APPLICATION FORM FOR VISITING SCHOLARS - ERASMUS MUNDUS MASTER´S DEGREE IN WOMEN´S AND GENDER STUDIES GEMMA

Before filling out this form, please read carefully the general information about GEMMA and check the selection criteria for scholarships (click here) and the instructions on how to apply (click here). Once your application is submitted, you will receive a confirmation e-mail with a copy of your application form.

Personal Details

Surname Name Date of birth Sex Nationality Passport number Contact email address Contact telephone number Skype user name. (Optional) Current address (valid from/to) Current country of residence Permanent address Number of children Special needs

Academic and professional information

PhD degree and field of studies Institution and country, where degree is delivered Date of issue of the degree Present position and workplace (if applicable)

Languages

Please evaluate your knowledge of all three Consortium languages, using the Self-Assessment Grid of the Common European Framework of Reference (CEF), available here.

Level of English language Speaking Reading Writing Attached English language certificates (titles, one per line) Level of Spanish language Speaking Reading Writing Attached Spanish language certificates (titles, one per line) Level of Italian language Speaking Reading Writing Attached Italian language certificates (titles, one per line)

Scholarship information

Have you benefited from an Erasmus Mundus scholarship in the past?

Destination

GEMMA Partner University

IMPORTANT: Third Country scholars enrolled in any third-country Higher Education Institution can make visits to any of the European partner institutions.: Granada, Bolonia, CEU, York, Lodz, Oviedo y Utrecht.
European scholars enrolled in one of the centers that participate in GEMMA (within any European HEI acting as a full partner of GEMMA) can make visits to any of the Consortium universities or Third-Country partner institutions: University of Buenos Aires (Argentine), The State University of Campinas in Sao Paulo (Brazil), University of Chile (Chile), Florida International University (USA), Technological Institute of Santo Domingo (Dominican Republic), National University of Colombia (Colombia), National Autonomous University of Mexico (Mexico), Rutgers, The State University of New Jerse (USA), Columbia University (USA),; University of Redlands (USA), New York University (USA), UNESCO Chair in a Culture of Peace and Education of the University of Loja (Ecuador) and UNESCO Chair on Women of the University of La Habana (Cuba). 1st priority 2nd priority 3rd priority Number of weeks you wish to attend as a visiting scholar (minimum 2 weeks, maximum 12):

Additional academic information

Please describe your academic background and relevant experience (max. 150 words) Visit/research plan at the university of destination (max. 150 words) Publications in the last 5 years (if any). For each publication, a copy of the table of contents, a copy of the first page of the book/article/chapter, and a copy of the ISBN/ISSN must be provided as proof. Photocopies should be uploaded under the “Required documents” section below, in a single pdf file.

Additional information

Required documents

Important note: The only file types allowed are pdf, doc, docx, txt, img, gif, jpg, jpeg, rtf. Curriculum Vitae PhD Degree English certificate Spanish certificate Italian certificate Motivation letter Copy of passport Publications

1st letter of reference: Referee's contact details

Name Surname Position E-mail address Phone number

2nd letter of reference: Referee's contact details

Name Surname Position E-mail address Phone number Check Sum captcha1

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