www.cesaref.eu
Concerted European action on
Sustainable Applications of REFractories
Application Form for the CESAREF Project
1. GENERAL INFORMATION
Last name:
First name:
Middle name(s):
Date of birth:
Place of birth:
Nationality/citizenship:
City:
Country:
Address:
Street:
Postal code:
Email:
Phone No. (work):
Phone No. (home or mobile):
Herewith, I apply for participation in the CESAREF Project. I certify that all provided information (in the
entire Application Form) is true.
Signature:
Date:
CESAREF is committed to protect and respect your privacy and will treat all personal
information with the utmost confidentiality and in line with current data protection. All the
information collected in this form is necessary and relevant to the performance of the
selection process. To do so, we need to store and process your personal data. If you consent
to us storing your personal data for this purpose, please tick the checkbox below.
I agree to CESAREF's storage and processing of my personal data.
You may withdraw your consent and submission at any time.
For more information, contact us at: cesaref.rtspc@unilim.fr
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www.cesaref.eu
Concerted European action on
Sustainable Applications of REFractories
2. EDUCATION
University/College:
Dates of studies (from – until):
Degree (e.g. Master of Science):
Main subject of studies (e.g. Chemistry):
Grade of the MSc thesis (if applicable):
Grade of the MSc thesis defense (if
applicable):
Average grade of exams during study:
Graduation date (or expected grad. date):
Name of Supervisor (if applicable):
If you have obtained other degrees, please specify:
University/College:
Dates of studies (from – until):
Degree (e.g. Bachelor of Science):
Main subject of studies (e.g. Chemistry):
Grade of the degree (if applicable):
Graduation date (or expected grad. date):
Name of Supervisor (if applicable):
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Concerted European action on
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3. Honors, scholarships, awards
List any honors, scholarships, prizes and awards (if any) that you feel are relevant to this
application. Include dates and a brief description.
4. Publications
Include information on your scientific publications (for each item provide D.O.I., authors,
title, journal reference), describe shortly your contribution when you are a co‐author.
5. Participation in conferences
Include information on attendance at scientific conferences (name of the conference, its
location, title and type of presentation (if any), the authors (put the name of the presenting
author in bold).
6. Participation in research projects
Include information on your participation in research projects (title of the project, its leader
and your contribution).
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Concerted European action on
Sustainable Applications of REFractories
7. Scientific visits abroad
Include information on scientific visits abroad (host institution, duration, research goal
achieved).
8. Project selection
After reading the proposed subjects of the PhD positions on the website, select up to 3
projects for your research work (first choice will be considered as the preferred one). Please,
fill in the project numbers only.
First choice:
9. Referees
Second choice:
Third choice:
Please, list below names, institutions and email addresses of all referees whom you asked to
fill in the recommendation form, and who have agreed to recommend you.
Name / Institution / Email:
Name / Institution / Email:
Name / Institution / Email:
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