APPLICATION FORM - PART 2 Complementary information and description of the research project Please send one original and four copies of this form and the requested supporting documents 1. Higher Education (please attach a copy of your diplomas) Academic institute From To Certificates or diplomas Discipline Doctoral thesis, if applicable, - title, date or anticipated date 2. Employment to date and present position Employer's name From To Status and research field 3. Description of previous research work * Key words Summary Description of the work * If the space allowed is insufficient, please feel free to give any additional information on a separate sheet. 4. List of most recent publications * * If the space allowed is insufficient, please feel free to give any additional information on a separate sheet. 5. Research project and contacts in China* a. What research work do you wish to undertake in China? Title of the project Key words Summary Description of the work * If the space allowed is insufficient, please feel free to give any additional information on a separate sheet. b. Why are you choosing China ? c. Have you established contact with the Chinese potential host institute where the proposed work could be fruitfully carried out? (Please give address of the host laboratory and attach the invitation letter) d. How do you think your research proposal will fit in the perspectives of the potential host institute? e. Does your sending institution have an interest in your application in STF CHINA? If so, what it is their main motivation? Will you have a return position? 6. References Names, addresses, and telephone /fax numbers of at least 2 persons who are actually giving a reference concerning your research capacity and experience. Please join the reference letter to your application. Name addresses, and telephone /fax numbers Activity or profession Name addresses, and telephone /fax numbers Activity or profession I, the undersigned, declare that the information provided above is, to my knowledge, true and complete. I realise that any false statement or omission, even if unintentional on my part, may lead to the disqualification of my application. By signing the Application form, I declare accepting, in case where I am awarded a fellowship, the Contractual conditions as laid down in the template contract (Annex B to the Guidelines to Applicants). Date Signature CHECKLIST Before dispatching your application, please check that it is complete and specifically that: The application form The Application Form (both Part1 and Part 2) is complete and complies with the application form's requirements; One original and four copies of all documents are annexed; An electronic copy of the file is enclosed; The Application Form is typed and is in English; The Application Form is signed and dated. Supporting documents Proofs of nationality and age are annexed (i.e. copy of passport) are annexed; Two recommendation letters are annexed; Copy of the applicant's PhD Diploma or the most recent diploma is annexed; Copy of the applicant's most recent publications is annexed; Letter from the sending institution endorsing the applicant's participation in STF China is annexed; Evidence of the sending institution's previous/ existing co-operation with China is annexed; Invitation letter from Chinese hosting institution is annexed; Evidence of the Chinese hosting institution's previous/ existing co-operation with European research institutions is annexed.