Application FormAttachment A

President

Scuola Normale Superiore

Piazza dei Cavalieri, 7

56126 - PISA

The undersigned (name/surname)______, born in ______(Italian Province___ /country ______), on (date) ______address of residence______no.___ postal/zip code ______, Italian fiscal code or taxpayer number of country of residence: ______

REQUESTS

to be considered for the selection process for the assignment of no. 1 grant for a research position named “Models and algorithms for large networks from Big Data”as part of the EU project“SoBigData Research Infrastructure”, Acronym “SoBigData” (H-2020-INFRAIA-2014-2015), Grant Agreement Number 654024, referred to in the announcement of selection n° 502 and

DECLARES

in order to be admitted to the selection process, under his/her responsibility and aware of the legal penalties as indicated in art. 76 of Presidential Decree 445/2000 for false statements and/or the creation and use of false public documents:

  1. to have the following citizenship: ______;
  2. to have a Master’s degree in ______completed at the University of ______on the following date: ______;
  3. to have carried out at least 2 years of post-graduation research activity in the disciplines indicated in the announcement, as declared in the curriculum vitae attached to the application;
  4. |_| to have completed or |_| to not have completed the PhD or any other doctoral degree course recognised as equal to the Italian “Dottorato di Ricerca” in (subject) ______on (date of completion) ______at (the institution awarding the degree) ______;
  5. |_| to have or |_|notto have any relationshipsof marriage, family relationships or affinity,up to the fourth degree,with the person who authorized the appointment, the members of the body who decides about the financing of the appointment, the Secretary General and the members of the Board of Directors of the Scuola;
  6. not to be in any of the other situations of incompatibility provided for in paragraphs 1, 3 and 4 art. 4 of the Scuola Normale Regulations (available at for the conferral of grants for research;
  7. not to have been convicted or found guilty of a criminal offence and not to be involved in criminal proceedings;
  8. to |_| be / |_| not to be a public-sector employee;
  9. to be in the following situation with regards to military service ______;
  10. to have a (sufficient/good/excellent)______knowledge of the English language;
  11. that all of the activities undertaken, the professional experience and the qualifications listed in the CV and in all documentation attached to the application are to be considered according to and by effect of articles46 and/or 47 of Presidential Decree 445/2000, aware of the penal consequences, in case of untrue statements or falseness in acts, indicated in art. 76 of the aforementioned Pres. Decree 445/2000;

(For non-European Union citizens): The applicant also agrees to present, upon request of the Administration, originals or adequately certified copies of all diplomas awarded to him.

  1. to have read the information concerning the use of personal details as per art. 13 Leg. Decree N° 196/2003, available on the website of the Scuola Normale, and to know that the Scuola Normale will use his/her personal detailscontained in the application form in conformity with Leg. Decree 196/2003;
  2. to have read the selection announcement and to be aware that the presentation of this application indicates full acceptance of the conditions specified therein.
  3. (if appropriate)|_| Being non-resident in Italy, the applicant requests the use of videoconferencing to carry out the interview required by the call (via Skype)

Information required for Skype conference:

address to use for the connection (Skype name): ______

associated e-mail address: ______

The applicant also agrees to follow the indications in art. 5 of the call.

Attached to this application:

-a signed and updated curriculum vitae containing a detailed description of the educational career and professional experience;

-a signed list of all publications, including the exact web-address;

-any document, qualification, publication that the candidate believes may be useful to the evaluation of her/his application and a signed list of the aforementioned documents, qualifications, publications;

-a photocopy (non-authenticated) of a valid identification document;

-(possible) reference letters.

(In case of reference letters sent by email)

The undersigned suggests below experts in the field that he/she will take care of contacting to ask for reference letters:

  1. (First name, Family name, Affiliation) ………………………………………………………..
  2. (First name, Family name, Affiliation) ………………………………………………………..
  3. (First name, Family name, Affiliation) ………………………………………………………..

(Reference letters, in pdf format, can be sent by the referees directly to the attention of the scientific coordinator, prof. Fabrizio Lillo, at the following e-mail address: ).

For the purposes of the selection procedure, the undersigned finally provides the following contact details:

E-mail ……………………………………………………

Full address (City, State, Street and Street number, Zip code)[1]……………………

……………….…………………………………………………………………………

Phone/Mobile …………………………………………...

Place and date ……………………. Full readable signature ……………

[1] Complete only if different from address of residence