中山大学教授职位申请表中山大学生物医学工程学院.docx

1、中山大学教授职位申请表中山大学生物医学工程学院中山大学教授职位申请表（专职科研系列人员、博士后研究人员适用）Application Form for Position of Professor, SYSU请选择申请学科类别：人文与社会科学学科；理科；工科；医科；公共外语与体育学科Please Choose the discipline to apply: Humanities and Social Sciences, Natural Science, Engineering, Medical Studies, Public Foreign Languages and Physical Educ

2、ation应聘学院（系）School / Department to Apply申请二级学科Academic Sub-discipline一、个人资料Personal Information姓名Applicant Name性别Gender出生年月Date of Birth国籍nationality最高学历、学位Highest Degree毕业院校Degree Institution毕业时间Graduation Year现聘单位Current Employer现聘岗位、等级Current Academic Title任职年月Starting from (M/Y)政治面貌Political Sta

3、tus参加党派时间Time of Attending the Party宗教信仰Religion从事专业Field of Expertise研究方向Research Interests身份证号码ID No.电子邮件Email通讯地址Mailing Address手机Mobile No.二、学习及国（境）外研修经历（大学及以上）Educational Background (Bachelor degree and above, overseas study included)起 止 年 月Date学校名称Schools/Institutions Attended（海外高校请注明所在国家)(Cou

4、ntry Should be Stated）学历/学位Degree Obtained专业Major自From至To三、工作经历（含博士后经历）Employment History(Postdoctoral experience included)起 止 年 月Date工作单位/机构Schools/ Institutions of Employment职务Position Held自From至To四、代表性学术成果及其影响力说明（不少于6篇学术论文，其中不少于5篇为任学校专职科研系列人员或博士后研究人员以来的成果）Representative Academic Outputs and State

5、ments of Impact研究类别：理论创新研究类；应用、技术与工程研究类Category of research: Theoretical Applied, Technical or Engineering 注：以下内容按填表说明第7点相应要求填写Note: Please fill in this section according to Note 7代表性学术成果1 Academic Output 1成果名称及基本信息Name and brief introduction：成果形式Format：说明（不超过20字）Introduction (in 20 words)：成果影响力声明（2

6、00-300字）Statement of Impacts (200-300 words)代表性学术成果2 Academic Output2成果名称及基本信息Name and brief introduction：成果形式Format：说明（不超过20字）Introduction (in 20 words)：成果影响力声明（200-300字）Statement of Impacts (200-300 words)代表性学术成果3 Academic Output 3成果名称及基本信息Name and brief introduction：成果形式Format：说明（不超过20字）Introduct

7、ion (in 20 words)：成果影响力声明（200-300字）Statement of Impacts (200-300 words)代表性学术成果4 Academic Output4成果名称及基本信息Name and brief introduction：成果形式Format：说明（不超过20字）Introduction (in 20 words)：成果影响力声明（200-300字）Statement of Impacts (200-300 words)代表性学术成果5 Academic Output 5成果名称及基本信息Name and brief introduction：成果形

8、式Format：说明（不超过20字）Introduction (in 20 words)：成果影响力声明（200-300字）Statement of Impacts (200-300 words)其他学术成果Other Academic Outputs（超过三项请另附页）序号#成果名称及基本信息（请按填表说明第7点相应要求列出）Name and basic introduction (Please fill in the form according to Note 7)成果形式Format说明Introduction代表性学术成果及其他学术成果院系审核意见Verification on Re

9、presentative Research and Other Academic Outputs：审核人签字Reviewed by：单位（公章）Official Seal： 年 月 日Y/M/D五、学术经历与活动 AcademicExperienceandActivities1. 科研项目（任现职以来且是近五年内取得的成果） Research Grants(most recent 5 years; if current position is shorter than 5 years, please list your research since the position started）序

10、号#按项目来源及类型、项目名称、项目批准号、项目全部参加人员（注明主持人）、起止时间（注明计划完成时间、实际完成时间）、本人承担部分列出Source of Funding, Title of the Grant/Project(No.),List of Project Members (project director should be indicated clearly ), Beginning & Ending Dates(planned ending date and actual ending date should be indicated), Portions Responsib

11、le.经费总数Grant(RMB)到帐经费AmountReceived (RMB)12345统计Total Number文、理、工、医科申请人请填写：ForapplicantsfromthefieldofHumanities and Social Sciences,NatureScience,EngineeringandMedicalScience：主持 项国家级科研项目、主持 项立项金额300万以上的军工科研或部省市级纵向科研项目、主持 项单项到账金额300万以上的横向科研或成果转化项目；作为主要参加者（前三名以内）参加 项重大、重点科研项目、参加 项单项到账金额500万以上的横向科研或成果

12、转化项目。Direct(number) scientific programs; Participate(number) as main participant. (list top three)：公共外语与体育学科申请人请填写：ForapplicantsfromthefieldofPublicForeignLanguagesandPublicSports：主持 项国家级科研或教改项目；主持 项部省级科研或教改项目。Direct(number)scientific and/or teaching reform programs of National-level; Direct(number)

13、 scientific and/or teaching reform programs of Ministry/Provincial- Level.院系审核意见Verification by the Department/ School：审核人签字Reviewed by：单位（公章）Official Seal： 年 月 日Y/M/D科研主管部门审核意见Verification from the University Research Administration Department：已对申请人在本栏目填写的项内容，包括项目来源及类型、项目名称、经费、参加者排序、申请时间及结项时间、统计等信息

14、进行审核。Information of theitems in the above table has been verified, including the source, type, title, amount (RMB), order of participants, beginning & ending dates and total number of grants/projects.审核人签字Reviewed by： 单位（公章）Official Seal： 年 月 日Y/M/D2. 学术事务与团队工作Academic affairs and teamwork experienc

15、es 请简述参与校内学术事务与团队工作的内容、时间、影响等。（不超过300字）Please summarize (in 300 words) your participation in school academic affairs and team work with specifications of the responsibilities, time and impacts1.2.3.3. 学术传播与社会服务 Research Outreach and Social Service注：根据“教授和副教授职务聘任评价细则”的要求，请按时间、内容、承担的工作列出，按重要程度排序，最多可列五

16、项。Note: Please list according to the Regulations on the Appointment Criteria of Professor and Associate Professor. Please list the time, nature of the work and your responsibilities, rank according to importance. List no more than five items.1.2.3.院系审核意见Verification by the Department/ School：审核人签字Re

17、viewed by：单位（公章）Official Seal： 年 月 日Y/M/D六、学术规划（不超过500字）Future Academic Planning (in 500 words)请简述未来六年的学术发展规划。Please briefly state your academic career plans in the next six years.七、推荐/咨询人References（仅来自校外的申请人填写）姓名Name学衔Academic Title通讯地址Mailing Address电话号码Phone No.电子邮件Email学校可能向以上人士咨询申请者的情况，请先行知会上述人

18、士。The committee may contact the above referees. Please inform them in advance.八、担任辅导员工作情况是否担任辅导员是，任职学院为 否（若选择此项，则不需填写本部分其它内容）辅导员工作自评：任职学院意见： 学院领导签章： 日期： 年 月 日学生处意见： 处领导签章： 日期： 年 月 日九、其他与申请本职位有关的情况（含教学工作情况）(Other Information(in relation to this application, teaching experience included)十、声明Declaratio

19、n本人谨此声明以上所有资料及所附证明文件均属真实、符合学术道德规范，并可提供有关身份及资历文件的正本以供核实。本人明白倘若故意虚报资料或隐瞒重要事实，中山大学可取消已发出的口头或书面聘约，即使已获聘任亦可被解聘。 I hereby declare that the information given above is true, correct, complete and in accordance with the academic moral rule. Evidence about my identity and qualifications can be provided for ve

20、rification if necessary. I understand that any falsification or failure to state the truth will result in cancellation of appointment even if an oral /written offer has been made, or even if the appointment has begun.签名：Signature: 日期：Date (Y/M/D):十一、学院（系）审议结果1学院（系）人才引进工作小组/教师职务聘任委员会审议情况经 年 月 日第次学院（系

21、）人才引进工作小组/教师职务聘任委员会审议通过。应出席人数人实际与会人数人赞成票数票反对票数票弃权票数票本职位申请人数：符合本职位聘任资格人数：按得票多少排定聘任结果，申请人名列第 位。2学院（系）人才引进工作小组/教师职务聘任委员会综合推荐意见请说明：（1）院系对申请人学术能力、教学能力和发展潜力的全面评价；（2）申请人的学术成果是否满足申请条件及聘任评价条件；（3）申请人所在学科是否是学校和院系拟重点建设的学科和领域，该学科师资队伍的现状；（4）申请人与该学科现有同级职务教师的学术水平相比，处于何种地位，申请人对学科发展的作用。综上所述，同意推荐 申请教授职位。学院（系）教师职务聘任委员会

22、主任签章： 学院（系）盖章年 月 日 年 月 日填表说明Notes1申请中山大学教授职位者，填写本表，表格内如无内容填写时写“无”。填妥后请用A4纸双面打印（填表说明无需打印）。Applicants for the position of professor should fill out this form. Please fill in NONE when there is not any appropriate information to be filled in. Please print the form (excluding this page) in A4 paper on b

23、oth sides. 2若填写内容较多，可插入行、调整字体大小、表格内部宽度，但不得改变页面内容格式和表格其他结构。若加附页，请严格依照本表格式与大小，页码标为附X-1、附X-2等（如第四项教学工作，增加附页，页码标为附四-1、附四-2等）。Please adjust the font size and width of the table or add columns to the table if there is not enough space. However, the content and format of each page should not be changed. Th

24、e format of attachments should be in accordance with the relevant part of the main form and should be labeled as ATTACHMENT-X-1 (for example, if there is attachment in the fifth part: Teaching Experience, the attachment should be labeled as ATTACHMENT-V-1, ATTACHMENT-V-2, etc.).3申请学科：填至二级学科；从事专业：填写专

25、业名称；通讯地址：填写可以通过邮政方式接收信件的实际地址，建议填写家庭地址。In the first part of the form: Academic Field to Apply should specify the sub-disciplines; Field of Expertiseshould specify the name of subject; Mailing Address is supposed to be your home address.4第二项学习及海外进修经历：请从大学开始，按自然时间顺序填写，分大学本科、硕士、博士等阶段；海外进修、访问经历请填在此项。Educ

26、ational Background: bachelor degree and above should be stated in chronological order.5第三项工作经历：按自然时间顺序填写，不同工作单位/机构任不同职务经历分开填写；博士后阶段按工作经历填写。Employment History: all employers worked at and positions held should be stated in chronological order. Postdoctoral experience should be stated in this part.6第四

27、项教学工作Teaching Experience（1）工作量请以每个学期为单位进行计算。Amount of teaching load is calculated by semester.（2）课程属性指公必课（理论/实验）、公选课（核心通识/非核心通识）、专必课（理论/实验）、专选课（理论/实验）、实习/见习等。Course Type refers to Compulsory Courses (theoretical/experimental), Public Selective Courses (core liberal/ non-core liberal), Major Required

28、 Courses (theoretical/experimental), Major Selective Courses (theoretical (core/non-core)/experimental) and Intern, etc.7. 第五项代表性研究成果及其影响Representative research outputs and impacts（1）选择“理论创新研究”类别的申请人的代表性成果须以高水平学术论著为主；选择“应用、技术与工程研究”类别的申请人的代表性成果须以决策研究及其应用成果（文科）、技术开发与工程应用成果（理、工、医科）、人才培养与应用研究成果（公共外语与体育学

29、科）为主。Applicants who choose the “Theoretical” category should list mainly high-level academic works; those who choose the “Applied, Technical or Engineering” should mainly list strategy/policy research and its practical application (Humanities and Social Sciences), technological innovation and engine

30、ering application (Natural Science, Engineering and Medical Studies), human resource output and application (Public Foreign Languages and Physical Education). （2）“成果名称及基本信息”一栏请按以下相应要求填写：Please complete the form according to the following requirements: 论文：按全部作者排序（注明学生、通讯作者、共同第一作者、共同通讯作者）、论文题目、刊物名称（注明ISSN号）、出版日期、卷号、期号、起止页码、第一作者单位列出。Article: List of Author(s) (please indicate whether the publication is co-authored with your supe