Alla Scuola Di Economia, Management E Statistica Vicepresidenza Di Rimini

Annex 1)

Alla Scuola di Economia, Management e Statistica – Vicepresidenza di Rimini Via Angherà n. 22 - 47900 Rimini

Application form for a tutoring grant at the School of Economics, Management and Statistics – Rimini Campus (“bando di concorso per l’attribuzione di n. 4 assegni di tutorato per l’a.a. 2014/2015, di cui al bando prot. n. prot. 3315 tit V cl.5 fasc.3 del 26.11.2014)

I, hereby undersigned

Surname Name M/F

Born in On Country/city

Identification number:

Address Postal Street N. City Country Code

E-mail Tel. Mobile phone

Fiscal Code

Address for communications (if different from the above mentioned) Postal Street N. City Country Code

HEREBY APPLY FOR THE CALL FOR APPLICATION FOR AN ALLOWANCE AS TUTOR FOR:  Degree in Economia del Turismo (Italian language),  Degree in Economia dell’Impresa (Italian language),  Second Cycle Degree in Tourism Economics and Management,  Second Cycle Degree in Resource Economics and Sustainable Development

To this end, in accordance with Articles. 19, 46 and 47 of the D.P.R. 28/12/2000 n. 445 on Administrative Documentation, and aware of the penalties in the case of false statements, or use of false documents, as specified in article 76 of DPR cited above, I DECLARE Enrollment (tick the box corresponding to your status): I am enrolled at the University of Bologna for 2014/2015 to:  ____ year Second Level Degree (Laurea Magistrale) in ______; or I am enrolled at the University of Bologna for 2014/2015 to:  ____ year of the PhD in ______At the University of ______;  ____ year of the School of Specialization for Forensic Professions at the University of ______; Merit (tick the box corresponding to your status):

 (for the students enrolled in the first year of First/Second Level Degree Courses)

I have earned the title of ______,

on ______, with final grade ____/____ (legal length: ______years) in ____ years;

 (for the students enrolled in the second/third/fourth year of First/Second Level Degree Courses)

I have acquired n. ______credits at the expiration date of the notice,

 (for students enrolled in the first year of Graduate Schools and PhD programs):

I have earned the title of ______,

on ______, with final grade ____/____ (legal length: ______years) in ____ years;

 (for students enrolled in the second/third/fourth of Graduate Schools and PhD programs):

I enclose the assessment made by the Board of the Doctorate at the end of the previous year.

 (for students enrolled in the second/third/fourth year of specialization schools):

I have passed the tests required by the law for the admission to the a.y. 2014/2015. LIST OF DOCUMENTS TO BE ENCLOSED: 1. curriculum vitae; 2. self-certification exams with indication of the credit; 3. photocopy of a valid identity document

The undersigned declares to have read the notice of selection and all the clauses that make it up and you have accepted in full.

The personal data collected will be treated in accordance with the principles and provisions of Legislative Decree no. 196/2003 regarding the protection of confidentiality and then only for the purpose of managing the competition procedure.

Date ______

______Signature

NOTES: a) The signature is mandatory b) For further information, please contact: 0039.0541.434213.