1、附件 3-1:“中韩青年科学家交流计划”赴韩人员申请表说明:申请表须用电脑填写并打印后签字。姓名性别 国籍 出生日期 出生地 照片婚姻状况: 若已婚,是否有家属同行: 是 否 同行配偶的姓名及年龄: 同行子女的姓名及年龄:目前从事专业领域及正在国内开展的项目名称:专业领域:项目名称:工作单位、职务、学位和地址1) 工作单位,现任职务(或职称)和学位:2) 办公室地址:办公电话: 传真: E-mail:3) 家庭住址:家庭电话:研究计划时间:从: / / 至: / / 共 月年 月 日 年 月 日韩方课题负责人:1) 姓名:2) 现任职务(或职称)和院系:3) 机构:教育背景 (从大学起)机构名
2、称 主要领域 学术学位 起止日期外语能力 (请用“ 优秀”、“良好”和“ 一般”三个等级填写)语言 表达能力 写作能力 阅读能力主要发表成果(包括学位论文)过去赴韩活动学习起止日期 地点 资助机构 访问目的过去和现在进行的相关研究内容介绍在韩期间研究计划:日期: 本人签字: 附件 3-2:Application for Chinese ScientistsYoung Scientist Exchange Program betweenThe Republic of Korea and the Peoples Republic of ChinaInstruction: Application s
3、hould be typewritten and filled out in English.1. Name in full: Family first middle2.Sex 3.Nationality 4.Date of birth 5.Place of birthPhotograph6. Marital status: If married will spouse accompany: Yes No Name and age of accompanying spouse:Name and age of accompanying children:7. Field of specializ
4、ation and proposed research title in ChinaField:Title:8. Affiliation, present position, degree and address1、 Affiliation, present position or title and degree2、 Office addressTel: Fax:E-mail:3、 Home addressTel:9. Proposed tenure of research fellowships:Form: To: Total: monthsday mouth year day mouth
5、 year10. Proposed Korean advisor1、 Name2、 Position or title and department3、 Institution11. Educational background (form university)Name of institution Major field Academic degree Year12. Foreign language proficiency(Evaluate using “excellent”, “good” and “fair”)Language Speaking Writing Reading13. Major publications including graduation thesis14. Previous visits to KoreaYear & length of study place Funded by Purpose of visits15. Past and current research(state past and current research relevant to the proposed research title)16. Research plan under the fellowship program in Korea