APPLICATION FORM 1. Candidate Surname and name: Date of birth (dd/mm/yyyy) Nationality: Permanent residence: Mailing address (service address for delivery of decisions and notices): E-mail: Phone: Mobile: 2. Education University: University and faculty conducting the study programme Faculty: Grade average of all exams and lab work under an undergraduate programme adopted in the Republic of Slovenia prior to 11 June 2004, excluding thesis. Rounded to two decimal points Grade average of minimum 8.00 from all exams and lab work under a first- and Rounded to two second-cycle programme adopted in the Republic of Slovenia after 11 June 2004, decimal points including grade of undergraduate and Master’s thesis. Grade average obtained in a study programme implemented by a foreign Rounded to two university. decimal points I have completed 80 % of all study obligations under the programme and I will complete the rest and submit proof of graduation to the University of Maribor until no later than 15 September 2017. YES NO (indicate accordingly) not yet enrolled Status of postgraduate (doctoral) programme (indicate/complete accordingly) enrolled in the …………… year of study in the academic year ……………….. MSc degree University and faculty conducting postgraduate (doctoral) programme1 1 YES NO University: Faculty: If the candidate is already enrolled or has been enrolled into a postgraduate (doctorate) programme. UM-MR/2017/Application 1 3. Information on the supervisor and post Name and surname of supervisor Research area UM Faculty (acronym) Signature of candidate: _____________________ 4. CANDIDATE STATEMENT The candidate hereby declares as follows: - My personal data contained in the application for the 2017 Public Call for Early-Stage Researcher Candidates published by the University of Maribor may be used for purposes of records and registers, as well as written, electronic and oral communication required for the implementation of activities laid down in the Research and Development Act; - I have not yet obtained any funding from the Early-Stage Researcher Funding Programme. If selected, I shall not receive funding for postgraduate studies under any other scheme for the cofunding of doctoral studies; - I will not enrol in an additional year of a third-cycle (doctoral) study programme in the academic year 2017/18 and have not yet held status of this type; - I do not hold a PhD; - I have submitted the application for enrolment in a third-cycle (doctoral) programme. If selected, I shall enrol and submit a certificate of enrolment by the end of September of the current year; - If selected, I shall deliver proof of having enrolled into a third-cycle (doctoral) programme to the address UM, Služba za podporo raziskovalcem in projektom UM, Slomškov trg 15, 2000 Maribor (University of Maribor, Office for the support of UM researchers and projects, Slomškov trg 15, SI2000 Maribor (Slovenia)) by end of September 2017. - any and all information provided is true and accurate and any and all copies provided are true copies of original documents. (Select only if appropriate.) As I have not yet graduated at the time of application, I hereby declare that I will graduate by no later than 15 September 2017, supplement the application with the certificate of thesis defence and a printout of all satisfied study obligations under a second-cycle Bologna programme, and deliver the certificates to the University of Maribor (Univerza v Mariboru, Služba za podporo raziskovalcem in projektom, Slomškov trg 15, 2000 Maribor/ University of Maribor, Office for the support of UM researchers and projects, Slomškov trg 15, SI-2000 Maribor) by no later than 15 September 2017. Name and surname of candidate: (please print) Signature:_______________________ UM-MR/2017/Application 2 As I have graduated from an HE institution outside the Republic of Slovenia, I shall also submit the following documents to the University of Maribor (Univerza v Mariboru, Služba za podporo raziskovalcem in projektom, Slomškov trg 15, 2000 Maribor/ University of Maribor, Office for the support of UM researchers and projects, Slomškov trg 15, SI-2000 Maribor) no later than 15 September 2017: decision of the University of Maribor (UM) on the recognition of foreign academic credentials for the purpose of further education in the Republic of Slovenia; conversion of the grade average under the undergraduate programme according to the grading system implemented at HE institutions in the Republic of Slovenia (prepared by the relevant faculty or UM); opinion of the ENIC-NARIC Centre on the adequacy of foreign academic credentials for purposes of employment. 5. Enclosures Please mark as appropriate: 5.1. Mandatory enclosures Copy of personal ID (showing date of birth) Copy of proof of education: Copy of diploma and diploma supplement awarded under a study programme adopted by the Republic of Slovenia prior to 11 June 2004, or Copy of diploma and diploma supplement awarded under a study programme adopted in the Republic of Slovenia after 11 June 2004, or Certificate of thesis defence plus print-out of completed obligations (exams and seminars) with grade average (excluding grade awarded for the thesis) because my second-cycle diploma has not yet been delivered, and copy of diploma and diploma supplement awarded under a first-cycle programme. Print-out of grade sheet certifying that I have completed at least 80% of study obligations (exams and lab work), including the grade average (excluding the diploma thesis), because my second-cycle Bologna diploma has not yet been delivered, copy of diploma and diploma supplement awarded under a first-cycle programme. Copy of diploma and diploma supplement or certificate of Master’s thesis defence under a Master’s programme adopted by the Republic of Slovenia prior to 11 June 2004. Name and surname of candidate: (please print) Signature:_______________________ UM-MR/2017/Application 3 I have graduated from a first/second-cycle programme (select accordingly) from a foreign HE institution and I shall deliver until no later than 15 September 2017 to the address UM, Služba za podporo raziskovalcem in projektom UM, Slomškov trg 15, 2000 Maribor (University of Maribor, Office for the support of UM researchers and projects, Slomškov trg 15, SI-2000 Maribor (Slovenia)) as follows: - decision of the University of Maribor (where I intend to pursue my studies, if selected) on the recognition of foreign academic credentials for the purpose of further education in the Republic of Slovenia; - conversion of the grade average of all study units under the first- and second-cycle programme according to the grading system implemented at HE institutions in the Republic of Slovenia, prepared by the faculty where I intend to pursue my studies, if selected; - opinion of the ENIC-NARIC Centre on the adequacy of foreign academic credentials for purposes of employment. 5.2. Optional enclosures: Certificate of maternity or parental leave (minimum 6 months) Certificate of lengthy documented sick leave (minimum 6 months) Certificate of military service Copy of proof of awards and prizes Proof of authorship or co-authorship of scientific papers (SICRIS/COBISS print-out) Candidate’s description of his/her contribution to research work (co-)signed by the supervisor (senior researcher, supervisor) Other (please specify) ___________________________ Name and surname of candidate: (please print) Signature:_______________________ UM-MR/2017/Application 4
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