Scuola Normale Superiore

Attachment A – Application form

(to be completed on plain paper)

Director

Scuola Normale Superiore

Piazza dei Cavalieri, 7

56126 - PISA

The undersigned (surname and name)______, born in ______, on (date) ______resident in ______street/square ______no.______postal/zip code ______, Country of residence: ______

REQUESTS

to be admitted to the public competition for the recruitment of one Associate Professor, under art. 18, par. 1 of the Law 240/2010, in the Classe di Scienzematematiche e naturali, academic field 02/D1 – Applied Physics, Physics Teaching and History of Physics, academic discipline FIS/07 Applied physics.

The undersigned, under his/her responsibility and aware of the legal penalties as indicated in art. 76 of Presidential Decree 445/2000 for false statements

DECLARES

1)to have the following citizenship ______(specify the nationality);

2) to belong to one of the following categories provided in art. 2, par. 1 of the call (tick the appropriate box and provide requested information):

|_| a) candidates who have obtained the national scientific qualification pursuant to art. 16 of Law 240/2010 for the academic field or for one of the academic fields included in the same macro-sector, for the associate professor position and for the equivalent functions or for higher positions, if not already employed in these higher positions; in particular the undersigned declares to have obtained the national scientific qualification pursuant to art. 16 of Law 240/2010 as ______(specify if full or associate)professor[1] for the academic field ______- academic discipline ______;

|_| b) candidates who have obtained the professional qualification pursuant to Law 210/1998 for the academic discipline included in the academic field of the call, or in one of the academic fields included in the same macro-sector, and for the position covered by the procedure or for higher positions, if not already employed in this positionwithin the period of validity for such qualification; in particular the undersigned declares to have obtained the professional qualification pursuant to Law 210/1998 as ______(specify if full or associate) professor, on (date) ______at the University of ______;

|_| c) candidates who are already employed as associate professors; in particular the undersigned declares to be employed since ______as associate professor within the academic discipline ______at the University of ______;

|_| d) foreign based researchers and university teachers (tenured position) equal to that of the call – as determined by the correspondence chart set out in the Ministerial decree of 1.9.2016; in particular the undersigned declares to be employed since ______as ______(specify the position) at the University/Institution ______of the foreign State ______;

3) (Only for Italian citizens) |_| to be registered in the electoral roll of the municipality of ______[2] and to be in compliance with rules regarding military obligations (if subject to);

4) (Only for foreign citizens) |_| to enjoy his/her civil and political rights in his/her Country of residence or origin[3];

5)|_| to have the ability to teach in Italian and English and, in particular, to have the following level of knowledge of English [4] ______, and to have an adequate knowledge of the most common computer applications and equipments;

6)|_| not to have criminal convictions and not to be currently involved in criminal proceedings

or

|_| to have the following criminal convictions and/or to be currently involved in the following criminal proceedings: ______; [5]

7)not to have been dismissed or retired from a Public Administration body for persistent poor performance; not to have been declared deceased by a state employment under art.127, lett. d) of Presidential Decree 3/1957;

8)not to have any relationships of marriage, family relationships or affinity, up to the fourth degree, with professors belonging to the Governing Council, or with the Director, the Secretary General, members of the Board of Directors of the Scuola. The undersigned also declares not to hold the above-mentioned positions/individual functions, not to be a Professor belonging to the Governing Council nor a member of the Board of Directors of the Scuola Normale, from the moment of authorization of the selection procedureuntil the conferment of the appointment;

9)|_| to have been recognised as being disabled under Law 104/92 and to need extra-time and/or the following devices for the possible interview: ______. The undersigned attaches the relevant medical certificate, otherwise the benefits shall not be granted.

The undersigned under his/her responsibility, for the purposes of the evaluation under art. 5, par. 1 of the call, DECLARES:

1)in compliance with the minimum standards of productivity under art. 5, par. 1 of the call, to be the author/coauthor of the following scientific works for the period 2012–2016, which are eligible according to the criteria defined within the evaluation cycle of Universities (the so-called VQR for the period 2011-2014) and coherent with the subject matters of the academic field or with pertinent interdisciplinary subject matters:

Type of scientific work [6] / Author/s / Work title / Work reference
(ISSN-DOI-ISBN) / Year of publication
(2012-2013-2014-2015-2016)
e.g. article in journal / e.g. candidate, xx, yy / e.g. “zzz” / e.g. ISSN …. / e.g. year 2013
etc.

2)for the purposes of the evaluation of the scientific research activity (art.7, paragraph 1 lett. A - a) of the regulations), to have succeeded in attracting funding for research by successfully participating in the following competitive calls as local/national/international unit coordinator:

FinancingInstitution / Competitive call/
Research programme(name) / Year of the project approval / Project title / Position held
(local/national/international unit coordinator) / Financingobtained[7]
(in €) / Research programme and financing duration
e.g. Miur / e.g. Call FIRB “Futuro in Ricerca” / e.g. 2012 / e.g. “yyy” / e.g. national scientific coordinator / e.g. € xxx / e.g. 3 years
etc.

The undersigned ATTACHES the followings to the application form (complying with the “Indications for the presentation of qualifications and publications” under the note B available in the relative section of the website of the Scuola Normale):

a)a curriculum vitae containing a detailed list of the qualifications and the complete scientific production, also on computer device;

b)any document and qualification - included among the ones declared in the curriculum vitae under the preceding lett. a) – that the candidate intends to submit, with relative list, also on computer device;

c)a list of the publications – included among the ones declared in the curriculum vitae under the preceding lett. a) – that the candidate intends to submit, in the maximum number of 12, also on computer device;

d)the publications specified in the listunder the preceding lett. c), which shall be submitted exclusively on computer device(cd, USB flash drive etc.) and in non-editable format (e.g. pdf)[8];

e)a photocopy (non-authenticated) of a valid identification document.

The undersigned finally DECLARES:

-to be aware that all the activities, the scientific and teaching experiences and the qualifications listed in the curriculum vitae attached to the application are to be considered according to and by effect of articles 46 and/or 47 of Presidential Decree 445/2000, and to be aware of the penal consequences in case of untrue statements or falseness in acts, as indicated in art. 76 of the aforementioned Pres. Decree 445/2000[9]. The undersigned also commits himself/herself to submit the documents confirming his/her declarations should it be requested;

-to have read the announcement of selection and to be aware that the presentation of this application indicates full acceptance of the conditions specified therein;

-to have read the information concerning the use of personal data in accordance with art. 13 Leg. Decree 196/2003, available on the dedicated section of the Scuola website, and to be aware that the Scuola Normale will use the personal details contained in the application forms and documents submitted in accordance with Leg. Decree 196/2003, for the completion of all operations connected to the present selection procedure, to the possible employment and for statistical purposes;

-to be aware that in case of appointment of the present position, the role of professor of the Scuola Normale Superiore implies also the possibility to contribute to the functioning of the institution by performing the istitutional duties/roles as provided for in the Law, the Statute and the internal regulations;

-to elect the following contact details for the purposes of the selection procedure:

At (fill it only if your surname does not appear on the mail box) ______

City ______zip code ______Street______n. _____

Possible foreign State ______phone/mobile ______

Fax ______e-mail ______undertaking to timely communicate any and all changes.

Date ______Full readable signature[10]______

[1]It is applied the art. 4 of DM 855/2015 of redetermination of the academic fields, in accordance with the correspondences between the groups of academic fields and the academic fields under DM 12.6.2012 and the ones under DM 855/2015. These correspondences are indicated in the table of the attachment Cof the above decree.

[2]If the applicant is not registered or has been cancelled from the electoral roll, please explicate the reasons.

[3]If the applicant does not enjoy his/her civil and political rights, please explicate the reasons.

[4] Please indicate the level of knowledge of English using the following standards within the CEFR (Common European Framework of Reference for Languages): Basic A1-A2, Intermediate B1-B2, Advanced C1-C2.

[5]Please indicate the date of the sentence and the judicial authority.

[6]The scientific works which are eligible according to the criteria defined within the evaluation cycle of Universities for the period 2004-2010 are:Articles published in journals

Books, chapters of books and papers in conference proceedings,only if they have ISBN

Critical editions of texts, translations and scientific commentaries

Patents issued in the seven-years period, if the candidate is the author/coauthor of these patents

Compositions, drawings, design, performance, exhibitions and organized presentations, products, prototypes and works of art and their related projects, databases and softwares, thematic maps, only if they are accompanied by publications by which an appropriate evaluation is possible.

[7]Indicate the amount obtained for the whole project if you are the coordinator or for the local unit if you are the local coordinator.

[8]If the applicant sends the candidature via PEC- Posta Elettronica Certificata, the presentation of documents and publications on paper, CD or USB flash drive is not requested.

[9]The provisions indicated may be applicable to Italian and EU citizens. Concerning the use of the aforementioned provisions by non-EU citizens lawfully residing in Italy or authorized to reside in Italy, please see attachment B of the announcement. Citizens from non-EU States may use self-declaration affidavits in cases in which their utilization has been agreed upon in international treaties between Italy and/or European Union and their country of citizenship. Citizens from non-EU States that have not been authorized to reside in Italy should demonstrate the truthfulness of their declarations under their own responsibility, submitting the necessary documents in the required form and by the date specified in the call and attachments.

[10]The signature is mandatory, in default of which the application shall be void (with the exception of applications sent from candidates who possess an electronic mail address of PEC- Posta Elettronica Certificata).