresultsandimpacts
17.SubjectandAchievementofPastResearch
18.ListofMajorPublications
Authors(all,)YearTitle,Journal,Vol,No.,pp.-
19.LanguageAbility(5:
excellent………1:
poor)
Reading
Writing
Hearing
Speaking
English
54321
Chinese
20.PastStay(s)inCAS
Place:
Year:
Purpose:
21.Name(s)ofotherfellowship(s)forwhichyouarenowapplying
22.MailingAddress(Approximatelythreemonthsafterreceivinganapplication,CASwillsendoutfellowship-commencementdocuments,socareshouldbetakentoensurethattheaddresswillremainvalid.PleasecheckOfficeorHome;
unlessotherwisestatedwewillsendthedocumentstoyourOffice.)
□Office:
□Home:
Tel:
Fax:
E-mail:
23.Willyoubeaccompaniedbyspouseand/oroffspring(s)?
Ifso,pleaseindicatetheirnamesandrelationship.
Name:
Relationship:
24.IfyouhavebeenpreviouslyawardedasaCASfellowshiporparticipatedinanotherCASresearchprogram,pleaseindicatethenameoftheprogramandtheperiodofyourparticipation.
Nameoftheprogram:
Periodofparticipation:
Icertifytheaboveinformationtobeaccurateandcorrect.
Date:
Name(Print):
Signature:
(Applicantsignature)