ࡱ> ac`,bjbjR|R|>F00$0044PLSSSS...TPVPVPVPVPVPVP$RUdzP.....zPSSP.SSTP.TP4HtLNSJJ4@PP0PJp VVF VhLN VLN.......zPzP...P.... V.........0! Q:Attachment 1 Application form - selection procedure for 1 fixed-term, full time researcher in compliance with Italian Law n. 240, 30 December 2010, Art. 24, Paragraph 3, letter b). To the Rector of the University of LAquila Settore Concorsi e Selezioni Via G. Di Vincenzo, 16/B 67100 LAquila The Undersigned Applicant: Surname ______________________________________________________________________ (women please use maiden name only) Name _________________________________________________________________________ Citizenship _____________________________________________________________________ Fiscal code (for Italian citizens) _____________________________________________________ Municipality of birth ________________________ Prov. ________________________________ State of birth __________________________ on (date) _________________________________ Sex ___________________ Resident in (municipality, province, city and country) ___________________________________ Zip code __________ Address ______________________________________________________ Phone numbers: _________________________________________________________________ Hereby requests: To apply for the selection procedure announced with Rectors Decree n. _______ - 2018, dated _____________________________ in compliance with Italian Law n. 240, 30 December 2010, Art. 24, Paragraph 3, letter b) and with the University Regulations regarding the appointment by means of employment contract for 1 fixed-term (3 year, non-renewable), full-time researcher at the University of LAquila, Department of ____________________________________________________________________ Academic Recruitment Field:_________________________________________________________ Academic Discipline:________________________________________________________________ The Undersigned, to this end, pursuant to Art. 46 and 47 of Presidential Decree 445/2000, aware that any false declarations are punishable by law as established in Art. 76 of the above stated Decree, declares that: he/she was born on the date and in the place above stated; he/she has the following citizenship_____________________ he/she possesses the following qualifications requested for admission: ___ Ph.D. in ____________ obtained on ___________ at ______________________ ___ a degree equivalent to a Ph.D. (specify) obtained on ___________ at _________________ (check what applies) ____National Scientific Qualification, in compliance with Art. 16 of Italian Law n. 240/2010, 30 December 2010, for the functions of First or Second Tier Professor; _____he/she has obtained contracts defined in Art. 24, comma 3, letter a) Law n. 240/2010 (specify as indicated in Art. 2 of the Announcement); _____he/she has obtained research grants for at least 3 years in compliance with Art. 51, comma 6, Law n. 449/1997 as amended and supplemented or in compliance with Art. 22, Law n. 240/2010, or post-doctorate grants in compliance with Art. 4, Law 398/1989 (specify as indicated in Art. 2 of the Announcement); _____he/she has obtained analogous contracts or grants in foreign universities (specify as indicated in Art. 2 of the Announcement); _____he/she has stipulated contracts in compliance with Art. 1, Comma 14, Law n. 230/2005 (specify as indicated in Art. 2 of the Announcement); he/she is in possession of their civil and political rights (for Italian citizens) and is registered in the electoral college of ________________ or not registered for the following reasons _________________. (for foreign citizens) He/she is in possession of their civil rights in their country or not in possession of their civil rights for the following reasons:______________________________________________________________________ he/she has not been convicted of a crime nor are they aware of being subject to criminal proceedings or of any pending criminal proceedings against them: ____________________________________________________________________________ (for Italian citizens) he/she has the following position as to military service ____________________________________________________________________________ he/she has not been dismissed or relieved from office with a Public Administration for consistently poor performance, or dismissed from a civil service job as provided in Art. 127, Letter d) of D.P.R. 10/1/1957, No.3; he/she is not married, or under condition of civil partnership or common-law marriage pursuant to Italian Law n. 76, 20 May 2016, or related, up to the fourth degree, to professors belonging to the recruiting Department including the Rector, General Director, any member of the Board of Directors; (for foreign citizens) he/she has an adequate knowledge of the Italian language; he/she is not and has not in the past held the position of first or second tier university professor or of university researcher with open-ended contract, even if terminated; he/she has not already held fixed-term research contracts as provided in Arts. 22 and 24 of Italian Law n. 240/2010 at the University of LAquila or at other Italian Universities, whether public, private or online, bodies under Par. 1 of Art. 22 of Italian Law n. 240/2010 for a period, in addition to the intended duration of the competition contract, exceeding a total of 12 years, even if not continuing. The undersigned also declares that: he/she is aware that the Examining Board shall be nominated by Rectors Decree, published on the Universitys Albo Ufficiale and posted on the relevant page of the university website  HYPERLINK "http://www.univaq.it" www.univaq.it; he/she is aware that a list of candidates admitted to the selection procedure is published on the Universitys Albo Ufficiale and posted on the relevant page of the university website  HYPERLINK "http://www.univaq.it" www.univaq.it; he/she is aware that the assessment procedure adopted by the Examining Board in the first session and the interview dates are published for at least seven days on the Universitys Albo Ufficiale and posted on the relevant page of the university website  HYPERLINK "http://www.univaq.it" www.univaq.it; he/she is aware that all documents related to the selection procedure together with decree of approval are published on the Universitys Albo Ufficiale and posted on the relevant page of the university website  HYPERLINK "http://www.univaq.it" www.univaq.it; the following is their mailing address for all notifications regarding the selection procedure: Address: _________________________________________________________________ _________________________________________________________________________ Telephone number(s) _______________________________________________________ E-mail ___________________________________________________________________ he/she is a disabled person and, in compliance with Law 104/1992, in order to attend the interview, needs the following aid: ____________________________________________ The undersigned encloses the following to their application form: A photocopy of a valid identity document; A photocopy of their fiscal code (codice fiscale) number (for Italian citizens and foreign citizens who have been issued one); A Curriculum Vitae (two copies) listing their scientific and teaching activities, written in Italian and in English, signed with an original signature, or as provided by the law if being sent by certified e-mail (PEC); A list of qualifications (two copies) indicating type of qualification (qualifications refer to academic qualifications, professional qualifications, specialization, training, etc.) date and issuing institution signed with an original signature or as provided by the law if being sent by certified e-mail (PEC); Copy of qualifications (only for those which cannot be presented with a Personal Declaration of Certification) complete with a certification of authenticity and certified Italian translation by official translator or consulate/embassy if written in a language other than English; A numbered list (two copies) of publications with the candidates original signature or as provided by the law if being sent by certified e-mail (PEC); A declaration indicating the candidates contribution to co-authored publications indicated with the candidates original signature or as provided by the law if being sent by certified e-mail (PEC); A list(two copies) of the candidates teaching experience, with the candidates original signature or as provided by the law if being sent by certified e-mail (PEC), indicating the University, the period and the subject taught; A Personal Declaration of Certification as provided in Arts. 46 and 47 of Presidential Decree 445/2000 [Attachment 2 of this announcement, dated and signed with an original signature or as provided by the law if being sent by certified e-mail (PEC)]; Official declaration of equivalency of qualifications obtained in a foreign country which are requisites for admission (that is Ph.D.) or copy of the application submitted in order to obtain equivalency; Publications, in digital format only; A copy of residency permit (non EU citizens). The undersigned consents to the processing and communication of their personal data pursuant to Leg. Decree 196/2003 for all requirements adherent to this present selection procedure. 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