1、1中山大学副教授职位申请表Application Form for Position of Professor, SYSU请 选 择 申 请 学 科 类 别 ： 人 文 与 社 会 科 学 学 科 ； 理 科 ； 工 科 ； 医 科 ； 公 共 外 语 与 体 育 学 科Please Choose the discipline to apply: Humanities and Social Sciences, Natural Science, Engineering, Medical Studies, Public Foreign Languages and Physical Educatio
2、n应聘学院（系）School / Department to Apply申请二级学科Academic Sub-discipline一、个人资料 Personal Information姓名Applicant Name性别Gender出生年月Date of Birth国籍nationality最高学历、学位Highest Degree毕业院校Degree Institution毕业时间Graduation Year现聘单位Current Employer现聘职位Current Academic Title任职年月Starting from (M/Y)从事专业Field of Expertise研
3、究方向Research Interests身份证号码ID No.电子邮件Email通讯地址Mailing Address手机Mobile No.2、学习及国（境）外研修经历（大学及以上）Educational Background (Bachelor degree and above, overseas study included)起 止 年 月 Date自 From 至 To学校名称Schools/Institutions Attended（海外高校请注明所在国家)(Country Should be Stated）学历/学位Degree Obtained专业Major三、工作经历（含博士
4、后经历）Employment History(Postdoctoral experience included)起 止 年 月 Date自 From 至 To工作单位 /机构 Schools/ Institutions of Employment 职务 Position Held2四、教学工作（任现职近五年内）（可另附页）Teaching Experience (most recent 5 years; if current position is shorter than 5 years, please list the experiences since the position star
5、ted. if needed, attach a sheet. )1课程教学情况（学年学期至学年学期）Courses Taught From the (1st/2nd )Semester(Year) to(1st/2nd ) Semester(Year)类别Type开课学年学期Semester and Year教学课程名称Course Title课程属性Course Type(Compulsory/ Selective）学分Credit学时Credit Hour授课对象及人数Targeted Student and Number of Enrollment实际担任课堂教学学时数Actual C
6、redit Hour for Classroom Teaching课程系数Course Coefficient工作量Amount of Teaching LoadTeachingFull-timeUndergraduates普通全日制本科生教学总计学时数Total Credit HoursTeachingGraduates研究生教学3总计学时数Total Credit Hours2指导学生情况 Students Supervised学生类别Student Type时间 Period(年 月年 月）学生数（专业、年级、姓名）Student List (major, year in program
7、, name)折合学时数Equivalent Credit HoursPh.DCandidates指 导 博 士 生MasterDegreeCandidates指 导 硕 士 生4SupervisingGraduationThesisforUndergraduates指导普通全日制本科生毕业论文其他 Others总计学时数 Total Credit Hours3审核意见 Verification承担普通全日制本科教学工作量合计 学时，年平均教学工作量 学时。其中，课程教学共 学时，指导毕业论文工作量 学时，本科生教育教学其他工作折合工作量 学时。For Full-time Undergradu
8、ate TeachingTotal Credit Hours:Average Annual Credit Hours: Course Teaching Hours: Thesis Supervision Hours: Other Equivalent Credit Hours:院系审核人签字 Reviewed by： 年 月 日 Y/M/D本科教学主管部门审核意见：Verification by the Department in charge of Undergraduate Teaching:经核实，普通全日制本科生课程教学工作量 学时。For Full-time Undergraduat
9、e Teaching：Total Credit Hours:审核人签字 Reviewed by：单位（公章）Official Seal：年 月 日 Y/M/D5承担研究生教学工作量合计 学时，年平均教学工作量 学时。其中，研究生课程教学共 学时，指导研究生折合 学时。For Graduate TeachingTotal Credit Hours: Average Annual Credit Hours:Course Teaching Hours:Thesis Supervision Hours:院系审核人签字 Reviewed by： 年 月 日 Y/M/D研究生教学主管部门审核意见：Veri
10、fication by the Department in charge of Graduate Teaching:经核实，研究生课程教学工作量 学时，指导博士研究生 名、硕士研究生 名。For Graduate TeachingCourse Teaching Hours: Total number of supervised Ph.D candidates:Total number of supervised Master degree candidates: .审核人签字 Reviewed by：单位（公章）Official Seal：年 月 日 Y/M/D5、代表性学术成果及其影响力说明
11、 Representative Academic Outputs and Statements of Impact研究类别： 理论创新研究类； 应用、技术与工程研究类Category of research: Theoretical Applied, Technical or Engineering 注：以下内容按填表说明第 7 点相应要求填写 Note: Please fill in this section according to Note 7代表性学术成果 1 Academic Output 1成果名称及基本信息 Name and brief introduction：成果形式 For
12、mat： 说明（不超过 20 字）Introduction (in 20 words)：成果影响力声明（200-300 字） Statement of Impacts (200-300 words)代表性学术成果 2 Academic Output 26成果名称及基本信息 Name and brief introduction：成果形式 Format： 说明（不超过 20 字）Introduction (in 20 words)：成果影响力声明（200-300 字） Statement of Impacts (200-300 words)7代表性学术成果 3 Academic Output 3
13、成果名称及基本信息 Name and brief introduction：成果形式 Format： 说明（不超过 20 字）Introduction (in 20 words)：成果影响力声明（200-300 字） Statement of Impacts (200-300 words)其他学术成果 Other Academic Outputs序号#成果名称及基本信息（请按填表说明第 7 点相应要求列出）Name and basic introduction (Please fill in the form according to Note 7)成果形式Format说明Introducti
14、on代表性学术成果及其他学术成果院系审核意见Verification on Representative Research and Other Academic Outputs：审核人签字 Reviewed by：单位（公章）Official Seal： 年 月 日 Y/M/D86、学术经历与活动 Academic Experience and Activities1. 科研项目（任现职以来且是近五年内取得的成果） Research Grants(most recent 5 years; if current position is shorter than 5 years, please l
15、ist your research since the position started）序号#按项目来源及类型、项目名称、项目批准号、项目全部参加人员（注明主持人）、起止时间（注明计划完成时间、实际完成时间）、本人承担部分列出Source of Funding, Title of the Grant/Project(No.),List of Project Members (project director should be indicated clearly ), Beginning Direct(number) scientific programs of Ministry/Provi
16、ncial- Level; Participate(number) National Key Programs as main participant. (list top three).公共外语与体育学科申请人请填写：For applicants from the field of Public Foreign Languages and Public Sports：主持 项国家级科研或教改项目；主持 项部省级科研或教改项目；主持项厅级科研或教改项目。作为主要参加者（前三名以内）参加 项国家级项目， 项省部级项目。Direct(number)scientific and/or teachin
17、g reform programs of National-level; Direct(number) scientific and/or teaching reform programs of Ministry/Provincial- Level; Direct(number) scientific and/or teaching reform programs of Department/Bureau- Level;Participate(number) National-Level Programs and(number) Ministry/Provincial- Level Progr
18、ams main participant (list top three).院系审核意见 Verification by the Department/ School：审核人签字 Reviewed by：单位（公章）Official Seal：年 月 日 Y/M/D科研主管部门审核意见 Verification from the University Research Administration Department：已对申请人在本栏目填写的项内容，包括项目来源及类型、项目名称、经费、参加者排序、申请时间及结项时间、统计等信息进行审核。Information of theitems in t
19、he above table has been verified, including the source, type, title, amount (RMB), order of participants, beginning & ending dates and total number of grants/projects.审核人签字 Reviewed by： 单位（公章）Official Seal： 年 月 日 Y/M/D92. 学术事务与团队工作 Academic affairs and teamwork experiences 请简述参与校内学术事务与团队工作的内容、时间、影响等
20、。（不超过 300 字）Please summarize (in 150 words) your participation in school academic affairs and team work with specifications of the responsibilities, time and impacts1.2.3.3. 学术传播与社会服务 Research Outreach and Social Service注：根据“教授和副教授职务聘任评价细则”的要求，请按时间、内容、承担的工作列出，按重要程度排序，最多可列五项。Note: Please list accordi
21、ng to the Regulations on the Appointment Criteria of Professor and Associate Professor. Please list the time, nature of the work and your responsibilities, rank according to importance. List no more than five items.1.2.3.院系审核意见 Verification by the Department/ School：审核人签字 Reviewed by：单位（公章）Official
22、Seal： 年 月 日 Y/M/D10七、学术规划（不超过 500 字）Future Academic Planning (in 500 words)请简述未来六年的学术发展规划。Please briefly state your academic career plans in the next six years.八、推荐/咨询人 References（来自校外的申请人填写）姓名Name学衔Academic Title通讯地址Mailing Address电话号码Phone No.电子邮件Email学校可能向以上人士咨询申请者的情况，请先行知会上述人士。The committee may contact the above referees. Please inform them in advance.
