近海海洋环境科学国家重点实验室杰出博士后基金申请表.doc

近海海洋环境科学国家重点实验室杰出博士后基金Outstanding Postdoctoral Program State Key Laboratory of Marine Environmental Science Application Form Date of Application: Day Month Year 申请人姓名 Name 性别 Gender 出生日期 Date of Birth 国籍 Nationality 通讯地址及电子邮箱 Address and Email 电话Tel 获博士学单位Name of Institution 获博士学The time you obtained the PhD Degree (or expected) 专业特长 Research Interests □ Marine Sciences □ Environmental Science and Engineering 合作导师 MEL Collaborator 教育经历（含学位、时间、院校、专业） Educational Background: 申请人能力综述(学术水平、工作能力、科研成果、论文发表及担任社会工作)： Qualifications (Education, work experience, research projects, papers and current employment, etc.) 工作计划、科研任务和预期目标： Research plan and mission: Signature of the applicant: Date: 合作导师意见： Comments from MEL collaborator: Signature of the Coordinator: Date: 评审委员会意见： Comment Review Committee: Signature of Committee Chair: Date: 分管领导意见： MEL Administration Committee Comment: Signature of Director: Date: 注意：本表格可用中文或英文填写。 This Application Form can be completed in either Chinese or English.