Application Form

for a Scholarship awarded by the University of Fribourg

Academic Year 2012-2013

Reseach Stay at PhD LEVEL / Application Deadline February, 28th 2012 for a stay during Autumn Semester (Term) 2012 (September 2012 to February 2013) September, 30th 2012 for a stay during Spring Semester (Term) 2013 (February 2013 to July 2013) Reseach Stay at POST- PhD LEVEL / Application Deadline February, 28th 2012 for a 1 to 3 months stay starting 3 months after this deadline date September, 30th 2012 for a1 to 3 months stay starting 3 months after this deadline date

To be filled in 2 copies (no handwritten forms)

Not fill in Niveau Doctorat Doktoratsebene Dossier reu le: Unterlagen erhalten am : Niveau Post-Doctorat Post-Doktoratsebene Dossier reu le: Unterlagen erhalten am :

Dossier complet: Vollstndige Unterlagen: Dossier incomplet: Unvollstndige Unterlagen:

Dossier complet: Vollstndige Unterlagen: Dossier incomplet: Unvollstndige Unterlagen:

PHOTO

I. PERSONAL DATA 1. Surname (Family Name) : 9. Address :

2. First Names :

Address

3. Date of Birth (dd/mm/yy) : Zip Code City State Country

10. Name and address of a person to be contacted in the home country in case of an emergency : Name / Address

4. Nationality :

5. Phone Number :

6. Fax Number :

7. Email:

Zip Code City Country

8. Gender :

Male

married

Phone Number Female Email

11. Marital Status :

12. Children :

single divorced

no

yes*

widowed

*if yes, how many ?

Service des relations internationales Av. de lEurope 20 international@unifr.ch

Bureau / Bro : 4059 B Tl +41 26 300 70 47 Fax + 41 26 300 97 02

Dienststelle fr internationale Beziehungen CH-1700 Fribourg Suisse/Schweiz www.unifr.ch/international

II UNIVERSITY EDUCATION (UNIVERSITIES COLLEGES DIPLOMAS) 1. For candidates to a reseach stay at PhD LEVEL
(For candidates to a research stay at POST-PhD LEVEL go to point 2.)

1.1. Bachelor Degree a or equivalent first University Diploma University + City and Country :

Field of Study / Major :

Year of completion of the Degree :

Grades or Marks :

1.2. Master Degree or equivalent University Diploma University + City and Country :

Field of Study / Major :

Year of completion of the Degree :

Grades or Marks :

1.3. Registration for the PhD (Study in Progress) University + City and Country : Registration Date fort the PhD (at least since 2 semesters) :

Titel of the Thesis :

Name of the Professor (Thesis Director) :

Foreseen Graduation Date :

1.4. Letter of Acceptance of the Professor at the foreign University (Thesis Director) Home University + City and Country :

Name of the Professor :

Service des relations internationales Av. de lEurope 20 international@unifr.ch

Bureau / Bro : 4059 B Tl +41 26 300 70 47 Fax + 41 26 300 97 02

Dienststelle fr internationale Beziehungen CH-1700 Fribourg Suisse/Schweiz www.unifr.ch/international

1.5. Brief despcription of the Research Project to undertake at the University of Fribourg :

2. For candidates to a research stay at POST-PhD LEVEL

2.1. PhD Degree University + City and Country : Field of Study / Major :

Titel of the PhD Thesis :

Year of completion of the Degree (at least within the last 3 years) :

Grades or Marks :

2.2. Letter of Acceptance of the Professor at the University of Fribourg who commits to

welcome the searcher in his Research Group :

Name of the Professor :

2.3. Brief description of the Research Project to undertake at the University of Fribourg :

2.4. Scientific articles, Publications or former University Research Results :

Service des relations internationales Av. de lEurope 20 international@unifr.ch

Bureau / Bro : 4059 B Tl +41 26 300 70 47 Fax + 41 26 300 97 02

Dienststelle fr internationale Beziehungen CH-1700 Fribourg Suisse/Schweiz www.unifr.ch/international

III LANGUAGE PROFICIENCY

1.1. Mother Tongue :

1.2. Foreign Languages : French German Italian English Others

Number oy Years : Certificates- Diplomas :

Level *:

* If no language diploma: excellent, good, average, little

IV STAYS ABROAD

1. Foreign Study Stays

no

yes *

*if yes, which and where ? Duration - from / to : University + City/Country :

Type and Reasons of stay :

2. Professional Stays

no

yes *

* if yes, which and where ? Duration - from / to :

Type of Activity :

Employer :

Service des relations internationales Av. de lEurope 20 international@unifr.ch

Bureau / Bro : 4059 B Tl +41 26 300 70 47 Fax + 41 26 300 97 02

Dienststelle fr internationale Beziehungen CH-1700 Fribourg Suisse/Schweiz www.unifr.ch/international

V STAY AT THE UNIVERSITY OF FRIBOURG

Academic Year : 2012 - 2013 Autumn Semester (Term): 2012 Spring Semester (Term): 2013

Foreseen Months : Reseach at PhD LEVEL : (4 6 maximum) Research at POST PhD LEVEL: (1- 3) Dates of Stay for Research : from Faculty (School) : to

Departement Institute :

Field of Study / Major :

Is there a cooperation between the foreign University and the University of Fribourg ?:

No

yes *

*if yes, which one ?

By its signature, the person mentionned above certifies that the informations and declarations are complete and true. The person confirms that, in case of being awarded the Scholarship of the University of Fribourg, she will comply with the rules and obligations granted by it. Otherwise the person can definitely be excluded from the University of Fribourg. Place : Date : Signature :__________________________________

IMPORTANT 1. Diplomas and official Letters must be enclosed in the files as certified copies of the originals, or if needed with translations. The accepted official languages for translations are English, French, German or Italian. When enclosed documents are in another language, only translations made by an official translator are accepted and documents must be legalized.
2. The mandadory deadline to hand in the Application files must be respected. 3. The Application files must be sent to the International Relations Office by email and postal mail. Address : Universit de Fribourg Service des relations internationales 20, Avenue de lEurope - CH 1700 Fribourg Suisse - international@unifr.ch 4. Only complete Application files will be processed. 5. No correspondance will be held once the files have been received. 6. The selection sessions on the application files are held in March and October respectively. 7. Candidates will be informed of the decision of the Rectorate directly by email.
Service des relations internationales Av. de lEurope 20 international@unifr.ch Bureau / Bro : 4059 B Tl +41 26 300 70 47 Fax + 41 26 300 97 02 Dienststelle fr internationale Beziehungen CH-1700 Fribourg Suisse/Schweiz www.unifr.ch/international

CHECKLISTE
(DOCUMENTS TO BE ATTACHED TO THE APPLICATION) The Application file must enclose the following documents in the order indicated below
Research Stay at PhD Level

Filled Application Form + ID Picture (JPEG Format) Curriculum Vitae (Resume) Bachelor Degree or first equivalent University Diploma from a University which is acknowledged by the University of Fribourg Master Degree or equivalent University Diploma from a University which is acknowledged by the University of Fribourg Transcript of Records - Study Records with marks and/or grades Confirmation Letter of the foreign University certifying the registration to the PdD Degree since 2 semesters (terms) at least Letter of Acceptance of the Professor (Thesis Director) of the foreign University Detailed Research Project at the University of Fribourg Explicative regarding the necessity of a Scholarship for the acomplishment of the Research Project Residence Certificate Passport Copy

Research Stay at POST-PhD Level

Filled Application Form + ID Picture (JPEG Format) Curriculum Vitae (Resume) PhD Degree Diploma completed within the last 3 years Detailed Research Project at the University of Fribourg Letter of Acceptance of the Professor at the University of Fribourg who commits to welcome the searcher in his Research Group Copies of scientific articles, publications or former university research results Explicative regarding the necessity of a Scholarship for the acomplishment of the Research Project Residence Certificate Passport Copy

Service des relations internationales Av. de lEurope 20 international@unifr.ch

Bureau / Bro : 4059 B Tl +41 26 300 70 47 Fax + 41 26 300 97 02

Dienststelle fr internationale Beziehungen CH-1700 Fribourg Suisse/Schweiz www.unifr.ch/international