1、华东师范大学博士后国际交流计划引进项目申请表East China Normal University Postdoctor Admission Application Form for Applicants Abroad申请一级学科名称： 二级学科名称：Discipline: Specialty：一、申请人简况 Applicants Information Name on ID证件姓名Highest Degree最后学位Sex性别Date of Birth出生日期月 日 年mm/dd/yyyyNationality/Region国籍/地区Marital Status婚姻状况Chinese Le
2、vel汉语水平Place of Birth出生地City 城市 State or Province 省 Country 国家 Upload passport-sized ID photo showing your full face and ears 上传两寸正面免冠照片ID No.证件号Expiration Date证件有效期月 日 年mm/dd/yyyyPlace of Issue签发地Telephone联系电话E-mail Address电子邮件Permanent Addressat Home Country所在国家的永久地址Apartment number 房间号 Street 街道
3、City 城市 State or province 省 Country 国家 Postal code 邮编Doctoral Thesis Title博士论文题目Institution学校From (dd/mm/yyyy) To (dd/mm/yyyy)日期Degree & Certificate学位Area of Study专业Educational Background from college (most recent first and dates must be included)教育经历(从大学填起)Employer工作单位From (dd/mm/yyyy) To (dd/mm/yy
4、yy)日期Position职位Place地点Employment Experience (most recent first and dates must be included)工作经历二、申请人主要学术成果 Applicants Major Academic Achievement2.1 Your representative papers published in journals or conference (including ones accepted for publishing)2.1 申请人在学术刊物或会议发表的代表性论文（含已被录用待发表）Title，Name of jou
5、rnal or conference，years, volume, period, all the author names (name of the applicant in bold, corresponding author name with “*“ marks)论文题目，期刊名称，年，卷，期，所有作者姓名（申请人名字加粗，通讯作者名字上用“*”标示）Issued time发表时间SCI/EI/SSCI/AHCI录用情况IF影响因子Cited他引次数Book: Title, all the author names, publisher,( Name of the applicant
6、in bold)著作：书名，所有作者姓名，出版社（申请人名字加粗）Dates出版时间Words completed个人字数Total Words总字数2.2 Your Research Projects2.2 申请人读博士以来承担的主要科研项目Project Title项目名称Please list the title, funding bodies, total grant and funding period for all projects for which you are either Principal Investigator or the first Co-Investigat
7、or.请罗列你作为主持人或首席辅助主持人项目的名称、资助机构、经费总额及资助年限2.3 Your Awards & Academic Honors2.3 申请人读博士以来获奖情况Title获奖项目名称Type奖励名称funding bodies授 奖 单 位Dates获 奖 年 月Rank本人排序2.4 Your Patents2.4 申请人读博士以来获得专利情况Patents Title专利名称Country专利授权国NO.专利号Dates授权年月Rank本 人排 序三、申请人承诺 Applicants StatementI declare that information supplied
8、 in this Application is correct and complete. (我声明所填申请信息是正确和完全的。)I recognize it is my responsibility to provide all necessary documentary evidence of my qualifications, education background and employment experience and hereby authorize ECNU to obtain further information where necessary.(我有责任提供证明我的资
9、历、教育背景和任职经历的所需文件并授权华东师范大学在需要时获取更多材料。)ECNU reserves the right to withdraw any offer to me or cease my placement at any stage during my application where false or misleading information has been provided.(若在申请过程中发现提供虚假和错误信息，华东师范大学有权取消对我的申请受理。)Signature of Applicant Date （dd/mm/year ）（The following is not required by the applicant. ）四、招收单位意见（写明申请人的博士毕业院校或学科世界排名情况及推荐理由）签名： 年 月 日五、流动站审核意见流动站负责人审核意见：负责人签名： 公章 年 月 日六、博士后管理办公室审批意见负责人签名： 公章 年 月 日注：内容填写不下时，可增行增页。
