REPUBLIC OF BULGARIA
MINISTRY OF EDUCATUON AND SCIENCE
2A Kniaz Doundukov Blvd,
1000 Sofia, Bulgaria
Phone: +359 2 9217799, Fax: +359 2 9882485
http://www.mon.bg
S t u d y / R e s e a r c h / s c h o l a r s h i p i n t h e R e p u b l i c o f B u l g a r i a f o r
t h e A c a d e m i c Y e a r 2 0 2 _ / 2 0 2 _
APPLICATION FORM
PERSONAL DATA
Family or last name
First name
Middle name
Male Female
Nationality
Date and Place of birth
Gender
Passport photo
Street, No.
City, postal code
Country
Phone
Fax
LIST THE PROGRAMME(S) YOU WISH TO APPLY FOR / TITLE OF
PROPOSED RESEARCH PROJECT/STUDY PLAN
Name of programme/Research project/Study plan
University/Academic
institution
Proposed date
of entry
Month
Year
EDUCATION & PROFESSIONAL BACKGROUND
University,
Subject/Major Fields
Academic degree(s) (with date)
Current position
Discipline / Subject
University / Organization
Department / Institute / Faculty
City, postal code
Street, No.
Phone
Fax
LANGUAGE SKILLS
Rate your
English
language
skills:
________ Native
________ Excellent
________ Good
________ Fair
________ Native
________ Excellent
________ Good
________ Fair
________ Native
________ Excellent
________ Good
________ Fair
Speaking
Reading
Writing
Rate your
Bulgarian
language
skills:
________ Native
________ Excellent
________ Good
________ Fair
________ Native
________ Excellent
________ Good
________ Fair
________ Native
________ Excellent
________ Good
________ Fair
Speaking
Reading
Writing
STUDY/ RESEARCH
PLAN
A. List institutions of preference for proposed
study/research___________________________________________________
B. Field of study/specialization in Bulgarian host
institution_____________________________________________________
C. Title of study/research project to be conducted in
Bulgaria___________________________________________________
D. Duration of planned stay in
Bulgaria______________from_____________________to____________________________
E. Do you already have any contacts with a specific scholar/institution?
___________________________________________
F. Name of an advisor in
Bulgaria_________________________________________________________________________
ATTACHMENTS
A. Attach a detailed motivation and description of your proposed project. Include
in the description what materials are available for it, where they are located, and
any other information you consider relevant.
B. Attach a brief curriculum vitae with one photograph. Include academic
background, employment history. List all institution(s), field(s) of study,
degree(s), year(s).
C. Attach an University Diploma (copy of highest degree earned)
D. Attach a Letter of invitation/acceptance from a Bulgarian Institution (If any)
E. Attach a List of Publications
F. Attach a Medical Certificate
DECLARATION
By signing my name below, I attest that all information provided in
this application and its attachments is accurate to the best of my
knowledge. I understand that misrepresentation of these documents may
cause my application to be withdrawn and/or any awarded fellowships
rescinded.
Signature
Date (month/day/year)