Dnr:
Application for becoming a
CUGS student
Personal data
Family name, first name
Personal number
(year-month-day-xxxx)
Home address
Gender
Male
Home telephone
Zip-code and town
Academic sites of interest:
Linköping university
Lund university
University of Skövde
Mälardalens university
Other:
Research areas of interest:
Specify your area of interest:
Research project that are of interest:
Specify two or more projects; title and contact person:
The following is enclosed with this application
Curriculum vitae
Certificate of degrees and grades achieved in previous academic studies
Name of two personal references
Copy of BSc/MSc dissertation
Other:
Applicant confirms that he/she accepts the requirements of CUGS
Date and town
Signature
Decision (filled in by CUGS)
Decision
Date
Signature
Female