ApplicationForm_KStudentsTbl

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In order to complete the apllication process please upload the documents :

1 Personal Information
2
Academic Career
3
Planned study and research abroad
4
Financial information
5
Other information
6
Referees
7
SUBMISSION

Declaration of Personal Information

Please fill out the form which appears below. Should you have any questions regarding this form, please contact Sharon Katz Gidoni at Rothschild.fellowships@yadhanadiv.org.il

ID number

Title English

First Name in English *

First Name in Hebrew *

Last Name in English *

Last Name in Hebrew

Date of birth *

Place of birth *

Date of arrival in Israel

Current address

City *

Mobile Phone Number

Email Address *

Gender *

Marital Status *

Number of children accompanying you abroad *

Contact person in Israel while you are abroad

Present appointment and place of employment

upload profile photo

Secondary (High) School � full name and location *

Academic Discipline *

University *

Academic Category *

Academic studies and university degrees (include current degree). If degrees were conferred with honours, please indicate.

Title of PhD dissertation and name of supervisor *

Submission/approval of PhD thesis (month/year); if not yet submitted, please provide anticipated date.

Academic awards and distinctions

Periods of academic study and research outside Israel; please provide date, location, and field of study.

Institution(s) abroad where you intend to conduct your studies/research. List institutions to which you have applied and provide acceptance letters if available.

When do you plan to begin your studies abroad?

Period of proposed research or study

Please provide a summary of your present research, if different from your dissertation.

Please describe your planned research activities for your postdoctoral studies.

Explain the reasons for your choice of country, institution and academic supervisor abroad, and the connection, if any, with your present and planned future work.

Please describe what you hope to have achieved at the conclusion of your post-doctoral studies.

Summary of Dissertation as in Application Form. *

Application � supporting illustrations (optional)

Do you expect to receive a salary, partial salary, scholarship, fellowship, grant, sabbatical allowance, study allowance or any other payment from any source, including your present university, host university or another source during the proposed period abroad? If so, please provide details of any such allowances.

You are highly encouraged to apply for a fellowship, scholarship or grant from another institution. Please indicate to which fellowships, if any, you have applied.

Please include here any additional information you would like the selection committee to consider.

State the name and affiliation of the scholars from whom you have requested letters of recommendation and have agreed. Please indicate your relationship to them. Your supervisor(s) should be listed first.

Declaration of Personal Information

I have read the Notes to Candidates in their entirety, confirm that I shall abide by them and agree to provide any further information which the Fellowships Committee may deem necessary to evaluate my candidacy.