ApplicationForm for Post-Doc VFP______

Application for AfricaLics Post-DocVisiting Fellowship Program atDepartment ofBusinessManagement,Facultyof SocialSciences,AalborgUniversity, Denmark 2018.

Applicant Information: ______

FamilyName:Click or tap here to enter text.

Given name:Click or tap here to enter text.

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PostalCode:Click or tap here to enter text. City:Click or tap here to enter text.

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Gender: Male☐Female☐DateofBirth: Click or tap to enter a date.

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Where did you hear about the Scholarship?Click or tap here to enter text.

InformationonCurrent Affiliation:______

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Name of Contact Person at Department:Click or tap here to enter text.

E-mail address of contact person:Click or tap here to enter text.

InformationonCompletedPhDTrainingProgram:______

Nameof University/Institution:Click or tap here to enter text.

DateofEnrollment: Click or tap to enter a date.DateofGraduation: Click or tap to enter a date.

Title ofPhDThesis:Click or tap here to enter text.

Nameof Supervisor(s): Click or tap here to enter text.

InformationonCompleted Master Degree:______

MasterDegree(title):Click or tap here to enter text.

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GraduationDate:Click or tap to enter a date.

Information on mentor/collaboration partners (related to your project proposal as submitted for the AfricaLics Post-doc VFP:

Mentor/collaborating partner at home institution for the project: Click or tap here to enter text.

Contact information (e-mail) for mentor/collaborating partner

at home institution: Click or tap here to enter text.

International mentor/collaborating partner (if identified): Click or tap here to enter text.

E-mail of international mentor/collaborating partner: Click or tap here to enter text.

Specification of thematic area of your post-doc research proposal:

Developing innovation capabilities for sustainable and inclusive industrialization in Africa (overall) / ☐
Innovative and inclusive solutions to meeting Africa’s energy needs / ☐ /
Policies, institutional support structures and new digital technologies for development of SMEs / ☐ /
Linkages and cooperation in agribusiness development and smallholder engagement in this / ☐ /
Other e.g. gender, financial financial innovation etc. (please specify in proposal) / ☐ /

Checklistforrequireddocuments(tobesubmittedwiththeapplication)

☐Briefapplicationexplaining own background andmotivation forapplying(max.1 page)

☐Description of your post-doc project (max. 6 pages) – see outline in the call

☐Curriculum vitae–CV, including list of publications and a recent photo of yourself (2-3 pages)

☐Letterofsupport from theDepartment/InstitutionAdministration

☐Copiesof AcademicCertificates (copiesof Bachelor, Master and PhDCertificates asaminimum)

☐Onewriting sample (article orchapter e.g. fromPhDdissertation; preferably single-authored)

☐Confirmation that you hold a passportthat is valid upto 6 months after departure from Denmark in December 2018 (do not attach copy of your passport at this stage please).

Applicationform(dulyfilled in and signed)with enclosuresmustbesentelectronically to t the latest by 10January 2018.

Outcomeoftheapplicationwill beannouncedin February 2018.If requested,applicantsmustbeprepared toparticipate in SkypeinterviewsinJanuary 2018.

Date:Click or tap to enter a date.Signature: