Application Form for Visiting Academic Scholars

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1 Supported by the European Commission s Erasmus Mundus Programme Application Form for Visiting Academic Scholars Erasmus Mundus European Master in System Dynamics Please complete this form electronically and submit as an MS Word file or pdf to I. Personal Data Family name / last name First name Title Middle name Citizenship Gender: Male Female Country and city of birth Country of current residence Affiliation Address Postal code, city and country Telephone address Web page (if available) II. Teaching experience Date of birth: Please list the courses which you have taught indicating the duration and the level (i.e. Masters, Bachelors, Doctorate, etc.) of each course, the institution at and the language in which it was taught. Course (incl. level, duration, language of instruction) Institution City Time from/to 1

2 III. Academic positions Please list your most recent academic positions, indicating the position, the academic institution at which it was held and the time period Position Institution Time from/to IV Research experience Please list most recent research projects/activities in which you participated. Your Position Research project/activity Time from/to V. Publications Please list your publications most relevant to System Dynamics. Indicate the language of each publication. Insert additional rows if relevant 2

3 VI. Your potential contribution to EMSD Please describe how your competence can contribute to the European Master in System Dynamics. Indicate courses that you intend to teach or contribute to or research and writing that you plan to conduct. Explain how your academic and practical experience may enhance the quality and attractiveness of the course (expand the box below as necessary). Preferred period for your contribution. Please indicate the preferred period in which you would like to be hosted by a EMSD Consortium institution: From (month, year): ; To (month, year) Preferred main hosting institution. Indicate your preferences for the (main) hosting institution (see for links to the websites of EMSD consortium members). Your preference for (main) hosting institution 1 st 2 nd 3 rd Radboud University Nijmegen (The Netherlands) University of Bergen (Norway) University of Palermo (Italy) New University of Lisbon (Portugal) Other preferences: please indicate your other preferences (mobility between EMSD consortium institutions etc.): VII. Recent residence Please list the countries where you have conducted your main activity (work or study) for the last five years 1 : Country From (mm/yy) To (mm/yy) VIII. Referees Please provide names, positions, and full contact information for three referees who can attest to your experience and qualifications. The Academic Board of EMSD may contact these referees. 1 This information is necessary to determine your eligibility for an Erasmus Mundus scholarship, which is only available to scholars from third countries (i.e. outside EEA). 3

4 IX. Additional information Please enclose (preferably in electronic form) Your recent Curriculum Vitae; Samples of your recent publications (max three); Two letters of recommendation. Please submit your application form and accompanying information to EMSD by Signature Place Date (month/day/year) 4

5 Information on EMMC academic scholarships and criteria for selection of scholars EMMC scholar scholarships are being offered in periods of two weeks. Currently, scholars receive 1200 EUR per person per week (subject to change of EMMC regulations). Criteria for the selection of academic scholars Scholarships can only be awarded to scholars affiliated with third-country institutions. EMMC scholars must demonstrate outstanding academic and/or professional experience and bring concrete added value to the delivery of the EMMC EMSD. Candidates are selected by the EMMC consortium to contribute to the joint EMSD programme within the European partner institutions. EMMC scholars holding an Erasmus Mundus scholarship must: Commit themselves to actively participate in the masters course activities; Spend a minimum of two weeks and a maximum of three months in the partner HEIs; Perform teaching/research/student tutoring activities in the partner HEIs; Bring concrete added value to the EMSD programme and students (through teaching of specific classes, leading and participating in seminars or workshops, monitoring and tutoring student research/project activities, participating in thesis reviews, preparing new teaching modules, etc.); Contribute, after their visiting scholar activities, to the promotion and dissemination of the Erasmus Mundus Programme in general, and the EMMC concerned in particular, in their HEI and country of origin. 5

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