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ESR APPLICATION FORMInstructions: Fill the tables adding or removing rows as necessary. Avoid including personal information like age, gender or photo in this document, use your free format CV instead.InitialFamily NameAddressCountry of residence1. Questionnairea. What is your motivation to apply for this job? (100 words max.)b. What are your main skills/achievements? (100 words max.)2. Languages (Mark your overall knowledge of the following languages and extend if necessary)NativeFluentFairBasicNoneEnglishGermanSpanishItalianDutch….3. Education and traininga.Education (if you are in the last semester of your degree or master, let us know the expected date of your certificate. Max Score refers to the maximum score attainable for the degree in the institution.)Name, place and country of university, school or collegeFromToEnglish name of the Degree, Diploma CertificateDate (mm/yy)YourScore Max Score Four main subjects studiedAny publications/conference presentations (if available, attach list)b.Training / Internships (Main apprenticeships, professional qualifications, courses…):Name of the institutionCourse followed -Number of years / monthsCertificates / Diplomasand qualifications obtained???????????????4 Other unofficial education / training receivedCompany / InstitutionType of TrainingDates5. Employment Records (Starting with your present post, list in reverse order employment you have had.)Exact title of position held?: Employer:City - Country:?????Dates of employment:Description of your duties (100 words max.):Exact title of position held?: Employer:City - Country:?????Dates of employment:Description of your duties (100 words max.):6. References (These people might be contacted for further information.)NameFunctionAddressPhoneE-mail???7. Final Remarks (Let us know if any special condition (maternity, refugee status, etc) has affected your career path and how (100 words max.)8. DeclarationI hereby declare that declare that the information given above is correct and complete and that I have read the eligibility criteria for MSCA-ITN ESR positions.Date?????Signature (scanned image is Ok) ................
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