| Potential Host*
|
|
Name* |
|
Gender* |
|
|
If you would like to apply to multiple hosts, please submit forms separately. |
| Nationality*
|
|
Birth Place |
|
Birth Date* |
|
|
| Research Area*
|
|
Current Employer* |
|
Current Position* |
|
|
| Institution from which you obtained bachelor’s degree* |
|
|
| The date you obtained bachelor’s degree* |
|
Major* |
|
|
| Institution from which you obtained doctor’s degree* |
|
|
| The date you obtained doctor’s degree* |
|
Thesis Subject* |
|
|
| Preferred Beijing Time to Attend E-Meeting*
|
|
|
| Have you ever had education/visit experience at USTC?* |
|
WeChat ID*
|
|
|
| Travel from country/region* |
|
|
|
Telephone number* |
|
Email* |
|
|
Short Biography*
(word limit: 500 bytes) |
|
|
| Topic of Presentation*
|
|
|
Abstract of Presentation*
(word limit: 800 bytes) |
|
|
Career Plan*
(word limit: 800 bytes) |
|
|
| Resume(upload)* |
|
|
|
(Please include your contact information, education and
work experience, publications,
grants, honors and awards,academic committee memberships, etc.) |
|
| How to participate*
|
|
|
|
| Verification code*
|
|
|
|
|