中国XX院外国专家特聘研究员计划推荐表.docx

1、中国XX院外国专家特聘研究员计划推荐表 中国XX院外国专家特聘研究员计划推荐表推荐单位名称（盖章） 外籍专家姓名 外籍专家国别 申请来华期限 外国专家的基本情况姓 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（中英文）联系地址外国XX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XX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姓 名性别职务电 话E-Mail手 机传 真研究领域（中英文）推荐

2、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： （盖章） 年 月 日国际合作局的意见国际合作局领导： （盖章） 年 月 日国际合作主管院领导意见主管院领导： 年 月 日APPLICATION FORCHINESE ACADEMY OF SCIENCES VISITING PROFESSORSHIP FOR SENIOR INTERNATIONAL SCIENTISTS 1. Name in Full2. Gender3. Date of BirthFamily First MiddleMale Female Day Month Year4. National

3、ity5.Citizenship6. Permanent Residence7. Current Appointment and/ or StatusTitle:Division:Institution:8. Academic Degree (Ph.D.)Type:Date Obtained (or Expected)Field: / University:Country:Day Month Year9. Higher Education (Starting from the latest)Name of University / InstitutionLocationDegreeFieldC

4、ompletion Date (Month/Year)10. Previous Employment (Starting from the latest)Name of InstitutionLocationPositionFrom to (Month/Year)11. Academic Awards (Please indicate title, year and conferrer.)12.Research Field and Specialization13. Name of Proposed Host Researcher and Host InstitutionHost Resear

5、cher:Title:Division:Host Institution:14. Research project in CAS (up to 100 letters including spaces and symbols)15. Proposed Tenure of CAS Visiting ProfessorshipFrom:/to/Total:Day Month Year Day Month Year Months16. Research Plan in CAS: Please include at least the following items:a. Present resear

6、ch relevant to proposed research planb. Purpose of proposed researchc. Proposed Pland. Expected results and impacts17. Subject and Achievement of Past Research18. List of Major PublicationsAuthors (all,) Year Title, Journal, Vol, No., pp.- 19. Language Ability (5: excellent 1: poor)ReadingWritingHea

7、ringSpeakingEnglish5 4 3 2 15 4 3 2 15 4 3 2 15 4 3 2 15 4 3 2 15 4 3 2 15 4 3 2 15 4 3 2 15 4 3 2 15 4 3 2 15 4 3 2 15 4 3 2 15 4 3 2 15 4 3 2 15 4 3 2 15 4 3 2 1Chinese5 4 3 2 15 4 3 2 15 4 3 2 15 4 3 2 120. Past Stay(s) in CASPlace:Year:Purpose:21. Name(s) of other fellowship(s) for which you are

8、 now applying22. Mailing 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 yo

9、ur Office.）Office:Home:Tel:Tel:Fax:Fax:E-mail: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)