Digital application form

BICEPS-DC is an EU-funded Horizon MSCA Doctoral Network that seeks to generate excellence in research and training.
Title of the project: Novel drug screening models and companion biomarkers of LRRK2-Parkinson's Disease
DC 10 Anacalypsis Therapeutics, Athens, Greece

Full name *

Date of birth: *

Nationality *

Street Address *

Postal code *

City *

State/Province

Country *

Phone number *

E- mail address *

Did you live, work or study (main activity) in the country of the host laboratory for more than 12 months in the three years prior to the expected starting date? *

Yes

Undergraduate Degree:

Institution Name: *

Place: *

Country: *

Degree: *

Major: *

Date of Graduation: *

GPA/Grade: *

Master's degree:

Institution Name: *

Place: *

Country: *

Degree: *

Major: *

Date of Graduation: *

GPA/Grade:

Additional qualification:

Institution Name:

Qualification/Certification:

Date Obtained:

Research statement (Brief description of research interests < 300 words): *

Motivation for applying to this program (< 300 words): *

Current employment (if applicable)

Position:

Employer:

Duration:

Responsibilities:

Previous employment (if applicable)

Position:

Employer:

Duration:

Responsibilities:

Research/teaching experience:

Position:

Institution:

Duration:

Responsibilities:

Annexes (submit everything as a single pdf)

Academic Transcripts (upload PDFs of all relevant transcripts): *

Publications:

Author list:

Title:

Journal:

Year, issue, page number:

Conferences attended:

Name:

Year:

Awards/Grants/Scholarships

Award Name:

Year:

Do you have a FELASA certificate for working with laboratory animals (or equivalent)? *

Yes

Language Proficiency

Is English your first language? *

Yes

If no, please provide your TOEFL/IELTS scores (if applicable; if possible add a copy of the certificate):
Proof of English proficiency is not needed at the time of application. However, before enrolment we need proof of English proficiency (e.g. TOEFL, IELTS).

Test Type:

Score:

Other languages:

References

Please provide the contact details for two academic/professional referees:

Referee 1:

Name:

Position:

Institution/Organization:

Email:

Phone Number:

Referee 2:

Name:

Position:

Institution/Organization:

Email:

Phone Number:

Declaration

I declare that all the information provided in this form is accurate and complete to the best of my knowledge. I understand that any false or misleading information may result in the rejection of my application or termination of enrollment.

Name applicant:

Date:

* = Input is required

Digital application form BICEPS-DC is an EU-funded Horizon MSCA Doctoral Network that seeks to generate excellence in research and training. Title of the project: Novel drug screening models and companion biomarkers of LRRK2-Parkinson's Disease DC 10 Anacalypsis Therapeutics, Athens, Greece

Digital application form

BICEPS-DC is an EU-funded Horizon MSCA Doctoral Network that seeks to generate excellence in research and training.
Title of the project: Novel drug screening models and companion biomarkers of LRRK2-Parkinson's Disease
DC 10 Anacalypsis Therapeutics, Athens, Greece