ACE Maritime University
Under the auspices of the
Russian Geographical Society
APPLICATION FORM
To be returned to [email protected] by 27 May 2016 (17:00 CET)
(please do not change the format of this document)
A) Personal details
First name
Last name
Gender
Date of birth
Country of citizenship
Passport number
Visa requirement for Germany
or South Africa (Yes/No)
Details of health insurance/
coverage (compulsory)
Medical condition/dietary
requirements (if any)
Name of contact person in case
of any emergency
Address
Email
Telephone number
Mobile phone
B) Correspondence address
Street
Zip code and City
Country of residence
Email
Mobile phone
C) Academic details
Highest qualification achieved
Name and website of awarding
institution
Name of current institution
and department
Current year of study
Target degree
Subject area
Title of degree thesis/PhD (if
applicable)
Supervisor of current degree
thesis/PhD (if applicable)
Email address of supervisor
Preferred theme (more than
one may be selected)
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Physical Oceanography
Biological Oceanography
Biogeochemistry and the Carbon Cycle
Atmospheric Science
Marine Instrumentation
Data Management and Analysis
Other ...
D) Previous sea-going experience
E) Next planned career step and motivation - please also explain how you would
particularly benefit from this course (max 250 words)
F) Current research project/potential need for collection of water samples (if applicable)
Annex: Please prepare one PDF document containing the following sections:
1: 1-page Curriculum Vitae
2: Proof of registration at current university
3: Letter of recommendation from first bachelor/master supervisor or other lecturer who
knows you well
4: Copy of valid passport
5: Proof of health insurance/medical coverage