ErasmusMundusJointDoctorateprograminDistributedComputing

Candidateapplicationform

Application Form (to be uploaded as a PDF document with your application)

PERSONALDATA
LastName:Firstname:Gender:Male/Female
DateandPlaceofBirth:
MailingAddress:
IdentityDocumentnumber/PassportNumber: (Pleaseincludeacopyofthedocument)
Citizenship:
PhoneNumber:
E-mail:
MaritalStatus:Single/MarriedNumberofchildren:
Fax:
DidyouevervisitedoneoftheInstitutionsofthisDoctorateProgram?
Ifyes,pleasegivethedatesofyourvisit,andthenameofthehostInstitution/laboratory
HOMEINSTITUTION (if applicable)
InstitutionName:
DepartmentorLaboratory:
Address:
E-mail:Website:
REFERENCES
Pleaseindicateatleasttwopersons,withinyourhomeinstitution (if applicable),thatwillprovidereferencesforyourapplication.
Nameandposition:
DepartmentorLaboratory:
Address:
E-mail:Website:
Nameandposition:
DepartmentorLaboratory:
Address:
E-mail:Website:
Nameandposition:
DepartmentorLaboratory:
Address:
E-mail:Website:

EDUCATION

NAMEOFINSTITUTION
(Mostrecentfirst) / City / Country / Degreeobtainedorexpected(Exacttitle,discipline) / Grade / Date

WORK EXPERIENCE

Currentormostrecentposition(Company,Department,descriptionofyourtaskandresponsibilities)
Otherpreviousrelevantpositions
Prizes,awards,specialgrants

YOURCurriculumVitaetobeincludedhere(2pagesmaximum, if not attached separately)

LANGUAGEREQUIREMENTS

Pleasecompletethefollowingtableandsubmit,aspartofthepresentapplication,anydocumentstatingthatyouhavethenecessaryproficiency:languagecertificates(TOEFL,TOEIC, …),workingexperienceordiplomaspassedinthelanguage.

ForstudentshavingtheirAcademicCoursesinEnglish,asimplecertificateaboutthelanguageofeducationwillreplace the language certificate documents.

Workinglanguages / Level(TOEFL,TOEIC) / Supportingdocumentsprovided
English
Catalan
Spanish
Swedish
Portuguese
French

DOCTORATE TOPICS

Please indicate the doctorate TOPICS chosen (in preferential order if several choices) with regards to the list proposed in the web site of the doctorate program.

Choice / Projecttitle
1
2
3

Pleaseexplainintheboxbelowyourmotivationfortheselectedproject(5-10 lines):

REASONSFORAPPLYINGANDCAREERPLANS

Pleasestatewithintheboxbelowinapproximately400words,thefollowingpoints:

  1. YourreasonsforapplyingtoEMJD-DCDoctorateprogram
  2. Yourpersonalskillsandabilitiesforsuchaprogramandyourpossiblepreparationtoundertakeit
  3. Yourfocusedinterestwithinthefieldofdistributedcomputing,ifany
  4. Yourcareerplansuponcompletionoftheprogramme

ThisstatementisverymeaningfulfortheSelectionCommitteeinordertoappreciatethestrengthsorweaknessesinyourbackground,inyourmotivation,andinyourabilitytocarryouttheEuropeanDoctorateprogram,aswellasfutureresponsibilitiesinthefieldofdistributedcomputing.

HOWDIDYOUHEARABOUTTHISEUROPEANDOCTORATEPROGRAM?(Tickoneorseveralbox/boxes)

Colleague
Employer
Collegeplacementorcareersadviceoffice
University(pleasespecify) …………………………………
Publication(pleasespecify)…………………………………………….
Electronicmedia(e.g.,Internet)
Attendanceatconference,congress,meeting(pleasespecify) ……………………
Advertising(pleasespecifywhere) …......
Other(pleasespecify)………………………………………………….

APPLICATIONTOANERASMUSMUNDUSGRANT,AWARDEDBYTHEEUROPEANCOMMISSION

If you want to apply for an Erasmus Mundus fellowship, please be sure that you are eligible and check the following conditions:

Iamcitizenofathird-country*
IamnotaresidentinanyUEMemberStateorparticipatingcountry*
Ihavenotcarriedoutmymainactivity(studies,work,etc.)formorethanatotalof12monthsoverthelastfiveyearsinanyoftheUEMemberStatesorparticipatingcountries

*AThird-countryisanycountryexceptUEmemberstatesandEEA/EFTAcountries.Aslongastheofficialparticipationofthecandidatecountries(e.g.Turkey)intheprogrammeisnotformalised,theywillbeconsideredasthirdcountries.TheofficialparticipationofEEA/EFTAcountries(Iceland,LiechtensteinandNorway)hasalreadybeenformalisedandtheyparticipateintheprogrammeonthesameconditionsastheEUMemberStates.

[] IwishtoapplytoanErasmusMundusgrant,awardedbytheEuropeanCommission**

[] IdonotwishtoapplytoanErasmusMundusgrant,awardedbytheEuropeanCommission**

**Pleaseticktheappropriatebox

SIGNATURE

• Bysigningbelow,Icertifythattheinformationpresentedinthisapplicationisaccurate,complete,andhonestlypresented.

• Icertifythatallinformationsubmittedonmybehalf,includinglettersofrecommendation,isauthentic.

• Iunderstandandagreethatanyinaccurateormisleadinginformation,aswellasanyomissionofinformation,willberesultinthecancellationofanyofferofadmission,orfordiscipline,dismissal,orrevocationofdegreeifdiscoveredatalatertime.

• IunderstandthatmyapplicationandanymaterialssubmittedwithmyapplicationbecomesthepropertyoftheConsortium

• Iunderstandthattheadmissiondecisionisfinalandnotsubjecttoappeal.

• Iallowthereleaseofmyapplicationmaterialstopersonswithintheconsortiumforinternaladministrativepurposes.

• IacknowledgethatthecontentsofmyfilemaynotbereleasedorforwardedtopartiesoutsidetheConsortium.

• Iunderstandthatlettersofrecommendationcannotbeusedforpurposesotherthanreviewforadmission.

• IallowthereleaseofmyapplicationmaterialstoallEUinstitutionsinvolvedintheapplicationfortheErasmusMundusGrant

SignatureDate