<p> 21th CIMO WINTER SCHOOL </p><p>“The World Inside and Around Us”</p><p>6 - 11 March 2017, Finland</p><p> photo</p><p>Application form</p><p>Please type or use block letters </p><p>1. Personal information</p><p>Family name(s) First name(s)</p><p>Gender Citizenship* female male Place of birth Date of birth**</p><p>Marital status</p><p>Contact information Street address</p><p>City Postal code</p><p>Country E-mail</p><p>Telephone Number of foreign passport (if any)</p><p>2. University education (see Required annexes 1)</p><p>Name and location of institution Degree(s) Date of Or estimated (BSc/MSc/PhD) completion of completion year of degree degree</p><p>Major subject (select one) Minor subjects (select one or two)</p><p>3. Present state of studies/research (see Required annexes 2)</p><p>CIMO 7/2016 Home institution Home department</p><p>Address E-mail, Telephone, Fax (through which the applicant can be reached during office hours)</p><p>Field of studies/research (subject area: e.g. Medicine, Physiology, …)</p><p>Tentative title of the Doctoral thesis (or Master’s thesis)</p><p>Main research methods</p><p>Scientific interests</p><p>4. Thesis supervisor (see Required annexes 3)</p><p>Name, Academic title Institution, Department</p><p>Institution address E-mail, Telephone, Fax</p><p>5. English language proficiency (Common European Framework of Reference for Languages, CEFR)***</p><p>6. International experience</p><p>7. Other merits (personal grants, prizes, medals, diplomas etc.)</p><p>8. Peer-reviewed publications in English language scientific journals (select up to 5 best papers) (see Required annexes 4)</p><p>9. Give the names of the Finnish scientists/research group leaders with whom you have had preliminary contact (see Required annexes 5)</p><p>CIMO 7/2016 </p><p>10. When would you have the possibility to work/study in Finland and for how long?</p><p>11. Hobbies</p><p>Signature</p><p>Place and date Signature</p><p>Required annexes 1. Copies of latest degree certificates and scores certificates (supplements to the diploma) and their translations 2. Description of your current research work (1-2 pages) including introduction, aims of study, experimental design and current status 3. Letter of recommendation from a supervisor or a senior colleague who is well acquainted with your work 4. Complete list of publications in the peer-reviewed English language scientific journals (if any) 5. Evidence of contacting at least one scientist/research group leader from Finnish Universities and of their replies: Copy/copies of correspondence or a letter of intent from a potential Finnish host. 6. One recent photograph of the applicant</p><p>*The applicants must be citizens of Russia or Ukraine. **The applicants should not be older than 35 years of age. ***A good knowledge of English language is required since only English is used in the Winter School (see more on CEFR language level at http://www.examenglish.com/CEFR/cefr.htm). No official certificate is required.</p><p>The complete paper versions of the applications should reach CIMO by 17 October 2016 at the following address:</p><p>Centre for International Mobility CIMO/ 21th CIMO WINTER SCHOOL P.O. Box 343 (street address/express delivery: Hakaniemenranta 6) 00531 Helsinki Finland</p><p>CIMO 7/2016 </p>