Application for Doctoral Studies Page 1(4) Application received on ____/____ 20____ Personal Information of Applicant Last name and first name(s) Date of birth Postal address Postal code City Country E-mail address Telephone Details of Your Master’s Degree (please attach a copy of the degree certificate, a transcript of academic records and any other additional relevant certificates) Degree and major subject or programme University and the year of graduation Former student number at the University of Eastern Finland (only if you have been a student at the UEF earlier) Study Right You Are Applying for Faculty Philosophical Faculty Faculty of Science and Forestry Faculty of Health Sciences Faculty of Social Sciences and Business Degree Philosophical Faculty Doctor Doctor Doctor Doctor of of of of Philosophy Education Arts (Psychology) Theology Faculty of Health Sciences Doctor Doctor Doctor Doctor Doctor of of of of of Science (Pharmacy) Philosophy Dental Science Medical Science Health Sciences Faculty of Science and Forestry Doctor of Philosophy Doctor of Science (Agriculture and Forestry) Faculty of Social Sciences and Business Doctor Doctor Doctor Doctor Doctor Doctor of of of of of of Philosophy Administrative Sciences Science (Economics and Business Administration Laws Health Sciences Social Sciences I apply for a study right for a licentiate degree Name of the licentiate degree Title of the doctoral dissertation / licentiate thesis/topic (please provide your research plan as a separate appendix) Study rights for the professional postgraduate degrees are applied for using separate forms, please consult your faculty. Application for Doctoral Studies Page 2(4) Study Right You Are Applying for Doctoral Programme, please select only one programme Philosophical Faculty Faculty of Science and Forestry Life Course in Context Doctoral Programme Doctoral Programme of Educational Sciences in Interdisciplinary Context Doctoral Programme in Language Studies Doctoral Programme in Social and Cultural Encounters Natural Resources, Environment and Society Doctoral Programme Doctoral Programme in Border and Russian Studies Doctoral Programme in Theology Doctoral Programme in Aerosol Research Doctoral Programme in Photonics East Finland Doctoral Programme in Computer Science and Engineering Doctoral Programme of Educational Sciences in Interdisciplinary Context Doctoral Programme in Chemistry Natural Resources, Environment and Society Doctoral Programme Doctoral Programme in Medical Physics and Engineering Doctoral Programme in Mathematical Analysis and Scientific Computing Doctoral Programme in Forest Sciences Doctoral Programme in Biology of Environmental Change Doctoral Programme in Environmental Health Faculty of Health Sciences Life Course in Context Doctoral Programme Doctoral Programme in Nursing Science Doctoral Programme in Welfare and Health Research Doctoral Programme of Public Health Doctoral Programme of Educational Sciences in Interdisciplinary Context Doctoral Programme of Clinical Research Doctoral Programme in Drug Research Doctoral Programme in Medical Physics and Engineering Doctoral Programme in Molecular Medicine Doctoral Programme in Nutritional Sciences Doctoral Programme in Environmental Health Faculty of Social Sciences and Business Past, Space and Environment in Society Doctoral Programme Life Course in Context Doctoral Programme Doctoral Programme in Welfare and Health Research Doctoral Programme in Business Doctoral Programme in Social and Cultural Encounters Natural Resources, Environment and Society Doctoral Programme Doctoral Programme in Law Doctoral Programme in Border and Russian Studies Doctoral Programme in Social and Health Management Doctoral Programme in Social Work and Social Services Funding plan for your doctoral studies Language proficiency (native language, proficiency in English and proficiency in other languages) Statements / Permissions The study does not require a separate permission/statement (e.g. a statement of a research ethics committee or a permission to use laboratory animals) The study requires a statement of a research ethics committee/a permission to use laboratory animals and the statement/ permission will be delivered later. The statement of a research ethics committee/permission to use laboratory animals is provided as an appendix. Application for Doctoral Studies Page 3(4) Proposal for Supervisors Proposal of Supervisors By signing this application, the supervisor commits to supervising your doctoral studies, if your application for a study right is approved. Main Supervisor Name Title Working place (if university, please include also unit) E-mail address Signature of the proposed supervisor Supervisor Name Title Working place (if university, please include also unit) E-mail address Signature of the proposed supervisor Supervisor Name Title Working place (if university, please include also unit) E-mail address Signature of the proposed supervisor Supervisor Name Title Working place (if university, please include also unit) E-mail address Signature of the proposed supervisor Please attach the following documents - A Copy of your Master’s degree certificate and a transcript of academic records (NB! If the degree certificate is awarded by another university than University of Eastern Finland, the copies must be certified) - A research plan - A personal study plan (has to follow the study requirements given by the Doctoral Programme) - Other necessary statements or permissions Applicant Date Applicant’s signature Application for Doctoral Studies Page 4(4) Faculty and Doctoral Programme To be filled out by the Doctoral Programme Recommendation of the Doctoral Programme Doctoral Programme supports this application Doctoral programme does not support this application Statement given by the Doctoral Programme (a statement has to be given whenever the Doctoral Programme does not support the application): Statement is attached Major subject (optional information) UEF department in which the doctoral student will be conducting his/hers research Date Signature of the Director of the Doctoral Programme The decision on granting the right to pursue postgraduate studies will be made by the Dean. Please deliver the application form and attachments to Administration Service Centre of the Faculty concerned: Philosophical Faculty, Administration Service Centre University of Eastern Finland Joensuu Campus P.O. Box 111, FIN-80101 Joensuu, Finland Faculty of Science and Forestry, Administration Service Centre University of Eastern Finland Joensuu Campus P.O. Box 111, FIN-80101 Joensuu, Finland University of Eastern Finland Kuopio Campus P.O. Box 1627, FIN-70211 Kuopio, Finland Faculty of Health Sciences, Administration Service Centre University of Eastern Finland Kuopio Campus P.O. Box 1627, FIN-70211 Kuopio, Finland Faculty of Social Sciences and Business, Administration Service Centre University of Eastern Finland University of Eastern Finland Joensuu Campus Kuopio Campus P.O. Box 111, FIN-80101 Joensuu, Finland P.O. Box 1627, FIN-70211 Kuopio, Finland 04.01.2013