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Name of the StudentAddress-Telephone numbers- EmailDate: APPLICATION FORM PERSONAL STATEMENT-BIOGRAPHICAL SKETCH"ATHENS INTERNATIONAL MASTER'S PROGRAMME IN NEUROSCIENCEI submit the application of my candidacy for admission to the postgraduate program "Athens International Master's Programme in Neurosciences" asFull time Student or b) Part time student.I attach/enclosed the following documents:DocumentYes or No1Application, Personal Statement and Detailed curriculum vitae (hard copy and pdf)2Synopsis of the Biographical Sketch as an excel document (hard copy and excel doc)3Certified copy of Diploma or certificate of completion of studies (hard copy and pdf). Both are required by October 10th)4Detailed list of all undergraduate courses and grades (hard copy and pdf)5A one page summary of the Undergraduate Research Thesis (hard copy and pdf))6Publications in peer-reviewed journal (hard copy and pdf))7Evidence of professional or research activity (if any, hard copy and pdf))8A Photocopy of both sides of your identity card (hard copy and pdf)9Certificate of Proficiency in English (hard copy and pdf)10Certificate of the ranking of the student, issued by the administration of the Department, if such document is issued by the Department (hard copy and pdf)11Two reference letters with special reference to the relevant ranking of the applicant. The references will be send directly by the referees to masterneuro@biol.uoa.grExplanatory Note (Few lines):The Applicant(Signature)Name:Ονοματεπ?νυμο:PERSONAL STATEMENT(Strictly One Page)Please include the elective courses that you will be interested in attending and the neuroscience field that you currently want to focusBIOGRAPHICAL SKETCH FORM"ATHENS INTERNATIONAL MASTER'S PROGRAMME IN NEUROSCIENCEPERSONAL INFORMATION (TO BE COMPLETED IN CAPITALS)LAST NAMEFIRST NAMEFATHER’S NAMEDATE OF BIRTHPLACE OF BIRTHIDENTITY CARD NUMBER OR PASSOPORT NUMBERHOME PHONEWORK PHONEMOBILE PHONEE-MAILGreek Students should complete the above information also in GreekΕπ?νυμο?νομαΠατρ?νυμοΗμερομην?α Γ?ννηση?Τ?πο? Γ?ννηση?Αριθμ?? Ταυτ?τητα? ? Διαβατηρ?ουΤηλ?φωνο οικ?α?Τηλ?φωνο εργασ?α?Κινητ? τηλ?φωνοE-MAILHOME ADDRESS (TO BE COMPLETED IN CAPITALS)ADDRESS OF PERMANENT RESIDENCYSTREET AND STREET NUMBERCITY-ZIP codeCOUNTRYGreek Students should complete the above information also in GreekΔιε?θυνση μ?νιμη? κατοικ?α?Οδ?? & Αριθμ??Π?λη και Ταχυδρομικ?? Κ?δικα?Χ?ρα3.UNDERGRADUATE STUDIESUNIVERSITY-HIGHER EDUCATION INSTITUTEΙDEPARTMENTSTUDY DURATIONDEGREE AWARD DATE (OR EXPECTED)GRADUATI-ON GRADESEMESTERS IN ANOTHER UNIVERSITY AS AN UNDERGRADUATE ERASMUS STUDENTNUMBER OF SEMESTERSNUMBER OF COURSES ATTENDEDUNIVERSITY-HIGHER EDUCATION INSTITUTEDEPARTMENTSEMESTERS IN ANOTHER UNIVERSITY AS AN UNDERGRADUATE ERASMUS+ STUDENT-PRACTICE IN RESEARCHNUMBER OF SEMESTERS-UNIVERSITY-HIGHER EDUCATION INSTITUTEDEPARTMENTUNDERGRADUATE RESEARCH THESIS PROJECT-PRACTICAL EXERCISE DURATION IN SEMESTERSUNIVERSITY-HIGHER EDUCATION INSTITUTEΙ-DEPARTMENTSUBJECT-TITLEGRADETITLE:SUPERVISOR:4.POSTGRADUATE STUDIESTITLE OF MASTER’S- Ph.D. PROGRAM:DURATION OF THE PROGRAMUNIVERSITY-HIGHER EDUCATION INSTITUTEΙ-DEPARTMENTDEGREE AWARD DATE (OR EXPECTED)GRADEPOST-GRADUATE RESEARCH THESIS PROJECT-PRACTICAL EXERCISE DURATION IN SEMESTERSUNIVERSITY-HIGHER EDUCATION INSTITUTEΙ-DEPARTMENTSUBJECT-TITLEGRADETITLE:SUPERVISOR:5.RESEARCH AND CLINICAL EXPERIENCE IN ADDITION TO UNDERGRADUATE OR POSTGRADUATE RESEARCH THESIS PROJECTSUNIVERSITY-HIGHER EDUCATION INSTITUTEΙDEPARTMENTDURATIONSUPERVISOR6.TEACHING AND PROFESSIONAL EXPERIENCE(Include employment in Universities-Research Centers or elsewhere. Please indicate employer name, job type and dates chronologically, starting with the most recent):7.PUBLICATIONS (Attach reprints)First Author publications in peer review Journals (number and list)Co-author Publications in peer review Journals (number and list)8.LANGUAGESLANGUAGECERTIFICATEGRADE/LEVEL9.SCHOLARSHIPSScholarships received or seeking. Refer Scholarship Foundation, duration and amount.10.AWARDS AND DISTINCTIONS11.OTHER ACTIVITIES AND ACHIEVEMENTS12.REFERENCE LETTERSNames, titles and contact details (including E-mail) of two persons, of which you have requested references. Note: Please ask your referees to include information about your ranking relatively to the other students of your yearSignature:____________________________Date:____________________SYNOPSIS OF THE BIOGRAPHICAL SKETCHWrite here the Name of the Applicant/candidateE-mail of the ApplicantTelephone number of the Applicant?Broad area of undergraduate studies (Biology, physical and technological sciences, humanities and others)Years of undergraduate studiesGrade of the diploma following completion of undergraduate studies Average grade in 10 more relevant courses (Human & Animal Physiology, Neurobiology, Neuroscience, Cell Biology, Biochemistry, Molecular Biology, Chemistry, Physics, Mathematics, Biostatistics, etc.The relevant ranking of the applicant as is specified in the reference letters or provided by the administration in order to account for differences between different degrees and/or fields Number of semesters in another University as an erasmus student-attendance of one undergraduate courseNumber of semesters in another University as an erasmus+ student-practice in researchNumber of semesters for execution of a research thesis project in the first cycle of studies. Field of research Thesis project (Biology, physical and technological sciences, humanities and others)Number of poster presentation in a scientific meetingsNumber of semesters of experience in research in addition to undergraduate research thesis project and Erasmus + programs (Biology, physical and technological sciences, humanities and others)Number of first author publications in international peer-reviewed JournalsNumber of publications in international peer-reviewed JournalsPersonal statement of interest. Yes/NoProficiency in English. Yes/NoReference letter 1Reference letter 2INSTRUCTIONS: Please send the completed application by E-mail: masterneuro@biol.uoa.gr and by regular E-mail (printed version to the Secretariat of the Department of Biology of the National and Kapodistrian University of Athens ................
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