1、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APPLICATION FORCHINESE ACAD
2、EMY OF SCIENCES VISITING PROFESSORSHIP FOR SENIOR INTERNATIONAL SCIENTISTS 1. Name in Full2. Gender3. Date of BirthFamily First MiddleMale Female Day Month Year4. Nationality5.Citizenship6. Permanent Residence7. Current Appointment and/ or StatusTitle:Division:Institution:8. Academic Degree (Ph.D.)T
3、ype:Date Obtained (or Expected)Field:/University:Country:Day Month Year9. Higher Education (Starting from the latest)Name of University / InstitutionLocationDegreeFieldCompletion Date (Month/Year)10. Previous Employment (Starting from the latest)Name of InstitutionPositionFrom to (Month/Year)11. Aca
4、demic Awards (Please indicate title, year and conferrer.)12.Research Field and Specialization13. Name of Proposed Host Researcher and Host InstitutionHost Researcher:Host Institution:14. Research project in CAS (up to 100 letters including spaces and symbols)15. Proposed Tenure of CAS Visiting Profe
5、ssorshipFrom:toTotal:Day Month Year Day Month Year Months16. Research Plan in CAS: Please include at least the following items:a. Present research relevant to proposed research plan b. Purpose of proposed research c. Proposed Plan d. Expected results and impacts17. Subject and Achievement of Past Re
6、search18. List of Major PublicationsAuthors (all,) Year Title, Journal, Vol, No., pp.- 19. Language Ability (5: excellent 1: poor)ReadingWritingHearingSpeakingEnglish5 4 3 2 1Chinese20. Past Stay(s) in CASPlace:Year:Purpose:21. Name(s) of other fellowship(s) for which you are now applying22. Mailing
7、 Address(Approximately three months after receiving an application, CAS will send out fellowship-commencement documents, so care should be taken to ensure that the address will remain valid. Please check Office or Home; unless otherwise stated we will send the documents to your Office.)Office:Home:T
8、el:Fax:E-mail:23. Will you be accompanied by spouse and/or offspring(s)? If so, please indicate their names and relationship.Name: Relationship:24. If you have been previously awarded as a CAS fellowship or participated in another CAS research program, please indicate the name of the program and the period of your participation. Name of the program: Period of participation:I certify the above information to be accurate and correct.Date:Name (Print): Signature:(Applicant signature)
copyright@ 2008-2022 冰豆网网站版权所有
经营许可证编号:鄂ICP备2022015515号-1