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»
PhD Program
»
How to apply
» Application form
PhD Program
Organization
Graduate Courses
Student Life
How to apply
Application for the FMI PhD Program
Important:
Send a copy of your diplomas, grades and CV (max. one page) as a PDF file by e-mail to susan.thomas@fmi.ch
Complete this form in English; fields marked
*
must be completed. Unmarked fields can be completed on a voluntary basis if you feel it is relevant to your application.
PERSONAL DETAILS:
Title
*
:
Mr
Ms
Mrs
Last name
*
:
First name
*
:
Year of birth
*
:
Select year
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
Month:
January
February
March
April
May
June
July
August
September
October
November
December
Day:
Birthplace:
Nationality:
Select your nationality
AFGHANISTAN, AF
ALAND ISLANDS, AX
ALBANIA, AL
ALGERIA, DZ
AMERICAN SAMOA, AS
ANDORRA, AD
ANGOLA, AO
ANGUILLA, AI
ANTARCTICA, AQ
ANTIGUA AND BARBUDA, AG
ARGENTINA, AR
ARMENIA, AM
ARUBA, AW
AUSTRALIA, AU
AUSTRIA, AT
AZERBAIJAN, AZ
BAHAMAS, BS
BAHRAIN, BH
BANGLADESH, BD
BARBADOS, BB
BELARUS, BY
BELGIUM, BE
BELIZE, BZ
BENIN, BJ
BERMUDA, BM
BHUTAN, BT
BOLIVIA, BO
BOSNIA AND HERZEGOVINA, BA
BOTSWANA, BW
BOUVET ISLAND, BV
BRAZIL, BR
BRITISH INDIAN OCEAN TERRITORY, IO
BRUNEI DARUSSALAM, BN
BULGARIA, BG
BURKINA FASO, BF
BURUNDI, BI
CAMBODIA, KH
CAMEROON, CM
CANADA, CA
CAPE VERDE, CV
CAYMAN ISLANDS, KY
CENTRAL AFRICAN REPUBLIC, CF
CHAD, TD
CHILE, CL
CHINA, CN
CHRISTMAS ISLAND, CX
COCOS (KEELING) ISLANDS, CC
COLOMBIA, CO
COMOROS, KM
CONGO, CG
CONGO, THE DEMOCRATIC REPUBLIC OF THE, CD
COOK ISLANDS, CK
COSTA RICA, CR
COTE D'IVOIRE, CI
CROATIA, HR
CUBA, CU
CYPRUS, CY
CZECH REPUBLIC, CZ
DENMARK, DK
DJIBOUTI, DJ
DOMINICA, DM
DOMINICAN REPUBLIC, DO
ECUADOR, EC
EGYPT, EG
EL SALVADOR, SV
EQUATORIAL GUINEA, GQ
ERITREA, ER
ESTONIA, EE
ETHIOPIA, ET
FALKLAND ISLANDS (MALVINAS), FK
FAROE ISLANDS, FO
FIJI, FJ
FINLAND, FI
FRANCE, FR
FRENCH GUIANA, GF
FRENCH POLYNESIA, PF
FRENCH SOUTHERN TERRITORIES, TF
GABON, GA
GAMBIA, GM
GEORGIA, GE
GERMANY, DE
GHANA, GH
GIBRALTAR, GI
GREECE, GR
GREENLAND, GL
GRENADA, GD
GUADELOUPE, GP
GUAM, GU
GUATEMALA, GT
GUINEA, GN
GUINEA-BISSAU, GW
GUYANA, GY
HAITI, HT
HEARD ISLAND AND MCDONALD ISLANDS, HM
HOLY SEE (VATICAN CITY STATE), VA
HONDURAS, HN
HONG KONG, HK
HUNGARY, HU
ICELAND, IS
INDIA, IN
INDONESIA, ID
IRAN, IR
IRAQ, IQ
IRELAND, IE
ISRAEL, IL
ITALY, IT
JAMAICA, JM
JAPAN, JP
JORDAN, JO
KAZAKHSTAN, KZ
KENYA, KE
KIRIBATI, KI
KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF, KP
KOREA, REPUBLIC OF, KR
KUWAIT, KW
KYRGYZSTAN, KG
LAO PEOPLE'S DEMOCRATIC REPUBLIC, LA
LATVIA, LV
LEBANON, LB
LESOTHO, LS
LIBERIA, LR
LIBYAN ARAB JAMAHIRIYA, LY
LIECHTENSTEIN, LI
LITHUANIA, LT
LUXEMBOURG, LU
MACAO, MO
MACEDONIA, MK
MADAGASCAR, MG
MALAWI, MW
MALAYSIA, MY
MALDIVES, MV
MALI, ML
MALTA, MT
MARSHALL ISLANDS, MH
MARTINIQUE, MQ
MAURITANIA, MR
MAURITIUS, MU
MAYOTTE, YT
MEXICO, MX
MICRONESIA, FEDERATED STATES OF, FM
MOLDOVA, MD
MONACO, MC
MONGOLIA, MN
MONTENEGRO, ME
MONTSERRAT, MS
MOROCCO, MA
MOZAMBIQUE, MZ
MYANMAR, MM
NAMIBIA, NA
NAURU, NR
NEPAL, NP
NETHERLANDS, NL
NETHERLANDS ANTILLES, AN
NEW CALEDONIA, NC
NEW ZEALAND, NZ
NICARAGUA, NI
NIGER, NE
NIGERIA, NG
NIUE, NU
NORFOLK ISLAND, NF
NORTHERN MARIANA ISLANDS, MP
NORWAY, NO
OMAN, OM
PAKISTAN, PK
PALAU, PW
PALESTINIAN TERRITORY, OCCUPIED, PS
PANAMA, PA
PAPUA NEW GUINEA, PG
PARAGUAY, PY
PERU, PE
PHILIPPINES, PH
PITCAIRN, PN
POLAND, PL
PORTUGAL, PT
PUERTO RICO, PR
QATAR, QA
REUNION, RE
ROMANIA, RO
RUSSIAN FEDERATION, RU
RWANDA, RW
SAINT HELENA, SH
SAINT KITTS AND NEVIS, KN
SAINT LUCIA, LC
SAINT PIERRE AND MIQUELON, PM
SAINT VINCENT AND THE GRENADINES, VC
SAMOA, WS
SAN MARINO, SM
SAO TOME AND PRINCIPE, ST
SAUDI ARABIA, SA
SENEGAL, SN
SERBIA, RS
SEYCHELLES, SC
SIERRA LEONE, SL
SINGAPORE, SG
SLOVAKIA, SK
SLOVENIA, SI
SOLOMON ISLANDS, SB
SOMALIA, SO
SOUTH AFRICA, ZA
SPAIN, ES
SRI LANKA, LK
SUDAN, SD
SURINAME, SR
SVALBARD AND JAN MAYEN, SJ
SWAZILAND, SZ
SWEDEN, SE
SWITZERLAND, CH
SYRIAN ARAB REPUBLIC, SY
TAIWAN, TW
TAJIKISTAN, TJ
TANZANIA, TZ
THAILAND, TH
TIMOR-LESTE, TL
TOGO, TG
TOKELAU, TK
TONGA, TO
TRINIDAD AND TOBAGO, TT
TUNISIA, TN
TURKEY, TR
TURKMENISTAN, TM
TURKS AND CAICOS ISLANDS, TC
TUVALU, TV
UGANDA, UG
UKRAINE, UA
UNITED ARAB EMIRATES, AE
UNITED KINGDOM, GB
UNITED STATES, US
URUGUAY, UY
UZBEKISTAN, UZ
VANUATU, VU
VENEZUELA, VE
VIET NAM, VN
VIRGIN ISLANDS, BRITISH, VG
VIRGIN ISLANDS, U.S., VI
WALLIS AND FUTUNA, WF
WESTERN SAHARA, EH
YEMEN, YE
ZAMBIA, ZM
ZIMBABWE, ZW
Marital status:
Children:
Yes
No
Contact address:
Street
*
Postal code, city
*
Country
*
Phone
*
:
Fax:
E-mail
*
:
From where did you get the information about the programme?
EDUCATION:
Universities/Colleges attended
*
Complete at least one university and date
Dates
Select year
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
Select year
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
Select year
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
Select year
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
Degrees obtained
*
Complete at least one degree and date
Please send a copy of diplomas and grades (A4 size) by fax, e-mail or mail.
Dates
(expected)
Grade
(if applicable)
include scale:
1(low) - 10(high)
Select year
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
Select year
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
Select year
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
Select year
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
Honours, scholarships, prizes
List any awards relevant to this application, giving dates and a brief description.
ENGLISH PROFICIENCY
*
:
Select your level
Native speaker
Fluent
Very good
Good
Sufficient
RESEARCH EXPERIENCE:
IMPORTANT
*
:
Please give the title and a short description of any research project carried out during your studies (diploma thesis, honours project, MSc thesis, etc.). State the rationale and goals of the research, and indicate your own contributions to the results. List publications, if any:
GENERAL SCIENTIFIC INTERESTS:
IMPORTANT
*
:
Please describe your general research interests; if you prefer, you could also elaborate here on a recent scientific article that you found particularly interesting (ca. 200 words):
SPECIFIC SCIENTIFIC INTERESTS:
IMPORTANT
*
:
Please have a look at the research areas and projects described in the FMI website,
select 2 of them (not more, not less)
, and elaborate on what you find interesting about those areas (200-300 words):
KEYWORDS:
IMPORTANT
*
:
Please consider carefully the keywords listed below and
select 3 (not more, not less) closest to your interests
:
aging
animal behavior
bioinformatics
cancer
cell biology
cell commitment
cell cycle
chromatin
development
diabetes
epigenetic regulation
extracellular matrix
genetic models
genome stability
genomics
learning and memory
live cell imaging
neuroscience
physiology
post-transcriptional regulation
protein structure
proteolysis
proteomics
RNA-mediated regulation
signal transduction
structural biology
structure-function relationships
synaptic plasticity
transcription factors
COMMENTS:
Please include here any additional information you feel is relevant to your application
(additional nationality, other diplomas, hobbies, interests not related to your studies).
IMPORTANT
: Please indicate if there is any possibility for you to obtain external funding.
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