phd - Complete fellowship – CENTRAL AMERICA

PERSONAL DETAILS
FIRST NAME(S):
LAST NAME(S):
GENDER:	Female Male
DATE OF BIRTH:
PLACE OF BIRTH:
NATIONALITY:
ID/ PASSPORT #:
CIVIL STATE:
POSTAL ADDRESS:
TEL/ FAX:
EMAIL:

ACADEMIC BACKGROUND
UNIVERSITY NAME & COUNTRY: (BACHELOR)
GRADUATION DATE FROM UNIVERSITY: (BACHELOR)
MASTER DEGREE UNIVERSITY & DATE OF GRADUATION
MASTER DEGREE TITLE:
TITLE OF THE MASTER THESIS:
SUPERVISOR DURING THE MASTER:
Other: (optional)
PUBLICATIONS:

LANGUAGES: (OTHER THAN SPANISH) (State the %, e.g.: 80% writing skills, etc)	Language:	Ability in writing	Ability in Reading		Ability in Speaking
	ENGLISH:
	Other(s):

WORKING BACKGROUND
1.	ARE YOU CURRENTLY EMPLOYED?	Yes: * Continue with Q.#2 & 3	Full time work:
			Part time work:
		No : ** Please go directly to Q.#4	Unemployed/ Looking for work:
			I am still a student: (Provide the details please)
2.	* If you answered Yes in Q.#1: PLACE OF WORK & DATE SINCE YOU STARTED:
3.	* If you answered Yes in Q.#1: POSITION AT YOUR CURRENT WORK:
4.	PREVIOUS WORKING EXPERIENCE: Please provide Name of Working Place, Position and Year of work:
	Other: (optional)

PhD DETAILS
DETAILS OF YOUR SUPERVISOR DURING THE PhD RESEARCH:
First & Last Name:
Institution of Employment:
Position at Institution of Employment:
Address:
Telephone & Fax:
E-mail:
TITLE OF YOUR PhD RESEARCH:
ABSTRACT OF YOUR PhD PROPOSAL: (NO MORE THAN 300 WORDS)
TIME SCHEDULE:

NeT - Fellowships 2008, CATEGORY: PHD, DEADLINE: open till October 2008; APPLY: netropica@netropica.org