Bando di Ateneo UNIFI4FUTURE 
per l’attrazione di giovani ricercatori
	
 Annex 1 APPLICATION FORM

1.	Personal Data	

	Name and Surname:						
		Nome		Secondo nome		Cognome	
	Date of Birth														

	Tax Code/Codice Fiscale:		
				
	Country of Birth:		
		
	Nationality:		
	
	Country of Residence:		
	
	Address:		
					
	Phone nr.:		  Email:	  						

2.	Career	

	
PhD Qualification:	

	

	
Issued by:	

	

	
Date of Achievement:	

	

Dissertation Title:	

	

3.	Curriculum Vitae and Track Record (max 4 pages)	

PERSONAL DETAILS

Researcher unique identifier(s):
(such as ORCID, Research ID, etc. …)	

	

URL for website	

Education and key qualifications
DD/MM/YYYY PhD
 Name of Faculty/ Department, Name of University/ Institution, Country
 Name of PhD Supervisor
 YYYY Master
 Name of Faculty/ Department, Name of University/ Institution, Country

Current position(s)
YYYY - YYYY     Current Position
 Name of Faculty/ Department, Name of University/ Institution/ Country
YYYY – YYYY    Current Position
 Name of Faculty/ Department, Name of University/ Institution/ Country

Previous position(s)
YYYY - YYYY    Position held
Name of Faculty/ Department, Name of University/ Institution/ Country
YYYY - YYYY    Position held
Name of Faculty/ Department, Name of University/ Institution/ Country

RESEARCH ACHIEVEMENTS AND PEER RECOGNITION
Research achievements
[Provide a list of up to ten research outputs that demonstrate how you have advanced knowledge in your field with an emphasis 
on more recent achievements, such as publications, articles deposited in a publicly available preprint server, books, book 
chapters, conference proceedings, data sets, software, patents, licenses, standards, start-up businesses or any other research 
outputs you deem relevant in relation to your research field and your project. You may include a short, factual explanation of 
the significance of the selected outputs, your role in producing each of them, and how they demonstrate your capacity to
 successfully carry out your proposed project]

Peer recognition
[Provide a list of selected examples of significant recognition by your peers if applicable, such as prizes, awards, fellowships, 
elected academy memberships, invited presentations to major conferences or any other examples of significant recognition 
you deem relevant in relation to your research field and project. You may include a short explanation of the significance of 
the listed examples.]

ADDITIONAL INFORMATION: Career breaks, diverse career paths and major life events
[You may include a short factual explanation of career breaks or diverse career paths such as secondments, volunteering, 
part-time work, time spent in different sectors or the effects of major life events such as long term illness as well as the effects 
of pandemic restrictions on research productivity.]

ADDITIONAL INFORMATION:  Other contributions to the research community
[You may include a list of particularly noteworthy contributions to the research community you have made other than research
achievements and peer recognition and a short explanation of these contributions. The purpose of this section is to allow the 
evaluators to take a more rounded view of your career and achievements and to ensure that any additional responsibilities, 
commitments and leadership roles that you have taken on beyond your individual research activities are recognised and 
taken into account.] 

EU CURRENT GRANTS AND ON-GOING / SUBMITTED EU GRANT APPLICATIONS
(does not count towards page limits)  

Please enter details of any proposals submitted (individual or as part of a research team) in response to calls 
issued by the European Commission]

Proposal Title	
Funding Programme	
Period	
Result	
Role	

	

	

	

	

Please enter any participation in projects funded by the European Commission

Project Title and Acronym	
Funding Programme	
Period	
Role	

	

	

	

	
If awarded the MSCA 
Seal of Excellence, 
please enter the name 
of the proposal for which
 it was obtained	

	

4.	Research Project	

Acronym and Title                 [Max 500 characters including spaces]	

	

ERC Panels
[Min 1 max 2 panels in order of preference, selected from the ERC SECTORS list in the online application]

	

CUN Keywords
[Min 2 max 4 keywords in order of preference, selected from the CUN KEYWORDS list in the online application]

	

         	

	

	

Free Keywords           [Min 1 max 10 keywords]	

	

Host Department	

Abstract 
[Max 1500 characters including spaces]	

	

	

☐	

  Request for Supplementary Funding for Research Expenses

Requested Amount: [Max € 10.000]	

Provide justification for requesting supplementary funding	

	

RESEARCH PROJECT
[Max 8000 characters including spaces]	

	

Signature	

Date	

	

	

	
MM	
	
GG	
	
AA