Mobility and Post-mobility Scientific Project and Agreement

EMINENCE Doctorate Scholarships

This application document, mandatory for PhD candidates is a proposal agreed by the candidate and Universities involved in the mobility (Home and
Host Universities), certifying the interest of the parties to implement the activity.
This document will be used before, during and after mobility
!) in the application phase it must be uploaded with the application (section "# Mobility and post-mobility project proposal must be filled in and duly
signed# signatures must be obtained in scan ) $
%) during the mobility it should be updated to &eep trac& of changes in the activity (section "" # Final mobility agreement to be signed before arrival
and section """ # changes to originally proposed research / training / teaching plan ' filled in if applicable during the mobility)$
() home university will use it in con)unction with the PhD *tudent +eport and PhD *tudent,s *upervisor -ssessment .orm (periodical and final ) for
the recognition of the mobility period abroad.
Name: Family name: Second/middle name (optional):
SECTION I. Mobility and Post-Mobility Project - proposal to be agreed by home and host
uniersity and applicant at the time o! application
". Identi!ication o! mobility
Please gie the details o! your desired mobility# according to prior# preliminary agreement $ith host uniersity%
Name of the &ost 'niersity
(one of M!NN" Partner #ni$ersities)
Name of fac#lty/ department/#nit to %hich yo# %ill be attached for
yo#r doctoral thesis
Name and position of Ph& thesis s#per$isor at 'ost (ni$ersity
Phone and e-mail of Ph& thesis s#per$isor
Please gie the details o! your current doctoral studies%
Name of the &ome 'niersity
Name of fac#lty/ department/other #nit to %hich yo# belong) %here
yo# ha$e started yo#r doctoral st#dies:
Name of head of this #nit
Name of academic s#per$isor of yo#r Ph& st#dies/thesis in the
#ni$ersity of origin (home #ni$ersity)
Phone and e-mail of Ph& thesis s#per$isor
*opic/ theme of yo#r Ph& st#dies/thesis
(. Mobility project proposal
+, Present the s#bject of yo#r thesis and the scientific project that yo# %ant to carry o#t in the host #ni$ersity, *his project m#st s#it to interest of
hosting fac#lty/ department/#nit research interest and e-pertise (ma-, ./ lines)
., &efine in %hich manner this mobility is #sef#l and rele$ant for yo#r thesis and yo#r research, &efine synthetically (ma-im#m ./ lines) all the
$al#ation elements %hich %ill allo% #s to appreciate the interest and the importance of this mobility for yo#r research project (in an academic and/or
professional point of $ie%), *his information is complementary to the doc#ments yo# %ill add to yo#r file ("0) academic records)
). Post-mobility project
&escribe ho% %ill yo# share/ introd#ce/ implement yo#r 1no%ledge) s1ills) methods) ideas) sol#tions gained d#ring yo#r mobility %ith/to yo#r
home #ni$ersity/ its scientific comm#nity after ret#rn - please gi$e concrete actions) other persons in$ol$ed etc, (ma-, ./ lines),
*. Other complementary in!ormation supporting your application
Add any other information that can gi$e ad$antage to yo#r application
+. Signatures%
,pplicant-s Signature 222222 &ate: 2222222222
&OME 'NI.E/SIT0
3e confirm that the proposed research/st#dy proposal is appro$ed and %ill be recogni4ed at o#r #ni$ersity once the st#dent ret#rns from his/her
mobility,
,cademic 1 2aculty34epartment 5eel 6head o! unit7 Ph4 superisor at &ome 'niersity 6Pro!essor7
Name 222222222222222222, Name: 222222222222222222,,
Signat#re 2222222222222222,, Signat#re 2222222222222222,,
&ate: 55 55 / 55 55 / 55 55 55 55 &ate: 55 55 / 55 55 / 55 55 55 55
&OST 'NI.E/SIT0
3e confirm that the proposed research / st#dy proposal can be carried o#t at o#r #ni$ersity and rele$ant program/ co#rses/mod#les %ill be offered
to the st#dent,
,cademic 1 2aculty34epartment 5eel EMINENCE 5ocal coordinator at &ost 'niersity
Name 222222222222222222, Name: 222222222222222222,,
Signat#re 2222222222222222,, Signat#re 2222222222222222,,
&ate: 55 55 / 55 55 / 55 55 55 55 &ate: 55 55 / 55 55 / 55 55 55 55
SECTION II. Ph4 mobility ,greement 1 !inal program3$or8plan to be agreed by home
and host uniersity and selected bene!iciary 9E2O/E arrial
ST'40 PE/IO4% 2rom 55 55 / 55 55 / 55 55 55 55To 55 55 / 55 55 / 55 55 55 55
2IE54 O2 ST'40% :::::::
I. Identi!ication o! mobility
Name of the &ost 'niersity
Name of fac#lty/ department/#nit
Name and position of Ph& thesis s#per$isor at 'ost (ni$ersity
Phone and e-mail of Ph& thesis s#per$isor
4ET,I5S O2 T&E 4OCTO/,5 ST'403/ESE,/C& P/O;/,MME3<O/=P5,N
!f necessary) please contin#e on a separate sheet
St#dent6s (7eneficiary6s ) Signat#re 222222 &ate: 2222222222
&OME 'NI.E/SIT0
3e confirm that the proposed research/st#dy proposal is appro$ed and %ill be recogni4ed at o#r #ni$ersity once the st#dent ret#rns from his/her
mobility,
,cademic 1 2aculty34epartment 5eel 6head o! unit7 Ph4 superisor at &ome 'niersity 6Pro!essor7
Name 222222222222222222, Name: 222222222222222222,,
Signat#re 2222222222222222,, Signat#re 2222222222222222,,
&ate: 55 55 / 55 55 / 55 55 55 55 &ate: 55 55 / 55 55 / 55 55 55 55
&OST 'NI.E/SIT0
3e confirm that the proposed research / st#dy proposal can be carried o#t at o#r #ni$ersity and rele$ant program/ co#rses/mod#les %ill be offered
to the st#dent,
,cademic 1 2aculty34epartment 5eel EMINENCE 5ocal coordinator at &ost 'niersity
Name 222222222222222222, Name: 222222222222222222,,
Signat#re 2222222222222222,, Signat#re 2222222222222222,,
&ate: 55 55 / 55 55 / 55 55 55 55 &ate: 55 55 / 55 55 / 55 55 55 55
SECTION III - changes to originally proposed research 3 training 3 teaching plan to be
agreed $hen necessary
!f necessary) please contin#e on a separate sheet
St#dent6s (7eneficiary6s ) Signat#re 222222 &ate: 2222222222
&OME 'NI.E/SIT0
3e confirm that the proposed research/st#dy proposal is appro$ed and %ill be recogni4ed at o#r #ni$ersity once the st#dent ret#rns from his/her
mobility,
,cademic 1 2aculty34epartment 5eel 6head o! unit7 Ph4 superisor at &ome 'niersity 6Pro!essor7
Name 222222222222222222, Name: 222222222222222222,,
Signat#re 2222222222222222,, Signat#re 2222222222222222,,
&ate: 55 55 / 55 55 / 55 55 55 55 &ate: 55 55 / 55 55 / 55 55 55 55
&OST 'NI.E/SIT0
3e confirm that the proposed research / st#dy proposal can be carried o#t at o#r #ni$ersity and rele$ant program/ co#rses/mod#les %ill be offered
to the st#dent,
,cademic 1 2aculty34epartment 5eel EMINENCE 5ocal coordinator at &ost 'niersity
Name 222222222222222222, Name: 222222222222222222,,
Signat#re 2222222222222222,, Signat#re 2222222222222222,,
&ate: 55 55 / 55 55 / 55 55 55 55 &ate: 55 55 / 55 55 / 55 55 55 55