<p> Masaryk University Kohn Research Scholarship</p><p>Office for International Studies • Komenského nám. 2 • 602 00 Brno • Czech Republic tel.: +420 549 49 3076 • fax: +420 549 49 1113 e-mail: [email protected] • http://ois.muni.cz</p><p>There is no set deadline – Applications are welcomed throughout the year.</p><p>Application requirements:</p><p>1. Completed and signed application form. 2. CV (see Part B) 3. Description of the plan of study or research project you wish to undertake at Masaryk University, accompanied by a letter (or e-mail) from the appropriate head of department or a professor agreeing to supervise your programme at Masaryk University (see Part C) 4. Confirmation of studies (see Part D) 5. Two letters of recommendation from persons who can comment on your academic achievement (see Part E).</p><p>Please type in the required data on computer and print the form out.</p><p>PART A GENERAL</p><p>Name (last): </p><p>(first):</p><p>(middle):</p><p>Gender: Date of birth (day/month/year): Place of birth: </p><p>Citizenship: </p><p>Current address:</p><p>Number and street: Flat/Apartment no.:</p><p>City:</p><p>Postal code: Country:</p><p>Telephone (include country code and city code)</p><p>E-mail:</p><p>1 PART B CV On a separate sheet of paper, please provide a brief CV; details of any academic publications to your credit should be included.</p><p>______PART C RESEARCH PROJECT / PLAN OF STUDY </p><p>Brief description:</p><p>On a separate sheet of paper, please describe in some detail the research project or plan of study you would like to carry out while at Masaryk University (maximum 1 page typed). State specifically the length of time you wish to spend at the university, and when you would like to begin your stay. This should be accompanied by a letter or e-mail from the appropriate head of department or a professor agreeing to supervise your programme at Masaryk University. ______PART D CONFIRMATION OF STUDIES</p><p>Please include with this application an official letter from your university confirming that you are enrolled in a doctoral or research-oriented Master’s programme. This must state the field of study and the name of the doctoral/Master’s thesis supervisor.</p><p>Home university: </p><p>Major field(s) of study: ______PART E RECOMMENDATIONS</p><p>Write the name and address of two persons who can comment on your academic achievement and ability to benefit from the Masaryk University Kohn Research Scholarship. Please include their confidential letters with the application. Each recommendation must be placed in a separate envelope and the envelope seal must be signed by the person providing the recommendation. </p><p>Recommendation from: Title: </p><p>Recommendation from: Title: </p><p>______PART F LANGUAGES </p><p>Please list and rate your proficiency in the languages you know: fluent, good, fair, minimal. </p><p>Language Reading Writing Speaking Aural comprehension</p><p>2 ______</p><p>PART G AGREEMENT </p><p>(TO BE SIGNED BY STUDENT)</p><p>I certify the above information to be complete and correct. </p><p>Signature of applicant: Date:</p><p>3</p>