Call No.21/2015For Applications for a Post-Doc Research Fellowship

CALL NO.21/2015FOR APPLICATIONS FOR A POST-DOC RESEARCH FELLOWSHIP

DEADLINE FOR APPLICATIONS: midday, October 26th, 2015

APPLICATION FORM FOR PARTICIPATION

To the Director of the CIMeC

I, THE UNDERSIGNED,

Surname

(women please state maiden name)

Name

Place of birth province(1)

date of birth(2)

(foreign nationals please also state the country)

Tax code

residing in

(town and county/state)

(house number and street)

post code Province (1) country if other than Italy

Phone number email address

agree to the processing of my personal data, in accordance with Leg. Decree no.196 of 30th June 2003, for the purposes of the present selection procedure.

 attach a photocopy (3)of my identity card or other identity document which I will submit in person to the examination offices (obligatory in case an interview is foreseen, and the application is sent by post or delivered by a third party)

regarding publication of the results of the selection on the CIMeC website I, the undersigned, (4) :



agree to my name appearing

do not agree to my name appearing

Place and DateSignature

______

Reserved for office use CIMeC administration

I declare that ______, whose identity I have confirmed,

(document ______no. ______) has signed in my presence.

Trento, date:______Employee’s name: ______

I, THE UNDERSIGNED,

having read the Call for applications no.8/2015for the award based on qualificationsof 1 post-doc research fellowship at CIMeC, in respect of:

Scientific/disciplinary area / M/PSI-08
Principal Investigator (Tutor): / Dr. Luca Turella
Research title: / Multisensory integration during speech perception
Research goals: / The main aim of the project will be to explore the neural correlates of multisensory integration in the case of speech perception using MEG.
Duration of the fellowship: / 12 months(presumably from November 2015)

REQUEST

permission to apply for the above-mentioned fellowship, and to this end, aware that false declarations are punishable by law under Article 76 of Presidential Decree no. 445 of 28th December 2000 and that this Administration will carry out random checks on the accuracy of the declarations made by candidates,

DECLARE

under my own responsibility and in accordance with Articles 46-47 of Presidential Decree 445/2000,

that I hold the following PhD

awarded by

date (2)

title of thesis

OR

that I have completed all requirements for the PhD in

title of thesis

and that I’ll obtain my PhD title prior to signing the contract;

that I haveappropriate scientific and professional experience required to carry out the research described in article 1 of the call;

that I have empirical research background in multisensory integration;

that I have d)excellent experience (documented by at least one publication in a peer-reviewed journal) in cognitive neuroscience in the field of speech perception;

that I have experience with MEG or EEG data acquisition and analysis;

that I haveexcellent English language skills;

that I am aware of the restrictions described in Article 7 of the Call for applications for this research fellowship;

The following three points are to be filled out solely by those candidates who have had research assignment contracts with Italian academic institutions since 2011:

that I have never received a research award as per Article 22, Law 240/2010;

that I have previously received research awards as per Article 22, Law 240/2010 and, in particular, I have been the recipient of[1]:

• an award for the duration of _____ months at (name of institution) ______, beginning ______ending ______;
• an award for the duration of _____ months at (name of institution) ______, beginning ______ending ______;
• an award for the duration of _____ months at (name of institution) ______, beginning ______ending ______;

that I have received a research award as per Article 2, Law 240/2010 for the purposes of undertaking a research doctorate, and in particular:

• that I was enrolled on a doctoral research course in ______from ______to ______at (name of institution) ______,
• that the legal duration of the doctoral research course in ______is ______years,
• that I have made use of an award for ______months for the purposes of following a doctoral research course.

that I am not under any similar contract for research activities at this or any other university;

that I do not enter into any of the following exclusion categories, being aware that under Article22, Law 240/2010, the research fellowship:

• cannot be held by any permanent staff of universities, institutions and public bodies engaged in research and experimentation, the National Agency for New Technologies, Energy and Sustainable Economic Development (ENEA) and the Italian Space Agency (ASI), nor of institutions which award an advanced specialised scientific degree equivalent to a research doctorate under the terms of Article 74, paragraph 4, of Presidential Decree 382/1980;
• cannot be undertaken at the same time as a course of study for a bachelor’s degree, a master’s degree, grant-supported doctoral research or medical specialisation, in Italy or abroad, and that public sector employees must take unpaid leave;
• cannot be held by relatives, up to the fourth degree, of faculty members of the awarding institution, the Rector, the Director General or a member of the University Administrative Council;
• cannot be combined with other grants of any kind, with the exception of those awarded by national or foreign institutions for the purposes of integrating the researcher’s activities with work experience abroad;

that I wish correspondence relating to the selection to be sent to me at the following address and that I will give due notice of any change of address. (5)

(town and county/state)

(house number and street)

post code Province (1) country if other than Italy

other name (if different from applicant’s own name) to which correspondence may be addressed

• only for non-EU citizens or citizens from countries which do not have a freedom of movement agreement with the EU

that your immigration and visa (permesso di soggiorno) papers are current for (state reason here)…………………… expiring on……………………….; such a visa is an autonomous working permit which allows the possibility to sign freelance work contracts. Should the current visa permit be for reasons other than autonomous work, to undertake to require its conversion to a work permit (lavoro autonomo).

Or (only for those who do not have a current visa permit – permesso di soggiorno)

to undertake, if winner of the selection, to require a self-employment entry visa.

To be attached to this form:

• Scientific/professional CV (signed and dated) providing evidence of possession of the skills required to carry out the research;
• Any publications, certificates or other qualifications that may provide further evidence of the candidate’s suitability for this research project (a list of qualifications and publications, signed and dated, must be included with this application);
• Doctoral degree certification (or official University confirmation of having met PhD requirements);
• Photocopy of a valid identity document (ID card or passport).

DateSignature

______

______

NOTES:

This form must be completed in BLOCK CAPITALS

(1)Enter the vehicle registration code of the province; for foreign countries enter EE

(2)Enter the date in the format DD MM YY

(3)Tick if submitting in person

(4)Tick the relevant box

(5)Complete only if different from residential address.

Self-certification model

I, THE UNDERSIGNED, ______

Aware of the criminal punishments used in the case of false declarations, the creation or use of false deeds, recalled in article 76 of the Presidential Decree n. 445 of 28th December 2000, as well as the relinquishment of the benefits received on the basis of false declarations, where checks carried out show the non-truthfulness of the content of each declaration (article 75 of Presidential Decree n. 445 of 28th December 2000,)

DECLARE UNDER MY OWN RESPONSIBILITY

and in accordance with Articles 46-47 of Presidential Decree no. 445 of 28th December 2000 (“self-executed certificate and self-executed affidavit”)

(Paste Curriculum Vitae in this box – do not attach separately)

DateSignature

______

List of documents and publications

I, THE UNDERSIGNED, ______

aware that false declarations are punishable by law under Article 76 of Presidential Decree no. 445 of 28th December 2000, and that this Administration will carry out random checks on the accuracy of the declarations made by candidates

ATTACH THE DOCUMENTS AND PUBLICATIONS LISTED BELOW AND DECLARE THAT THE ATTACHED DOCUMENTSARE TRUE COPIES OF THE ORIGINALS (in accordance with Article 19 - Presidential Decree no. 445, 28th December 2000.

1.
2.
3.
4.
5.
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DateSignature

______

NOTE:

Continue on an extra sheet if necessary, attach it and indicate that you have done so in the above list.

[1]Indicate the number of months for which the award was used and the name of the institution granting the award, e.g. University of Trento; please provide details of each award, for example, if you have had two awards of 24 months each at the same institution indicate these as two separate awards on two different lines.