Bando di Ateneo UNIFI4FUTURE 
per l’attrazione di giovani ricercatori

 All. 1 DOMANDA DI PARTECIPAZIONE

1.	Dati Anagrafici

Nome                                             Cognome 

		
Codice Fiscale

Data di      Nazionalità nascita 

Paese di nascita                                                   Paese di residenza

Indirizzo

E-mail                                                                       Telefono

Titolo PhD                                                                       

Rilasciato da

Data di conseguimento

Titolo della tesi

2.	Curriculum Vitae (max. 2 pagine):

PERSONAL INFORMATION
Family name, First name:
Researcher unique identifier(s) (such as ORCID, Research ID, etc. ...):
Date of birth: 
Nationality: 
URL for web site: 		

EDUCATION
200? 	PhD
	Name of Faculty/ Department, Name of University/ Institution, Country
	Name of PhD Supervisor
199? 	Master
	Name of Faculty/ Department, Name of University/ Institution, Country
	 
CURRENT POSITION(S)
201? –	Current Position
		Name of Faculty/ Department, Name of University/ Institution/ Country
200? – 	Current Position
		Name of Faculty/ Department, Name of University/ Institution/ Country

PREVIOUS POSITIONS
200? – 200? 	Position held 
			Name of Faculty/ Department, Name of University/ Institution/ Country
200? – 200? 	Position held
			Name of Faculty/ Department, Name of University/ Institution/ Country

FELLOWSHIPS AND AWARDS
200? – 200? 	Scholarship, Name of Faculty/ Department/Centre, Name of University/ Institution/ Country 
200?		Award, Name of Institution/Country
199? – 199? 	Scholarship, Name of Faculty/ Department/Centre, Name of University/ Institution/ Country

TEACHING ACTIVITIES (if applicable) 
200? – 		Teaching position – Topic, Name of University/ Institution/ Country
200? – 200? 	Teaching position – Topic, Name of University/ Institution/ Country

ORGANISATION OF SCIENTIFIC MEETINGS (if applicable)
201?	Please specify your role and the name of event / Country 
200? 	Please specify type of event / number of participants / Country

INSTITUTIONAL RESPONSIBILITIES (if applicable)
201? – 	            Faculty member, Name of University/ Institution/ Country
201? – 201? 	Graduate Student Advisor, Name of University/ Institution/ Country
200? – 200? 	Member of the Faculty Committee, Name of University/ Institution/ Country 
200? – 200? 	Organizer of the Internal Seminar, Name of University/ Institution/ Country
200? – 200? 	Member of a Committee; role, Name of University/ Institution/ Country

REVIEWING ACTIVITIES (if applicable)
201? – 	Scientific Advisory Board, Name of University/ Institution/ Country
201? – 	Review Board, Name of University/ Institution/ Country
201? –	Review panel member, Name of University/ Institution/ Country
201? – 	Editorial Board, Name of University/ Institution/ Country
200? – 	Scientific Advisory Board, Name of University/ Institution/ Country
200? –	Reviewer, Name of University/ Institution/ Country 
200? –	Scientific Evaluation, Name of University/ Institution/ Country
200? –	Evaluator, Name of University/ Institution/ Country

MEMBERSHIPS OF SCIENTIFIC SOCIETIES (if applicable)
201? –	Member, Research Network “Name of Research Network”
200? –	Associated Member, Name of Faculty/ Department/Centre, Name of University/ Institution/ Country
200? –	Founding Member, Name of Faculty/ Department/Centre, Name of University/ Institution/ Country 

MAJOR COLLABORATIONS (if applicable)
Name of collaborators, Topic, Name of Faculty/ Department/Centre, Name of University/ Institution/ Country
 
CAREER BREAKS (if applicable)
Exact dates	Please indicate the reason and the duration in months.

COVID-19 IMPACT TO SCIENTIFIC PRODUCTIVITY (if applicable) 
Please specify which of the following situations apply to you: 
☐ Increased caring responsibility for dependent person, including home schooling of children;
☐ No access to laboratory facilities, archives, or other necessary facilities;
☐ No access to field work;
☐ Adaptation to online teaching;
☐ Physical and/or mental health issues;
☐Other(s) _________ 

(optional) Explain with objective facts how your productivity was affected by the COVID-19 pandemic. There is a limit of 300 characters, spaces and line breaks included.

3.	
Inserire i risultati più importanti conseguiti nella propria carriera, inclusa l’indicazione di una pubblicazione come autore principale (requisito di partecipazione al bando) e altre pubblicazioni rilevanti (max. 10). Le pubblicazioni devono essere adeguatamente referenziate, includendo tutti gli autori nell'ordine di pubblicazione. Possono essere inclusi anche indicatori bibliometrici rilevanti per il campo, nonché monografie di ricerca e loro eventuali traduzioni. 
Se applicabile, includere: brevetti concessi; presentazioni su invito a conferenze internazionali e/o altri eventi; premi/riconoscimenti/appartenenze ad accademie, ecc. 
È possibile inserire una breve descrizione dell'importanza scientifica dei risultati delle proprie attività di ricerca e del ruolo in esse svolto.

Track-record (max. 2 pagine)
4.	Progettazione Europea

Il candidato è risultato vincitore di un Seal of Excellence MSCA? Se sì, indicare di seguito la proposta per la quale lo si è ottenuto: 

Il candidato sta partecipando/ha partecipato a progetti europei finanziati? Se sì, completare la tabella seguente:

Project Title	Programme	Period	Role of the researcher in the project	

Il candidato ha presentato proposte progettuali nell’ambito di call emanate dalla Commissione Europea? Se sì, completare la tabella seguente:

Proposal Title	Call	Year	Role in the proposal	Evaluation Score	Reference with the current proposal	

5.	Progetto di Ricerca

Titolo del progetto (max. 200 caratteri)

Settori ERC di riferimento (min. 1 max. 2 in ordine preferenziale, da scegliere fra i settori presenti nella lista Settori ERC dell’applicativo online) 

Parole chiave CUN (min. 2 max. 4 in ordine preferenziale, da scegliere fra le parole chiave CUN presenti nella lista Parole Chiave CUN dell’applicativo online)

Parole chiave libere (min. 1 max. 10 in ordine preferenziale)

Dipartimento ospitante

Abstract (max. 1500 caratteri)

Project Proposal (max. 8000 caratteri)