TO

MR. IVAN KRASTEV

DEPUTY MINISTER OF EDUCATION AND SCIENCE

AND HEAD OF PROGRAMME OPERATOR

FOR BG09 PROGRAMME

EEA SCHOLARSHIPS FUND

A P P L I C A T I O N F O R M
MOBILITY PROJECTS IN HIGHER EDUCATION AND RESEARCH MEASURE
MOBILITY OF higher education, research and administrative staff COMPONENT
First Call for Proposals
Name, Surname, Family name:
Contact address: / City: / Postal code:
Str./Bld. №/distr. / block / entr. / floor / apt.
Phone (home): / Phone (office): / Mobile: / Fax:
Personal e-mail: / Office e-mail:
Name of the home institution / Applicant’s status / Academic/Research/
Administrative staff member
(please delete what is not applicable)
Professional/
Research field, in which the applicant works / Educational/ Scientific degree held by the applicant

DEARDEPUTY MINISTER,

Iwouldliketoapplyforascholarshipfrom the Scholarship Fund under the EEA Financial Mechanism Programme(First Call for Proposals) at:

Institution: / City: / Country:
Purpose of mobility:

The present mobility project is oriented in the field of:

(please complete the field)
…………………………………….
□ / Orientation of the individual mobility project in the field of training children and students with special education needs, inclusive education and educational integration of children and students with other ethno-cultural background and from disadvantaged groups in the mainstream educational system, including of Roma origin, pedagogical methods and approaches for retaining children and students at school, reduction of early school leaving (please mark with “x” if such orientation exists);
□ / Orientation of the individual mobility project in the field of human rights, economic and social cohesion, and integration of minorities (please mark with “x” if such orientation exists);
□ / Orientation of the individual mobility project in the field ofMedicine or Dental Medicine (please mark with “x” if such orientation exists);
□ / The individual mobility project is in the field ofAgriculture and is aiming to contribute to meeting the objective for supporting economical and social cohesion and integration of minorities (please mark with “x” if such orientation exists);
□ / The individual mobility project is in other field (please specify the field), with aim to contribute to meeting the objective for supporting economical and social cohesion and integration ofcitizens with a low social and economic status, including of Roma origin (please mark with “x” if such orientation exists);

During my stay in the host institution I will implement the following activities:

…………
……………….
(Please enter as many lines are needed)

Expected outcomes of the mobility for my professional development, the development of the institution that I’m representing, and the bilateral cooperation are:

…………
……………….
(Please enter as many lines are needed)

Relevance of the research topics and the research contribution to the development of the European Research Area:

……………………..

To this end, the following documents are enclosed:

EUROPASS CV / □
A copy of personal identity document / □
A Letter of Motivation (max. 1 page) / □
A copy of a labour contract / □
A Letter of Recommendation from the applicant’s home institution / □
A List of Research Publications / □
A Letter of Invitation (in English) from the institution, which organises the mobility or from the host institution in the EEA ETFA state / □
A declaration stating that the candidate has not received any funding from other EU programmes, the EU Structural funds, EEA EFTA or other academic and scientific exchange programmes for the purposes of the present mobility / □
A copy of foreign language certificate (English for Iceland and Norway; English or German for Liechtenstein); / □
A recent colourful photo (passport format) / □
Other documents (please specify) / □
Date: / Signature:
City: / (Name, Surname, Family name)

Please, fill-in electronically and print!