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

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

Form of Individual Fellowship Application for Postdocs

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 thesis were defended*:

9. Institutional affiliation
- full name*:

10. - acronym*:

11. Position*:

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

13. Teaching activity
– current*:

14. – planned*:

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

16. – accepted for publication in refereed journals*:

17. – in non-refereed journals*:

18. – in Proceedings*:

19. Two 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

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

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

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

23. Office telephone*:

24. Home mailing address*:

25. Home telephone*:

26. Mobile phone*:

27. Fax*:

28. E-mail address*:

29. Tax payer identification number for individuals*:

30. Scientific interests*:
Description of current research and future plans (no more than 3 pages)

Date*:
(dd.mm.year)

Signature:
(for print version)