ANNOUNCEMENT OF THE SELECTION BY COMPARATIVE EVALUATION OF CANDIDATES FOR one INTERNATIONAL YEAR-LONG (12 MONTHS) GRANT RESERVED FOR FOREIGN SCHOLARS, RESIDING IN MEMBER STATES OF THE EUROPEAN UNION, TO CONDUCT a RESEARCH PROJECT AT THE IUAV UNIVERSITY of VENICE

ATTACHMENT A - APPLICATION

TO THE RECTOR

of Iuav University of Venice

I, the undersigned born in ______(town), in

______(Country) on ___/___/_____, residing in ______

(Country) in (town), Street ______n. ______post code ______tel. ______, tax code (only for Italian candidates residing abroad) ______

apply for,

pursuant to and in accordance with the law dated December 30th, 2010, No 240 article 22 “research grants”, admission to the selection process assigning three international grants for conducting research projects at the Iuav University of Venice and here below specify the title of the research grant I would like to be considered for:

Research grant title / Estuary and Lagoon. Art and Landscape Studies
ERC Sector / SH3_1 Environment and sustainability and SH5_5 Visual arts
Professor in charge / Professor Renato Bocchi

I hereby declare that:

1.  I am a/an ______citizen

2.  I have earned a degree in

on ______at the University of ______, with an official programme duration of (years) ______

3.  I have been awarded the Doctoral (or PhD) diploma (or equivalent) in ______(for the qualifications’ equivalence please refer to: http://eacea.ec.europa.eu/education/eurydice/documents/european_glossary/046EN.pdf) on ______at the University of ______(candidates who earned their Ph.D in Italy must indicate whether the doctoral programme was accompanied by a doctoral scholarship or not)

4.  I am physically fit;

5.  If admitted to the selection process, I wish to be interviewed (check the box indicating your preference):

□ via videoconferencing

□ on a face-to-face basis at Iuav University

6.  I hold/I do not hold (cross out that which does not apply) any other research grant or have other contracts for teaching or collaborating in teaching activities either at Iuav or other Universities or Research Institutes: ______

7.  I hold/I do not hold (cross out that which does not apply) a scholarship of any kind, with the exception of those granted by national or foreign institutions intended to integrate the grant holder’s research activity with study abroad: ______

8.  I am/I am not (cross out that which does not apply) a relative of or related with in any way, (up to and including the fourth degree) a professor who is part of the research department at Iuav, or the Rector, the General Director or a member of the University Board of Governors (article 18, paragraph 1, letter b and c of the Law No 240 dated December 30th, 2010)

9.  For the purposes of this selection process, I am domiciled in: ______

Street ______n. ______post code. ______

tel.______mobile ______e-mail: ______

and I promise to promptly communicate any possible changes of this address.

If awarded the grant, I pledge to undertake the research activity at the campus of Iuav University of Venice under the coordination of the scientific tutor.

I am submitting the following documentation with this application:

- curriculum vitae et studiorum

- the research project proposal as set forth in article 2 paragraph 2 of the call, drawn up according to the Attachment C form of the call

- n. …. (at least two) presentation letters written by university professors, pursuant to article 2 paragraph 2 of the call

- copy of an identity document

Place and date ......

Signature: ......

(compulsory)

This declaration does not require the candidate’s signature to be attested pursuant to article 39 paragraph 1 of the Presidential Decree 445/2000.

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