29.1.2020 Testing IMU Breakout Graduate Fellowship Program ... · *The International Mathematical...

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29.1.2020 Testing IMU Breakout Graduate Fellowship Program 2020 webform | International Mathematical Union (IMU) https://www.mathunion.org/webform/imu_breakout_graduate_fellowship/test 1/3 View Test The below webform has been prepopulated with custom/random test data. When submitted, this information will still be saved and/or sent to designated recipients. The Test form allows a webform to be tested using a customizable test dataset. Multiple test submissions can be created using the Devel generate module. Watch video Testing IMU Breakout Graduate Fellowship Program 2020 webform International Mathematical Union (IMU) Friends of the IMU (FIMU) THE IMU BREAKOUT GRADUATE FELLOWSHIP PROGRAMME NOMINATION FORM Thanks to a generous donation by the winners of the Breakthrough Prizes in Mathematics, the IMU*, with the assistance of FIMU**, has the possibility of awarding a limited number of Breakout Graduate Fellowships. Professional mathematicians are invited to nominate highly motivated and mathematically talented students from developing countries who aspire to complete a doctoral degree in a developing country, including their own home country. For a nomination to be eligible, the country of citizenship of the student, the country of residency and the country where the study will take place must be contained in the following list. List of developing countries. LMS*** will administer this programme on behalf of IMU and will liaise with the awarded nominees. *The International Mathematical Union (IMU) - www.mathunion.org - is an international non-governmental and non-profit scientific organization, with the purpose of promoting international cooperation in mathematics. The main objectives of the IMU are to promote international cooperation in mathematics, to support and assist the International Congress of Mathematicians and other international Introduction SECTION 1: GENERAL INFORMATSECTION 2: LETTERS OF RECOMMESECTION 3: NOMINEE CURRICULSECTION 4: TWAS Fellowships SECTION 5: DECLARAOF EXACTITUAND WILLINGNTO SHARE INFORMATComplete CDC 1 2 3 4 5 6 7

Transcript of 29.1.2020 Testing IMU Breakout Graduate Fellowship Program ... · *The International Mathematical...

Page 1: 29.1.2020 Testing IMU Breakout Graduate Fellowship Program ... · *The International Mathematical Union (IMU) - - is an international non-governmental and non-profit scientific organization,

29.1.2020 Testing IMU Breakout Graduate Fellowship Program 2020 webform | International Mathematical Union (IMU)

https://www.mathunion.org/webform/imu_breakout_graduate_fellowship/test 1/3

View Test

The below webform has been prepopulated with custom/random test data. When submitted, thisinformation will still be saved and/or sent to designated recipients.

The Test form allows a webform to be tested using a customizable test dataset. Multiple test submissions can becreated using the Devel generate module. ► Watch video

Testing IMU Breakout Graduate Fellowship Program 2020webform

International Mathematical Union (IMU)Friends of the IMU (FIMU)

THE IMU BREAKOUT GRADUATE FELLOWSHIP PROGRAMME

NOMINATION FORM

Thanks to a generous donation by the winners of the Breakthrough Prizes in Mathematics, the IMU*, with theassistance of FIMU**, has the possibility of awarding a limited number of Breakout Graduate Fellowships.

Professional mathematicians are invited to nominate highly motivated and mathematically talented students fromdeveloping countries who aspire to complete a doctoral degree in a developing country, including their own homecountry. For a nomination to be eligible, the country of citizenship of the student, the country of residency and thecountry where the study will take place must be contained in the following list. List of developing countries.

LMS*** will administer this programme on behalf of IMU and will liaise with the awarded nominees.

*The International Mathematical Union (IMU) - www.mathunion.org - is an international non-governmental and non-profit scientific

organization, with the purpose of promoting international cooperation in mathematics. The main objectives of the IMU are to promote

international cooperation in mathematics, to support and assist the International Congress of Mathematicians and other international

Introduction SECTION 1:GENERAL

INFORMAT…

SECTION 2:LETTERS OFRECOMME…

SECTION 3:NOMINEE

CURRICUL…

SECTION 4:TWAS

Fellowships

SECTION 5:DECLARA…

OFEXACTITU…

ANDWILLINGN…TO SHARE

INFORMAT…

Complete

CDC

1 2 3 4 5 6 7

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scientific meetings or conferences, and to encourage and support other international mathematical activities

considered likely to contribute to the development of mathematical science in any of its aspects, pure, applied, or

educational.

**The Friends of the IMU (FIMU) - www.friends-imu.org - is a

non-profit corporation that supports the activities of the

International Mathematical Union.

***The London Mathematical Society (LMS) - www.lms.ac.uk - is a registered charity for the

advancement, dissemination and promotion of mathematics in the UK and worldwide.

More information about the Breakout Graduate Fellowships can be found here.

The nomination form has to be filled out online by the nominator. Changes after submission are not possible. Onlyfiles in PDF format can be uploaded.

Material to be uploaded during the process:

* THESE FIELDS ARE MANDATORY AND NOMINATION CANNOT BE COMPLETED IF MISSING

Next Page >

Statement from nominator• Scanned copy of student nominee passport• Official letter of pre-acceptance in the PhD Programme• Budget of total expenses requested• PhD Supervisor CV• Research Project• Letters of recommendation (2)• Transcripts of coursework (certified copies)• A) BSc degree or equivalent• B) MSc degree or equivalent• Nominee CV• Nominee letter of motivation, including future plans• Nominator declaration• PhD Supervisor declaration• Nominee declaration•

IMU Secretariat

International Mathematical Union Secretariat

Hausvogteiplatz 11A

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View Test

The Test form allows a webform to be tested using a customizable test dataset. Multiple test submissions can becreated using the Devel generate module. ► Watch video

Testing IMU Breakout Graduate Fellowship Program 2020webform

A) Nominating Mathematician

Surname/s of Nominating Person *

Loremipsum

First Name/s of Nominating Person *

Oratione

Title of Nominating Person *

Oratione

Email of Nominating Person *

[email protected]

Email of Nominating Person (alternative)

[email protected]

Telephone number of Nominating Person (including country code)

098-765-4321

Affiliation/ Institution *

Dixisset

Introduction SECTION 1:GENERAL

INFORMAT…

SECTION 2:LETTERS OFRECOMME…

SECTION 3:NOMINEE

CURRICUL…

SECTION 4:TWAS

Fellowships

SECTION 5:DECLARA…

OFEXACTITU…

ANDWILLINGN…TO SHARE

INFORMAT…

Complete

CDC

1 2 3 4 5 6 7

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29.1.2020 Testing IMU Breakout Graduate Fellowship Program 2020 webform | International Mathematical Union (IMU)

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Website of Institution or Organization (if available)

Loremipsum

For how long have you known the student you are nominating and in what capacity? *

Oratione

Have you/ or the organization/ institution received support for graduate students from IMU/ CDC or other institutions before? *

Yes

No

Provide a statement that clearly highlights the academic achievements of the nominee and which also explains whyyou feel that the nominee deserves the fellowship:

Letter by nominator *

Note: Please do not exceed 750 words, only pdf filesOne file only.5 MB limit.Allowed types: pdf.

highlights_of_the_academic_achievements_of_nominee_231.pdf Remove

B) Student Nominee Information

Surname/s: (as appearing in passport) *

Dixisset

First Name/s: (as appearing in passport) *

Oratione

Birth Date

10.01.2026

Place of birth

Hong Kong SAR China

Gender

Male

Female

Country of Citizenship

Belize

Country of Residency

Fiji

Current Address (street, postal code and country) *

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Email *

[email protected]

Telephone number (including country code)

123-456-7890

Postal Address *

Details of passport of the student

Passport Number *

Oratione

Date of issue *

16.07.2012

Expiration Date *

30.11.2024

Please upload a scanned copy *

nominee_student_passport_scanned_copy_231.pdf Remove

One file only.10 MB limit.Allowed types: pdf.

Please upload only pages showing personal and vaildity details.

C) CAREER OBJECTIVE INFORMATION AND INSTITUTION *

Degree Objective *

Ph.D.

Area of Mathematical Study *

Oratione

Huius, Lyco, oratione locuples, rebus ipsis ielunior. Duo Reges: constructio interrete. Sed haec in pueris; Sed utrum hortandus es nobis, Luci, inquit, an etiam tua sponte propensus es? Sapiens autem semper beatus est et est aliquando in dolore; Immo videri fortasse. Paulum, cum regem Persem captum adduceret, eodem flumine invectio? Et ille ridens: Video, inquit, quid agas;

Huius, Lyco, oratione locuples, rebus ipsis ielunior. Duo Reges: constructio interrete. Sed haec in pueris; Sed utrum hortandus es nobis, Luci, inquit, an etiam tua sponte propensus es? Sapiens autem semper beatus est et est aliquando in dolore; Immo videri fortasse. Paulum, cum regem Persem captum adduceret, eodem flumine invectio? Et ille ridens: Video, inquit, quid agas;

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Start of the Program *

If not yet enrolled, give the expected starting date

26.02.2026

Expected Graduation Date *

if already enrolled

02.12.2013

Name of the institution the student is planning to do his/ her Ph.D. *

Loremipsum

Country *

Chad

Address *

Website *

Dixisset

Name of the Head / Dean of the department *

Oratione

Official letter of pre-acceptance in the PhD Programme *

official_letter_of_pre_acceptance_in_the_phd_programme__231.pdf Remove

One file only.5 MB limit.Allowed types: pdf.

D) GRADUATE SCHOOL AND LIVING COSTS *

Below provide a breakdown of the costs (in US Dollars) per academic year of a student attending the universitywhere the nominee will study. Also specify what costs the host institution is willing to cover for the nominee ifawarded.

Expenses requested *

expenses_requested_231.pdf Remove

Please upload the breakdown of the costs of the Graduate School And LivingCosts as a pdf fileOne file only.5 MB limit.Allowed types: pdf.

Quae cum dixisset, finem ille. Quamquam non negatis nos intellegere quid sit voluptas, sed quid ille dicat. Progredientibus autem aetatibus sensim tardeve potius quasi nosmet ipsos cognoscimus. Gloriosa ostentatio in constituendo summo bono. Qui-vere falsone, quaerere mittimus-dicitur oculis se privasse; Duarum enim vitarum nobis erunt instituta capienda. Comprehensum, quod cognitum non habet? Qui enim existimabit posse se miserum esse beatus non erit. Causa autem fuit huc veniendi ut quosdam hinc libros promerem Nunc omni virtuti vitium contrario nomine opponitur

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E) PhD SUPERVISOR INFORMATION *

Surname

Oratione

First Name

Loremipsum

University Affiliation

Oratione

Email

[email protected]

Short CV (up to 5 pages) of the supervisor *

short_cd_up_to_5_pages_of_the_supervisor_17.pdf Remove

One file only.30 MB limit.Allowed types: pdf.

F) PROPOSED RESEARCH PROJECT *

In 500 words or less, describe the proposed research of the student.

Proposed research *

proposed_research_17.pdf Remove

One file only.30 MB limit.Allowed types: pdf.

G) SPECIAL CONSIDERATIONS ESSAY (if applicable)

In 500 words or less, respond to the following prompt.Students often encounter impediments to advancing their education, some of which may be the result of thenecessity to work many hours outside of their studies, family responsibilities or the political situation of theircountry. What impediments has the student you are nominating faced, and how would their pursuit of highereducation benefit from support from the IMU?

< Previous Page Next Page >

Huius, Lyco, oratione locuples, rebus ipsis ielunior. Duo Reges: constructio interrete. Sed haec in pueris; Sed utrum hortandus es nobis, Luci, inquit, an etiam tua sponte propensus es? Sapiens autem semper beatus est et est aliquando in dolore; Immo videri fortasse. Paulum, cum regem Persem captum adduceret, eodem flumine invectio? Et ille ridens: Video, inquit, quid agas;

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29.1.2020 Testing IMU Breakout Graduate Fellowship Program 2020 webform | International Mathematical Union (IMU)

https://www.mathunion.org/webform/imu_breakout_graduate_fellowship/test 1/3

View Test

The Test form allows a webform to be tested using a customizable test dataset. Multiple test submissions can becreated using the Devel generate module. ► Watch video

Testing IMU Breakout Graduate Fellowship Program 2020webform

Attach two letters of Recommendation of two individuals, of which at least one must be a faculty member whohas taught the nominated student. A letter of recommendation from the nominator will not be accepted.Along with the letters, please have the two individuals rank the students based on their potential for graduate study.

Recommendation Person 1

Surname *

Dixisset

First name *

Dixisset

Email *

[email protected]

Title/University *

Loremipsum

Phone *

098-765-4321

What course did you teach to the student? (if applicable)

Introduction SECTION 1:GENERAL

INFORMAT…

SECTION 2:LETTERS OFRECOMME…

SECTION 3:NOMINEE

CURRICUL…

SECTION 4:TWAS

Fellowships

SECTION 5:DECLARA…

OFEXACTITU…

ANDWILLINGN…TO SHARE

INFORMAT…

Complete

CDC

1 2 3 4 5 6 7

Page 9: 29.1.2020 Testing IMU Breakout Graduate Fellowship Program ... · *The International Mathematical Union (IMU) - - is an international non-governmental and non-profit scientific organization,

29.1.2020 Testing IMU Breakout Graduate Fellowship Program 2020 webform | International Mathematical Union (IMU)

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Loremipsum

When compared to students in similar circumstances, I would rank this student’s overall potential in graduate school in the top *

1% 5% 10% 25% 50% 75%

Letter of Recommendation *

recommendation_person_1_letter_of_recommendation_231.pdf Remove

One file only.5 MB limit.Allowed types: pdf.

Recommendation Person 2 *

Surname *

Oratione

First name *

Loremipsum

Email *

[email protected]

Title/University *

Loremipsum

Phone *

123-456-7890

What course did you teach to the student? (if applicable) *

Loremipsum

When compared to students in similar circumstances, I would rank this student’s overall potential in graduate school in the top *

1% 5% 10% 25% 50% 75%

Letter of Recommendation *

recommendation_person_2_letter_of_recommendation_231.pdf Remove

One file only.5 MB limit.Allowed types: pdf.

< Previous Page Next Page >

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29.1.2020 Testing IMU Breakout Graduate Fellowship Program 2020 webform | International Mathematical Union (IMU)

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View Test

The Test form allows a webform to be tested using a customizable test dataset. Multiple test submissions can becreated using the Devel generate module. ► Watch video

Testing IMU Breakout Graduate Fellowship Program 2020webform

Bachelor Degree *

College/University attended (Name, City, Country) *

Loremipsum

Graduation date *

21.10.2020

Major *

Loremipsum

Units completed *

Oratione

Grade Point Average (GPA) and Scale *

Oratione

Overall Percentile (rank) *

Loremipsum

Degree Classification (e.g. first class, second class) *

Dixisset

Introduction SECTION 1:GENERAL

INFORMAT…

SECTION 2:LETTERS OFRECOMME…

SECTION 3:NOMINEE

CURRICUL…

SECTION 4:TWAS

Fellowships

SECTION 5:DECLARA…

OFEXACTITU…

ANDWILLINGN…TO SHARE

INFORMAT…

Complete

CDC

1 2 3 4 5 6 7

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29.1.2020 Testing IMU Breakout Graduate Fellowship Program 2020 webform | International Mathematical Union (IMU)

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Master Degree *

College/University attended (Name, City, Country) *

Loremipsum

Graduation date *

28.06.2022

Major *

Loremipsum

Units completed *

Oratione

Grade Point Average (GPA) and Scale *

Dixisset

Overall Percentile (rank) *

Dixisset

Degree Classification (e.g. first class, second class) *

Loremipsum

TRANSCRIPTS *

Along with this application, please include a transcript of coursework completed by the student at the date ofapplication for the institutions listed above.

A) BSc degree or equivalent *

One file only.10 MB limit.Allowed types: pdf.

transcripts_bachelor_degree_231.pdf Remove

B) MSc degree or equivalent *

One file only.10 MB limit.Allowed types: pdf.

transcripts_master_degree_231.pdf Remove

CV OF THE NOMINEE *

Please attach a short cv of the nominee including:a) a description of any relevant work experience (paid or unpaid) related to your program of study (if applicable);

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b) a list of publications if applicable (do not send papers) andc) a description of other achievements if applicable (special distinctions, prizes and awards won by the nominee aswell as participation in extra-curricular activities related to mathematics (Olympiads, etc.)

Upload nominee cv *

upload_nominee_cv_17.pdf Remove

One file only.30 MB limit.Allowed types: pdf.

LETTER OF MOTIVATION AND FUTURE PLANS BY THE STUDENT ? *

Please attach a short letter of motivation by the candidate describing why he or she is seriously interested inpursuing a career of research and teaching in mathematics. This statement should include: a) outline your career objectives and demonstrate how the studies you plan to undertake will contribute to theseobjectives; b) give details of the work you aim to pursue after completing your studies and c) if applicable, explain how it will contribute to the future development of your country. (Note: Please do not exceed 350 words. You must include a word count at the top of the page.)

Upload Letter of Motivation/Future Plans *

One file only.10 MB limit.Allowed types: pdf.

letter_of_motivation_pdf_231.pdf Remove

< Previous Page Next Page >

IMU Secretariat

International Mathematical Union Secretariat

Hausvogteiplatz 11A

10117 Berlin, Germany

+49 30 2037 2430

CDC Contact

Our Location

• How to find us• Hints for visitors

[email protected]

[email protected]

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View Test

The Test form allows a webform to be tested using a customizable test dataset. Multiple test submissions can becreated using the Devel generate module. ► Watch video

Testing IMU Breakout Graduate Fellowship Program 2020webform

Has the nominee ever applied for and/or been awarded any TWAS fellowships? *

Yes

No

If so, please provide details (which program, year awarded etc.)

< Previous Page Next Page >

Huius, Lyco, oratione locuples, rebus ipsis ielunior. Duo Reges: constructio interrete. Sed haec in pueris; Sed utrum hortandus es nobis, Luci, inquit, an etiam tua sponte propensus es? Sapiens autem semper beatus est et est aliquando in dolore; Immo videri fortasse. Paulum, cum regem Persem captum adduceret, eodem flumine invectio? Et ille ridens: Video, inquit, quid agas;

Introduction SECTION 1:GENERAL

INFORMAT…

SECTION 2:LETTERS OFRECOMME…

SECTION 3:NOMINEE

CURRICUL…

SECTION 4:TWAS

Fellowships

SECTION 5:DECLARA…

OFEXACTITU…

ANDWILLINGN…TO SHARE

INFORMAT…

Complete

IMU Secretariat

International Mathematical Union Secretariat

Hausvogteiplatz 11A

10117 Berlin, Germany

+49 30 2037 2430

CDC Contact

[email protected]

[email protected]

CDC

1 2 3 4 5 6 7

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View Test

The Test form allows a webform to be tested using a customizable test dataset. Multiple test submissions can becreated using the Devel generate module. ► Watch video

Testing IMU Breakout Graduate Fellowship Program 2020webform

Please upload signed and dated declarations with the texts indicated.

Text for nominator declaration:

"I have provided all details required and I confirm that the informationprovided in this application is, to the best of my knowledge, true andcorrect. I undertake to notify the IMU of any changes in my circumstanceswithout delay. I understand that false information will invalidate thisnomination."

Upload Nominator signed declaration *

nominator_signed_declaration_231.pdf Remove

One file only.15 MB limit.Allowed types: pdf.

Text for PhD supervisor declaration

"I declare that I have accepted to supervise the nominee research conducting to a PhD degree and that I agreewith the research project proposed. I undertake to notify the IMU of any changes in these circumstances withoutdelay."

Upload PhD supervisor signed declaration *

Introduction SECTION 1:GENERAL

INFORMAT…

SECTION 2:LETTERS OFRECOMME…

SECTION 3:NOMINEE

CURRICUL…

SECTION 4:TWAS

Fellowships

SECTION 5:DECLARA…

OFEXACTITU…

ANDWILLINGN…TO SHARE

INFORMAT…

Complete

CDC

1 2 3 4 5 6 7

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upload_phd_supervisor_signed_declaration_17.pdf Remove

One file only.30 MB limit.Allowed types: pdf.

Text for student nominee declaration:

"I have provided all details required and I confirm that the informationprovided in this application is, to the best of my knowledge, true andcorrect. I undertake to notify the IMU of any changes in my circumstanceswithout delay. I understand that false information will invalidate thisnomination."

Upload Student Nominee signed declaration *

student_nominee_signed_declaration_231.pdf Remove

One file only.15 MB limit.Allowed types: pdf.

Student Nominee Permission for personal data process * I give my permission for the information provided in this form (and the supportingdocumentation) to be shared with scholarship donors if they request it. LMSPrivacy Statement: The London Mathematical Society (LMS) is a registeredcharity for the advancement, dissemination and promotion of mathematics in theUK and worldwide. Data provided by you on this form will be stored securely andused under the lawful basis "Consent” in relation to your application, and ifsuccessful, your Fellowship. You have the right to object to the processing ofyour personal data that we carry out and the right to access any of your personaldata held by the LMS. For further information about how the LMS processespersonal data, please see the LMS Privacy Notice here:https://www.lms.ac.uk/privacy-notice

CHECK LIST OF MATERIALS TO BE UPLOADED

Statement from nominator *

Scanned copy of student nominee passport *

Official letter of pre-acceptance in the PhD Programme *

Budget of total expenses requested *

PhD Supervisor CV *

Research Project *

Letters of recommendation

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Letter 1 *

Letter 2 *

Transcripts of coursework (certified copies)

A) BSc degree or equivalent *

B) MSc degree or equivalent *

Nominee CV *

Nominee letter of motivation, including future plans *

Nominator declaration *

PhD Supervisor declaration *

Nominee declaration *

Personal data processing *

By sending this registration I agree that CDC and IMU will collect and store my data. My data will not be used for any other propose.

< Previous Page Submit

IMU Secretariat

International Mathematical Union Secretariat

Hausvogteiplatz 11A

10117 Berlin, Germany

+49 30 2037 2430

CDC Contact

Our Location

• How to find us• Hints for visitors

Starting Point

• Sitemap• Print Page

[email protected]

[email protected]