APPLICATION
FOR ARTL@S POST-DOCTORAL FELLOWSHIP 2013-2015
P
ERSONALI
NFORMATIONFamily Name (All Caps) Title
First and Middle Names
Address
Home Telephone Fax Work Telephone Fax
Mobile/Cell phone
French National Insurance Number (if applicable)
I
NSTITUTIONALA
FFILIATION ORTICK: □ I
NDEPENDENTS
CHOLARInstitutional Name Department
Position Department Phone
Department Email
Address
TITLE OF PROPOSED RESEARCH PROJECT FOR THE FELLOWSHIP
P
HD DISSERTATION TITLE
EDUCATION/QUALIFICATIONS
Starting with the most recent, please give details of your education
College/University Dates
(month/year)
Degree and major subjects
Starting with the most recent, please list any awards, honors, and memberships in professional institutions
E
MPLOYMENTH
ISTORYFrom To Employer
Position Responsabilities
P
UBLICATIONSPlease attach a list the titles of your published books, articles and reviews on a separate sheet
L
ANGUAGES
KILLSList languages you read ______________________
______________________
_______________________
List Languages you speak ________________________
________________________
________________________
E
XPERIENCE, S
KILLS,
ANDKNOWLEDGEPlease give details of any experience of particular relevance to this role (continue on a separate sheet if necessary)
RESEARCH PROJECT PROPOSAL
Please attach a description of your research project proposal for the fellowship (up to five pages, typed and double-spaced)
DISSERTATION ABSTRACT
Please provide a short abstract discussing content and methodology of your PhD Dissertation (up to 500 words, typed and double-spaced – continue on a separate sheet if necessary).
FLUENT BASIC FLUENT BASIC
WRITING SAMPLE
Please attach one sample of your written work in English and cite its source. This may be a chapter of your dissertation, an article, review, or paper. In most cases a sample of twenty pages is sufficient: do not submit a whole book or dissertation
LIST OTHER FELLOWSHIPS, AWARDS OR POSITIONS FOR WHICH YOU ARE APPLYING
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When do you expect the results of these applications?
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RERERENCES
List the names of two people who will provide Letters of Recommendation (to be sent by the application deadline to: Pr. Béatrice Joyeux-Prunel, Département d’Histoire et Théorie des Arts (ARTL@S), École Normale Supérieure, 45 rue d’Ulm, 75 230 Paris cedex 05 – France (e-mail: beatrice.joyeux-prunel@ens.fr )
Name
Position Address
Telephone Email
Name
Position Address
Telephone Email
ADDITIONAL INFORMATION
Have you worked for a French university or Research center? Yes No If so, please state dates and institutions in which you worked, if not given above.
If you have answered yes to this question, the institution will be consulted about your employment record.
Where did you see the fellowship advertised?
Appointments are subject to a review process that considers acceptable references. Applicants selected for interview will be informed within two weeks of the application closing date. If you have not heard from us by mid- February 2013, it will be because we have decided not to take your application any further. If you would like us to acknowledge receipt of your application, please enclose a self-addressed, stamped envelope.
I confirm that the information I have given in this application for employment, including any supporting documents, is correct and complete. I understand that false or misleading information or failure to disclose a conviction, will nullify any subsequent contract of employment. I also understand that the information may be entered onto a computer and will be treated in a secure and confidential manner.
Signature Date
Please return this application form, together with any supporting documentation, by mail on or before the closing date to:
Pr. Béatrice Joyeux-Prunel
Département d’Histoire et Théorie des Arts Ecole Normale Supérieure (ARTL@S) 45 rue d’Ulm
75 230 Paris cedex 05 – France
AND also by email to: Beatrice.joyeux-prunel@ens.fr and michela.passini@ens.fr