Фонд некоммерческих программ 'Династия': Интерактивная заявка для молодых ученых со степенью доктора наук (англ.)

Вам необходимо также заполнить анкету на английском языке.

Заявка для молодых ученых со степенью доктора наук (Eng.)

Form of Individual Fellowship Application for Doctors of Science

1. Scientific field*:
(indicate only one code)

	A — Astrophysics, Plasma Physics, and related topics
	B — Nuclear Physics, Elementary Particle Physics, Quantum Field Theory, String Theory and related topics
	C — Condensed Matter Physics, and related topics
	D — Other Fields of Theoretical Physics

2. Project title, keywords*:

3. Family name*:

4. First name, middle name*:

5. Date of birth*:
(dd.mm.year)

6. Education*:
full name of the institute, year of graduation

7. Scientific degree*:

8. Title, date and the insitution where Ph.D. thesis was defended*:

9. Title, date and the insitution where doctoral thesis was defended*:

10. Institutional affiliation
- full name*:

11. - acronym*:

12. Position*:

13. Academic title*:

14. Current support in the form of grants or fellowships*:
from Russian and international sources

15. Teaching activity
– current*:

16. The number of students graduated under supervision;
the number of PhD degrees received under supervision*:

17. Teaching activity
– planned*:

18. List of papers
(each position in the list of scientific works begins with a new line),
– in refereed journals*:

19. – accepted for publication in refereed journals*:

20. List of monographies
(each position in the list of scientific works begins with a new line),*:

21. Three scientists (Russian or foreign) who willing to write
a letter of recommendation within a four-week deadline*:
family name, first name, middle name, title, position,
institutional affiliation, telephone and E-mail adress

22. Name of the science institution *:
where the applicant plans to carry out research

23. Head of the research group,*:
in which the applicant plans to carry out research (family name, first name, middle name, title, etc.)

24. Passport information*:
number, date/place of issue

25. Office telephone*:

26. Home mailing address*:

27. Home telephone*:

28. Mobile phone*:

29. Fax*:

30. E-mail address*:

31. Tax payer identification number for individuals*:

32. Description of results and future plans*:
(no more than 3 pages)

Date*:
(dd.mm.year)

Signature:
(for print version)