Special research Fund 2015

call for doctoraL grants

in the framework of

the cooperation between

University of Namur and Hasselt University

Candidate
Indicative title of the research project
N° of annexes:
□ copy of the candidate’s diploma and study results*
□ copy of the CV both promoters must be included*
Signaturecandidate / (date)
SignaturepromoterUHasselt / (date)
SignaturepromoterUNamur

*Required annex: without this annex, the application will be declared inadmissible

This application document shallbe filled out in English.

This application document, duly filled out, has to be sent at the latest on 20 April 2015, 17h00 to:

and

Only upon reception of a confirmation e-mail, yourapplication has been successfully submitted.

Part I - Data of the applicant

1. Personal data

name
first name
other names
gender
date of birth
place of birth
country of birth
nationality
civil status
home address: street and number
postal code and city
country
telephone
cellphone
mailingaddress: street and number
postal code and city
telephone
E-mail:

2. Promoter(s)(cfr. Doctoral Studies Regulations article 9)

Promoter* / 2nd Promoter *
name
first name
research group
research institute
in case of joint degree
institution(s) of appointment

* copy of the CV both promoters must be included

3. (If applicable) co-promoter(s) – max. 2

Co-promoter 1* / Co-promoter 2*
name
first name
postdoc / ZAP / other
research group / institute
in case of non-UHasselt co-promoter
institution(s) of appointment

* copy of the CV of co-promoter(s) must be included

4. Educational background

Secondary education: / (year of graduation)
Higher Education /year*
Indicate programme per year / Institute of Higher Education / Degree / Date
1st Bachelor:
2nd Bachelor:
3th Bachelor:
1st Master:
2nd Master:

*copy of the diploma and study results/yearmust be included

5. Master Thesis

Promoter:

Title:

Year:

University /institute of higher education:

Brief thesis description:

6. Professional background (if applicable)

Employer / Percentage
appointment / Position / Period

7. If you have already received any grants not mentioned under 6, since the completion of your studies, please list them here (including any current position, starting whether this position is renewable and whether you have applied for a renewal).

8. Disciplinein which the candidate intends to obtain the Ph.D. degree:

@UHasselt side

Geneeskunde en Levenswetenschappen /Medicineand Life Sciences
□ medische wetenschappen / medicalscience
□ biomedische wetenschappen / biomedicalscience
□ revalidatiewetenschappen en kinesitherapie / rehabilitationsciencesandphysiotherapy
Wetenschappen / Sciences
□ wetenschappen / science
□ wetenschappen: wiskunde /science:mathematics
□ wetenschappen:fysica / science: physics
□ wetenschappen: chemie / science: chemistry
□ wetenschappen: biologie / science: biology
□ wetenschappen: informatica / science: information technology
Bedrijfseconomische Wetenschappen / Business Economics
□ toegepaste economische wetenschappen / appliedeconomicscience
School voor mobiliteitswetenschappen / School for Transportation Sciences
□ mobiliteitswetenschappen / transportationsciences
Rechten / Law
□ rechten / law
Industriële Ingenieurswetenschappen / Engineering Technology
□ industriële wetenschappen / engineering technology
Architectuur en Kunst / Architecture and Art
□ architectuur / architecture[1]
□ audiovisuele en beeldende Kunst / audiovisual andvisual Arts1

@UNamur side

Docteur en philosophie
□ Discipline Philosophy
Docteur en Langues et lettres
□ Discipline French and Romance Languages and Literatures : General
□ Discipline Modern Languages and Literatures : German, Dutch and English
Docteur en Histoire, histoire de l’art et archéologie
□DisciplineHistory
□ Discipline History of Art and Archaeology : General
Docteur en Information et communication
□DisciplineInformation and Communication
Docteur en Sciences politiques et sociales
□DisciplinePolitical Sciences : General
Docteur en Sciences juridiques
□Disciplinelaw
Docteur en Sciences économiques et de gestion
□DisciplineEconomics : General
□DisciplineBusiness Management
Docteur en Sciences médicales
□DisciplineMedecine
Docteur en Sciences vétérinaires
□DisciplineVeterinaryMedicine
Docteur en Sciences biomédicales et pharmaceutiques
□DisciplineBiomedicine
□DisciplinePharmacy
Docteur en Sciences
□Disciplinemathematics
□Disciplinephysics
□Disciplinechemistry
□Disciplinebiology
□DisciplineComputer science
□DisciplineGeology
□DisciplineGeography : General

9. If you have pursued scientific/scholarly studies and/or experience abroad (other then mentioned in the diplomas), please list them here.

10. If you have already published scholarly/scientific articles, please list them with complete bibliographical information.

11. Other elements of valorization can be listed here.

12. Please indicate whether you have applied in parallel for an FWO/FNRSfellowship (list project title and promoter), or for any other fellowships or PhD funding.

Part II – The doctoral research

  1. Title

Nederlands (verplicht)

French (obligatoire)

English (compulsary)

2. Research group and if applicableresearch institute in which the candidate will prepare the doctoral thesis at UHasselt side

Research group and if applicable research institute in which the candidate will prepare the doctoral thesis at UNamur side

3. The doctoral research

Outline the proposed doctoral research (problem statement, objectives & methodology) and, as far as possible, indicate the work plan and time schedule. – aproxim. 24.000 characters (blanks included). Feel free to add FWO/FNRS-application in attachment.

Indicative time schedule, giving the periods of your stay at UHasseltand at UNamur (50/50)*.

Jan / Febr / March / April / May / June / July / Aug / Sept / Oct / Nov / Dec
Year 1
Year 2
Year 3
Year 4

*Indicative timesheets

4. Added value of the proposal in relation to the collaboration between Hasselt University and University of Namur.

5. Possible ethical and/or biosafety implications relating to the proposed research:

Experiments on human beings? / Yes No
Experiments on vertebrates? / Yes No
Processing of personal data (private laws)? / Yes No

If applicable, please add a positive recommendation by the ethics committee.

Will you be working with genetically modified organisms? / Yes No
Will you be working with biological agents or with plant or animal pathogens? / Yes No

If applicable, please add a bio-safety dossier.

Part III - Abstracts

Please provide a brief, simplified abstract of your project in Dutch (min 250 – max 1.500 characters). This text is intended for the university administration.

Please provide a brief, simplified abstract of your project in French (min 250 – max 1.500 characters). This text is intended for the university administration.

Please provide a brief, vulgarizing abstract of your project in English (min 250 – max 1.500 characters). This text is intended for university administration.

Special Research Fund 2015

Call for Doctoral grants in the framework of UNamur-UHasselt cooperation

[1] The area of study may be supplemented by the name of a discipline.