Application form for vacancies of PhD Studentships (2 x 2 ... - UHasselt

Campus Diepenbeek, Agoralaan - gebouw D
B - 3590 Diepenbeek
Phone +32 11 26 80 10
Fax +32 11 26 80 19
e-mail: jobs@uhasselt.be
www.uhasselt.be
Application form for vacancies of
PhD Studentships (2 x 2 years)
In the Departments of Applied Economics, Transportation Sciences, Biomedical Science, Science
(Chemistry, Biology, Mathematics, Computer Science, Physics), Architecture and Arts
Your application will be screened on the skills necessary to start and obtain a PhD. Successful
applicants will be listed in a recruitment list for one year. You will be notified of this. As soon as a
relevant project arises, Hasselt University will contact you.
Identification
Surname/family name:
Christian name (= name by which one is generally known):
Mailing address:
- street and number:
- postal code and city:
- telephone number (area code and subscriber's number):
Domicile:
- street and number:
- postal code and city:
- telephone number (area code and subscriber's number):
E-mail address:
Date of birth:
Place of birth:
Male:
Female:
Nationality:

2
Academic titles, degrees and study results
Please fill out all your study results after high school. Do not forget to include the titles of your master's thesis
or final examination paper, as well as the corresponding disciplines, the dates and the institutes where they
were obtained. In case an institute did not evaluate the results per academic year, please mention the results
and the date per examination.
For postdoctoral positions: please indicate the names of the supervisors and co-supervisors of your Ph D-
thesis. A copy of your Ph D- thesis can be asked for during the interview.
Please add a copy of your diploma, a list of courses and your results per course.
University + country
(*)
Bachelor years
Degree name per year
of study (discipline)
(*)
Grade
(*)
Grade
in %
(*)
Year
(*)
1st year
2nd year
3rd year
Master years
1st year
2nd year
3rd year
Other academic degrees at bachelor or master level (including teacher training)
BA or MA
University + country
(*)
Title or degree
(discipline)
(*)
Grade
(*)
Grade
in %
(*)
Year
(*)
Fields with (*) are mandatory
Final examination paper (title and supervisor)
Career
1. Present position:
Starting date:
Institute:
2. Previous positions (chronological list of the positions, with clear indication of the duration and the
name of the institute)
Sollicitatieformulier AP UH-PERMANENT Engels

3
Overview of scientific activity and publications. Please highlight your publications on the
web of Science:
Overview of teaching activities:
Other activities and experiences:
Level of knowledge of academic English:
Speaking: poor average good very good native
Understanding: poor average good very good native
Writing: poor average good very good native
Reading: poor average good very good native
TOEFL-level:
Test taken at following institution:
Test not taken
Indicate each time your highest and lowest score on various speaking, listening, writing and reading
skills.
Speaking skills: limited fair good
Listening skills: limited fair good
Writing skills: limited fair good
Reading skills: limited fair good
Other information, useful to your application:
I apply for a position in the following research group(s):
Structure Hasselt University
Please indicate the research topic of your interest (for further information:
http://www.uhasselt.be/english/onderzoek/groepen/Default.asp)
Faculty of Business Economics
Capacity group Accountancy, Finance and Governance
Research group Accountancy en Finance
Research group Governance
Capacity group Marketing and Strategy
Research group Marketing
Research group Strategy and Innovation Management
Capacity group Economics
Research group Healthcare and Economics
Research group Economics and Public Policy
Research group Environmental Economics
Capacity group Quantitative Methods
Research group Econometrics
Research group Logistics
Research group Business Informatics
Capacity group Transportation Sciences
Research group Traffic Safety
Research group Transportation Behaviour
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4
Capacity group Behaviour, Communication and Linguistics
Research group Communication and Linguistics
Research group Behavioural Sciences – Diversity
Research group Behavioural Sciences – Governance
Research group Behavioural Sciences – Health
Research group Behavioural Sciences – Learning
Research group Behavioural Sciences – Public Law
Faculty of Law
Capacity group Law
Research group Centre for Government and Law
Faculty of Medicine
Capacity group Morphology
Research group Functional Morphology
Capacity group Physiology, Biochemistry and Immunology
Research group Immunology and Biochemistry
Research group Physiology
Faculty of Sciences
Capacity group Chemistry
Research group Inorganic and Physical Chemistry
Research group Organic and Polymer Chemistry
Research group Theoretical Chemistry and Molecular Modelling
Research group Applied and Analytical Chemistry
Capacity group Biology en Geology
Research group Laboratory of Botany
Research group Environmental Biology
Research group Zoology - Biodiversity and Toxicology
Capacity group Pure Mathematics
Research group Algebra
Research group Dynamical Systems
Capacity group Applied Mathematics
Research group Center for Statistics
Capacity group Physics
Research group Theoretical Physics
Research group Bio-Physics
Research group Materials Physics
Capacity group Computer Sciences
Research group Databases and Theoretical Computer Science
Research group Expertise Centre for Digital Media
Association faculty AUHL
Associated faculty Industrial Sciences & Technology
Associated faculty Media, Arts and design
Associated faculty Physiotherapy
Associated faculty Architecture and Interior Architecture
If possible please indicate the research topic of your interest:
Declared at
Name/signature:
Date:
Sollicitatieformulier AP UH-PERMANENT Engels