Graduate school of health and medical sciences university of copenhagen



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GRADUATE SCHOOL OF HEALTH AND MEDICAL SCIENCES

UNIVERSITY OF COPENHAGEN




Application for enrolment as a PhD student
Graduate School of Health and Medical Sciences
Please download the latest version of the application form.

Checklist before completing the application form

Please tick the box



  • I have an agreement with a principal supervisor

  • I have a guarantor for my tuition fee (3 X 60,000.00 DKK)

  • I am aware of the rules and regulations that govern the PhD programme


Do you need help?

  • Please read How to complete the application form.

  • Questions concerning the application form? Please call: (+45) 35 32 65 70.

Please submit your OCR-readable application to the Graduate School upon completion




Signatures
The enrolment application must be signed/approved by the following confirming that all the information is correct:

Name of applicant in capitals:      


Date and signature of applicant:

Name of principal supervisor in capitals:




Name of primary co-supervisor in capitals:

     





     

I confirm that the PhD project is feasible and represents state-of-the-art research. Furthermore, I accept full responsibility for the application, and I am aware that it is not peer-reviewed during the admission process:




Date and signature of principal supervisor (or email documentation stating the above):





Date and signature of primary co-supervisor (or email documentation stating the above):










Name of the head of center or department/institutleder at Choose an item.


(the center or department at the university that your principal supervisor is attached to)

Date and signature of the head of center or department/institutleder (or email documentation stating his/her support for the application):


Name of the head of graduate programme at Choose an item.


Date and signature of the head of the graduate programme (or email documentation):
Basic information

A. Personal information

CPR number (if none, state date of birth)




Full name




(Home) Street




Postcode and city




Phone number




Email







Gender (mark with x)

Male: Female:

Nationality




I prefer to communicate in

Danish: English:


B. Educational background

Master’s degree title




Educational institution




Study programme started in (year)




Date of final exams for Master’s degree




Have you previously been enrolled as a PhD student?

Yes: No:

If yes; where?




Completed or discontinued in (month/year)?





C. PhD project

Project title (in English)







Brief project description (max 1500 characters excluding spaces)






Description of the research project Help?

Please insert your project description using all the following headlines (max 4-6 A4 pages):

  1. Research question

  • An introduction setting out the research question with reference to current knowledge in the field.




  1. Project description

  • A detailed project description including objective(s), materials and methodology, which clearly defines the project. This is particularly important if the PhD project is part of a larger project.




  1. Applicant’s work

  • A precise description of the work to be carried out by the applicant.




  1. Ethical considerations




  1. Risk assessment and alternative approaches/plans

  • Analysis of risk in the overall project. Identification of weaknesses and threats to the project. Description of alternative approaches and plans.


Time and activity schedule
Please insert the time and activity schedule detailed by at least six month intervals:


Does the project require ethical approval?

Yes: No:

Has the project been approved by a medical research ethics committee?

Yes: No:

If yes, please enclose a copy of the approval in appendix 2a.

Has an agreement about intellectual property rights been made?

Yes: No:

If yes, enclose the agreement in appendix 2c.

Do you apply for merit for scientific articles?

Please attach articles

Has one or more of the articles been part of a thesis or a doctoral dissertation?

(please remember to obtain co-authorship declaration)


Yes: No:
Title of articles:

Dates of publication:

Yes: No:




D. PhD programme

Where will your project be carried out? (dept./ hospital/organisation)




Place of employment




Start date of PhD programme




Do you wish to apply for part-time study?


Yes: No:

If yes, please state hours per week:




E. Supervisors

Principal supervisor

Must be at least associate professor.

Must be employed at the Faculty of Health and Medical Sciences, University of Copenhagen.

Must have participated in the mandatory seminar “Responsible Conduct of Research for Academic Staff”.

Full name




Title




Date of birth




Work address




Email




Center or department at the Faculty

Center for / Department of choose an item





Primary co-supervisor

Must be at an academic level of at least associate professor

Full name




Date of birth




Title




Work address




Email







Co-supervisor

Full name




Date of birth




Title




Work address




Email







Co-supervisor

Full name




Date of birth




Title




Work address




Email




Co-supervisor

Full name




Date of birth




Title




Work address




Email





External assessor for regular assessments Help?
The Graduate School and the PhD Study Board highly recommends that an external assessor is involved in the regular assessments.

An external assessor participates in the regular assessment meetings and offers input regarding the scientific work and progression of the project.



External assessor

Full name




Title




Work place and address




Email



☐ If no external assessor is currently attached to the project, please tick the box.

We, the principal supervisor and the PhD applicant, have read about the benefits of an external assessor on the Graduate School website and have decided to commence enrolment without an external assessor.
We are aware that an external assessor may be involved later.

Appendices

Appendix 1: Funding of your PhD programme




How to?


  • Please specify the budget for your PhD programme.

  • Please state payment of tuition fee (choose only one section).

Section 1: Funding from outside University of Copenhagen (e.g. hospital/ organisation)

Section 2: Funding from University of Copenhagen

Section 3: Industrial PhD (Innovation Fund Denmark)


Complete this section with your principal supervisor and/or workplace.


Budget

Expenses

Expected costs

Grant provider

Salary







Tuition fee

3 X DKK 60,000.00




Operational expenses (if any)







Other costs (if any)






Your salary will be agreed by your union and your place of employment. Employment at the University of Copenhagen will always be governed by the terms of the collective agreement with the Danish Confederation of Professional Associations (AC).

Operational expenses: e.g. biostatistical assistance, PC, scientific literature and congress participation.

Tuition fee Help?




Section 1: Funding from outside University of Copenhagen




Tuition fee



Full name ______________________________________
Date _________ Signature of guarantor _______________________________



Invoicing details (administrator of the funds)

Organisation (e.g. hospital)


Name:

Department:


Address:


EAN No.




Omkostningssted (only Rigshospitalet )




CVR No.




Funding contact person

Name:

E-mail:








Section 2: Funding from University of Copenhagen




Tuition fee



Full name ______________________________________
Date _________ Signature of guarantor _______________________________






Invoicing details (choose one or multiple)

Co-financing 1.


Percentage %:

Department/centre




Account string/kontostreng

Mandatory

Unit code/stedkode

Alias



KU-specification – if relevant




Funding contact person

Name:

E-mail:


Co-financing 2.


Percentage %:

Department/centre



Account string/kontostreng

Mandatory

Unit code/stedkode:

Alias:



KU-specification – if relevant




Funding contact person

Name:

E-mail:


Co-financing 3.


Percentage %:

Invoice address 3:

Department/centre




Account string/kontostreng

Mandatory

Unit code/stedkode:

Alias:



KU-specification – if relevant:




Funding contact person

Name:

E-mail:







Section 3: Industrial PhD (ErhvervsPhD)

Please note: Only funding from Innovation Fund Denmark






I have enclosed granting letter (mark with an x)

Yes:


Please enclose copies of funding letters, if any.

Appendix 2: Research Ethics Committee approval Help?
Please insert if relevant


Appendix 3: Agreement on intellectual property rights
Please insert if relevant

Appendix 4: Change of research environment

Please state your plans for a stay at another research team. If your plans are not finalised yet, you must state your potential research opportunities.

Name of research institution, company etc. (in Denmark or abroad)




Dates




Brief description





Appendix 5: Courses

With my signature on this application form I hereby confirm that I will meet the requirements listed below.

Please tick the box:
During the PhD study it is required that the PhD student completes courses corresponding to approximately 30 ECTS (28-35), including mandatory courses.

Mandatory courses


  • Mandatory course in responsible conduct of research at the Graduate School.

  • Mandatory courses offered by the graduate programme (if any).

Other courses

  • Courses offered in the course catalogue by the Graduate School.

  • Courses offered by other providers.

  • Credit transfer.

Your principal supervisor must approve your participation in courses.

ECTS credit transfer

You can apply for ECTS credit transfer as soon as you have received your enrolment certificate. If you wish to apply for ECTS credit transfer, please complete the form “Approval of courses from other providers" on our website.



Appendix 6: Dissemination activities / knowledge transfer

With my signature on this application form I hereby confirm that I will conduct dissemination activities. Please tick the box:


Examples of activities

  • Oral dissemination: Presentation at staff meetings, conferences etc.

  • Written dissemination: Writing of articles, posters etc.

Your principal supervisor must approve your plan for dissemination activities.







Appendix 6a: Expected programme of teaching obligations (if relevant)
Please list your teaching and work obligations (if any):



Appendix 7: Expectation alignment between PhD student and principal supervisor
With our signatures on this application form, we (student and principal supervisor) hereby confirm that we have completed or will complete the expectation alignment sheet no later than three months after enrolment.

Please tick the box:


Appendix 8: Principal supervisor's recommendation of applicant
Please elaborate on the following (approx. 1 page):

  • Academic qualifications

  • Research and work experience relevant for the project

  • Talent and personal qualifications


Appendix 9: Brief CV and publication list for the primary co-supervisor
Please enclose CV, experience with supervision of PhD students and publication list

Your primary co-supervisor must be at an academic level corresponding to associate professor


Appendix 10: Permission from workplace to use research facilities


Please insert statement and permission from workplace or use table below (the table may be inserted into an email for email confirmation from workplace)

Permission from workplace to use research facilities

PhD student




Project title




Place where the project is carried out (dept./hospital/organisation)



With this e-mail confirmation or signature I hereby confirm that all necessary research facilities for the PhD project will be available for the PhD student throughout the PhD study.   


Head of workplace ________________________________________




Appendix 11: Attachment to graduate programme
You are welcome to contact us for more information regarding choice of graduate programme – phdschool@sund.ku.dk or +45 35 32 65 70

I would like to be enrolled under the graduate programme: Choose an item.




Appendix 12: Documentation of the applicant's qualifications
Please enclose:

  • A copy of your Master’s degree diploma

  • A CV, including a list of any publications

Appendix 12a: Language qualifications
Please enclose, if relevant
Appendix 13: Information for Statistics Denmark
Whenever a PhD student is enrolled a report must be submitted to Statistics Denmark. Please fill in the forms below.

A: The three most important subjects in the PhD project:

Subject name and code (choose in drop down menus):

% of total research time

1. Choose here


%

2. Choose here

%

3. Choose here


%

Total

MUST BE 100%


B: Research areas:
What proportion of total research time is spent on which areas?
Areas may overlap, so the percentages may add up to more or less 100%

Area

No research

10-24%

25-49%

50-74%

75-100%

Climate
















Energy
















Environment
















Bio-technology
















Food products incl. food safety
















Cancer
















Nanotechnology
















ICT hardware
















ICT software
















ICT usage
















Integration
















Democracy
















Welfare
















Gender research
















Globalization
















Experience economy
















Prevention and health promotion





















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