APPLICATION COVER SHEET Start date of programme edition: September 2012 Deadline for applications: Mid-December 2012 (exact date to be confirmed, 23.59pm GMT Please complete this cover sheet electronically. Handwritten cover sheets will not be accepted. Once complete, please print off the file, sign it, and have a scanned version ready to be uploaded on to the online application form under section 8 (where you will be prompted to do so). 1) Name of applicant: 2) Nationality: (Please note: In cases of dual or multiple nationality, you must decide under which single nationality you are applying to this programme.) 3) I am applying for an Erasmus Mundus Fellowship: YES / NO 4) If the answer to 3 is YES, please tell us in which countries you have spent the five years prior to December 2011. (Please include only countries of longer-term residence [exceeding three months], not short-term or holiday locations.) YEAR 2010 2009 2008 2007 2006 COUNTRY DATE OF ENTRY DATE OF ACTIVITY DEPARTURE 5) Please indicate your preferred mobility pathway plus one alternative. You have a choice between four degree-awarding institutions in the United Kingdom (Kent), Germany (Berlin), Portugal (Porto) and the Czech Republic (Prague). All students will come to Kent in semester one. Semester four will be spent in either country 1 or country 2, depending on the choice of work placement. Preference 1: Semester 1 Semesters 2 and 3 Semester 4 Semesters 5 and 6 KENT Country 1: Either country 1 or 2, depending on work placement choice Country 2: Preference 2: Semester 1 Semesters 2 and 3 Semester 4 Semesters 5 and 6 KENT Country 1: Either country 1 or 2, depending on work placement choice Country 2: 6) Please indicate your preferred supervisors. Each TEEME student will have a supervisory team of at least two supervisors, with at least one supervisor from each of the two chosen places of study. Please consult the ‘Participating staff pages’ on the TEEME website for information on available supervisors. Note that your choice of supervisors must match your two suggested mobility pathways. You should indicate your reasons for your choice of supervisors in the research proposal. Please also note that your choices are suggestions only at this stage and that the allocation of supervisors will be finalized in semester 1. Mobility pathway 1 Country 1: Country 2: Preferred supervisor: Preferred supervisor: Mobility pathway 2 Country 1: Country 2: Preferred supervisor: Preferred supervisor: 7) Interview contact details. Preselected candidates will be notified by email no later than mid-January 2011 (excat date to be confirmed) that they should be available for a skype, video or phone interview in early February 2012 (exact date to be confirmed). Please ensure that you give us your correct email address below and that you check this email address regularly in the week prior to the early February 2012 date. If invited for an interview you will need to respond within 24 hours of receipt of our email; otherwise we will offer the interview slot to another candidate. Time slots for interviews will be agreed in advance in late January (exact date to be confirmed). Please note that depending on your time zone, your interview slot may fall late on 000 February or early on 000 February (exact dates to be confirmed). It is your responsibility to ensure your availability for an interview on that day. Email address Phone number (including international dialling code from the UK) Skypename (if applicable) If required, I have access to video conference facilities YES / NO (if YES, details will be confirmed later) I hereby declare that the above information is correct to the best of my knowledge. I understand that false information may lead to my exclusion from the application process or, if admitted, from the programme. that I am not applying for more than three different Erasmus Mundus Joint Doctoral Programmes in this current selection round. that I have understood, and am committed to, the required mobility on this programme. that I am committed to full-time attendance on this doctorate course, should I be offered a place on the programme. ______________________________________________________________ Place, date _______________________________________________________________ Signature