MSRA Visiting Young Faculty Program.doc

MSRA Visiting Young Faculty Program Application Form 1. General Information Name(Chinese) Name(Pinyin) Gender Title Years of Service in University University Name Department Name Graduate University University Degree University Major Mail Address Postcode Telephone Fax Cell phone Email 2. General Visiting Plan Potential Host Researcher/Research Group during Your Visit Planned Visiting Date Research Directions Research Plan Target Research Achievement 3. Education Status University Name Time Major/Degree 4. Foreign Language Level English__________(excellent, good, average, poor or indicate the certificate you have) Others__________(excellent, good, average, poor or indicate the certificate you have) 5. Study or Working Experience outside China Country and Institution Name Study/Working Time Any Sponsor? From Whom? Study/Working Directions Working Language 6. Research Experience in the Past 5 Years Research Directions Time Major Job Role Research Achievement 7. List the patent you owned, your major research achievement, and research/working award, etc. Time Achievement 8. List your papers, books published in the past 5 years. Time Achievement Notice： All the forms should be completed and submitted to MSRA University Relations. Use attachments for any supporting materials.Appendix I 单位推荐表 姓名 职位 院、系名称 联系电话 电子邮件 1、申请表内容(特别是专利及学术水平、受奖励情况)是否属实？ 2、被推荐人的思想品德、工作表现、专业发展潜能及有待提高之处： 3、被推荐人最近两年完成教学、科研等情况： 4、本单位对被推荐人的培养计划的说明： 5、对被推荐人按期完成访问回到工作岗位的说明： 教研室/实验室负责人： 电子邮件： 日期： 学院/系负责人： 电子邮件： 日期： 说明： 1、本推荐意见表由申请人所属教研室/实验室负责人签字，所在院、系的院长、系主任签字盖章。 Appendix II 专家推荐信 被推荐人姓名：