1、1APPLICATION FORFOREIGN STAFF OF IGSNRR-CAS1. Name in Full 2. Gender 3. Date of BirthFamily First Middle Male Female Day Month Year4. Nationality 5.Citizenship 6. Permanent Residence7. Current Appointment and/ or StatusTitle:Division:Institution:8. Academic Degree (Ph.D.)Type: Date Obtained Field: /
2、 / University: Country: Day Month Year9. Higher Education (Starting from the latest)Name of University / Institution Location Degree Field Completion Date (Month/Year)10. Previous Employment (Starting from the latest)Name of Institution Location Position From to (Month/Year)11. Academic Awards (Plea
3、se indicate title, year and conferrer.)12.Research Field and Specialization13. Research Plan in IGSNRR: Please include at least the following items:a. Present research relevant to proposed research planb. Purpose of proposed researchc. Proposed Pland. Expected results and impacts2314. Subject and Ac
4、hievement of Past Research415. List of Major PublicationsAuthors (all,) Year Title, Journal, Vol, No., pp.- 516. Language Ability (5: excellent 1: poor)Reading Writing Hearing Speaking English 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 15 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 15 4 3 2 1 5 4 3 2 1 5 4 3 2 1
5、 5 4 3 2 15 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1Chinese 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 117. Past Stay(s) in ChinaPlace: Year: Purpose:18. Name(s) of other fellowship(s) for which you are now applying19. Mailing Address(Approximately three months after receiving an application, IGSNRR will se
6、nd 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:Tel: Tel:Fax: Fax:E-mail: E-mail:20. Will you be accompanied by spouse and/or o
7、ffspring(s)? If so, please indicate their names and relationship.Name: Relationship:21. 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:6I certify the above information to be accurate and correct.Date: Name (Print): Signature: (Applicant signature)
