/ Conseil de l’action internationale (CAI)
Developing countriescooperation:Call for applications to a PhDscholarship
Application form

Academic year 2017-2018

Important information
  • The complete file (application form + annexes) must be submitted by the applicant’s UCL supervisor, to the Chair of the UCL International Action Board (Conseil de l’actioninternationale-CAI) c/o ADRI, by 31March, 2017 (before 12:00 PM Belgian time).
    An electronic version of the complete application,as one single PDF file,must be sent to the same date.
  • The applicant or his/her UCL supervisor must also apply to study for a doctorate by the subject-specific doctoral committee (CDD) (for doctorates at UCL) or a research diploma (for doctorates in the applicant’s own institution) in their field of research.

Documents to join to the application form

For all applicants:

  1. A recommendation letter from the applicant’s UCL supervisor. If the applicant alternates between two institutions, a recommendation letterand a C.V. from the applicant’s supervisor at the own institution;
  2. The proposed research project (5 pages maximum) and the timetable of proposedactivities.

For applicants who aim to obtain a doctorate at UCL:

  1. Thedecision of the doctoral committee (CDD) regarding the PhD admission at UCL, grantedor subject to additional requirements (e.g. attend additional courses).

For applicants who aim to obtain a doctorate at theirhome University:

  1. Proof of registration in a PhD program at the home University;
  2. A recommendation letterand a C.V. from the applicant’s supervisor at the own institution;
  3. Applicant’s admission letter to a research diploma (for doctorates in the applicant’s own institution) in their field of research.

For applicants already enrolled in a PhD program atUCL:

  1. The most recent report from the applicant’s thesis committee.

I. ADMINISTRATIVE INFORMATION

I.1 Last name(maiden name):
First, middle name(s):
Gender: Male – Female
I.2 Nationality:
Place and date of birth:
I.3Address
Mailing address:
E-mail:
Tel No.:
Mobile No.:
I.4Civil status:

I.5Languageskills:

Language / Comprehension / Spoken / Written
French
English
Spanish
Other (specify)
II. ACADEMIC AND PROFESSIONAL INFORMATION

II.1Applicant’sUniversity degrees

Year / Institution / Degree obtained / Grades / Funding

II.2 Professional experiences (after his/her University studies)

Period / Employer / City, Country / Function

II.3 Description of current professional activities (teaching, research, etc…)

II.4 Other activities relevant to the current scholarship application

II.5 Previous achievements and scientific references

Please list all of your publications in peer-reviewed and non peer-reviewed journals; conference abstracts; books and books chapters; oral communications at international conferences;scientific prizes. If necessary, join a list of publications.

III. DESCRIPTION OF THE DOCTORALRESEARCH PROJECT

III.1Title

Brief abstract (max. 5 lines)

Please join the proposed research project (maximum 5 pages) and the estimated timetable of proposed activities. As far as possible, please structure the project as follows:

1) Current state of knowledge and position of the project with respect to the state-of-the-art

2) Objectives and hypotheses

3) Methodology and significant milestones

Field of research

List of research areas to be used:

Key-words (maximum 5 to describe your research)

III.2 Degree to be obtained

The applicantaims to obtain a UCL PhD

  • Join a copy of the decision of the CDD pertaining to admission of the applicant to a UCL PhD program.

The applicantaims to obtain a PhD at his or her own institution.

  • Joina proof of registration in a PhD program at the applicant’s home University.
  • Join a recommendation letter from the supervisor in the own institution, as well as his or her C.V. including contact information (e-mail address).
  • Joina proof of admission to the «research diploma».

IV. MOTIVATION AND IMPACT OF THE PROPOSED RESEARCH

IV.1What are the benefits of thePhDresearchfor the applicant’s professional project?

IV.2What are the benefits of thePhDresearchfor the applicant’s own institution?

IV.3What are the benefits of thePhDresearch program for the development of the applicant’s country of origin?

IV.4 What are the benefits of thePhDresearch project for UCL?

V. IMPLEMENTATION OF THE DOCTORAL FELLOWSHIP

V.1 Research at the UCL or in asplit-site research project

The UCL International Action Board (Conseil del’actioninternationale-CAI) considers the establishment of a researchcollaborationbetween UCL and the applicant’s own institutionthe best strategy to promote the effective re-integration and professional development of the applicant. The CAI therefore strongly encouragesapplicants to choose this option.

The research will be carried out exclusively at the UCL.

Explainthe reasons why the project will not be carried out alternately with the applicant’s own institution:

The research will be carried out alternatelywith the applicant’s own institution

Address of the applicant’s own institution:

Contact information of the local academic contact person at the applicant’s own institution:

What kind of resources are provided to the applicant by the own institution?

Will the applicant benefit from any financial support (fellowship, salary, other) during the research period at the own institution?

Will the applicantcarry out other professional activities during the research period at the own institution? If so, what kind?

V.2 Payment

UCL doctoral fellowships are granted to applicants exclusively during theirstaysin Belgium.

Payments will be made according to the planned research calendarin Belgium(paid out in no more than 36 monthly instalments, over a period of up to 72 months).

The total duration of the research (including the stays abroad) cannot exceed this period.

Please note that if required by the CDD and before the admission to the PhD, a maximum of 12 additional monthly instalments may be granted for the periods spent in Belgium.

V.2.aNumber of monthly instalments requested in order to complete preparatory training for the PhD in Belgium (as requested by the CDD): .

V.2.bNumber of monthly instalments requested in order to complete the doctoral research projectin Belgium: .

V.2.cFlight tickets

Ifin the schedule,research periodsin the home country are foreseen, theUCL International Action Board (Conseil de l’actioninternationale-CAI) will also cover the cost of one or more return flights between the international airport nearest to their place of residence and Brussels airport.

The number is limited to one round-trip per year.

Period / Destination

The undersigned declare that the information provided in this form is true and certified and undertake to inform the UCL Administration of International Relations (ADRI) of any modifications that may occur during the period in which this application is being evaluated.

Date & signature of the applicantDate & signature of thesupervisor(s)

«Developing countries cooperation» PhD scholarships 2017-2018 1