华南师范大学引进人才申报表
South China Normal University Application Form
姓名Name：
研究领域Research Field：
一级学科Primary Discipline：
二级学科Secondary Discipline：
申报学院School/Institute Applied for：
引进类型Recruitment Category： （全职Full Time/特聘 Part Time）
填表时间Date：
人事处制
Office of Personnel
（2015）
填表说明
Notes for Completing this Form
1. 填写内容必须实事求是，统一用A4纸张双面打印；
Please ensure the authenticity of the information on this form and print it double sided on A4 paper.
2. 封面“一级学科”“二级学科”按教育部学位授予和人才培养学科目录的准确名称填写。
For Primary Discipline and Secondary Discipline on the cover, please refer to the Inventory of Disciplinary Categories for Degree Granting and Talent Cultivation published by the Ministry of Education.
3. 第1页“专业技术职务”栏，海外引进人才需用外文表述，部分较难理解的语言或职务可同时译成中文，并附原文；
For Current Academic Title in Page 1, the overseas applicant is required to express it in native language, and translate it into Chinese when the title is hard to understand in some native language.
4. “学习经历”从本科（或大专）填起；
Education Background starts with the applicant’s undergraduate education in university/college.
5. “培养方式”指统招、自考、成教；硕士、博士研究生注明脱产、在职；
Training Mode refers to the way in which the applicant receives his/her undergraduate education (through unified college education system, self-study education system or adult education system). The applicant with a master or doctoral degree is additionally required to indicate how he/she receives his/her postgraduate education (through full-time training or in-service training).
6. “近5年发表的论文”的“刊物属SCI大类第几区”按中国科学院大类分区界定；“专利类型”为“发明专利”、“实用新型专利”和“外观设计专利”；
For articles published in the last 5 years, those included in SCI should be indicative of the quarters (Q1, Q2, Q3 or Q4) demarcated by the Chinese Academy of Sciences; Type of Patent includes Patent for Invention, Patent for Utility Model and Patent for Design.
7. 经历以时间排序，由近到远，时间需具体到月份(如2009.6)，时间上不能出现中断。
Work Experience should be stated in descending chronological order in the form of month/year (e.g. 6/2009). Please make sure your statement shows chronological continuity.
8. “聘期工作目标”是人才引进决策的重要依据，应尽量细化量化，可考核，包括教学、科研项目、科研成果、个人成长、学科建设、梯队建设等方面。
Career Objective throughout the Duration of Appointment plays a critical role in deciding for talent recruitment. It should be made explicit, quantifiable, evaluable, covering your plans on teaching, research projects, publications, personal growth, disciplinary development and echelon construction, etc.
9. 若引进特聘教授或骨干教师，“校外专家通讯评议结果”和“校内专家组评议意见”栏不必填写。
For appointment of part-time distinguished professors or key teachers, it is advised that the columns of both Feedback from External Reviewers and Feedback from Internal Assessors remain unfilled.
10. 本申请表一式一份，由本人签名（含电子签名）、学院审核签字盖章;
This application form is made out in one original copy. It should be signed by the applicant (electronic signature allowed), and sealed by Dean of the School/Institute applied for.
附件材料说明
Notes for Attachments
11. 所有材料用A4纸复印和打印，请按以下顺序整理夹好后提交（证明材料需各单位相关人员审核、签名并加盖单位公章）：
All documents should be photocopied and printed on A4 paper, and sorted out in the following separate categories before submission(supporting documents should be verified, signed and sealed by the concerned staff of the School/Institute applied for):
12. 已取得的学位、学历证书和任职资格证书复印件；
Copies of diplomas, other graduate certificates and certificates of professional qualification;
13. 海外工作经历证明（如：海外博士后、访问学者经历等）；
Proof of overseas work experience (e.g. experience as postdoctoral researcher or visiting scholar abroad, etc.)
14. 主要的科研项目及科研成果证明材料复印件：科研项目批件、奖励证书、专利证书、著作封面、版权和目录页；
Copies of supporting documents for research projects and publications, including mainly approval letter for research projects, award certificate, patent certificate, book cover, copyright page and table of contents.
15. 最能代表本人科研水平的10篇代表作材料：创新性论文的全文，被SCI、EI、SSCI收录及论文他引情况证明(原件，须经有关检索机构盖章)；著作封面、目录、版权、本人负责章节的首页复印件；专利证书复印件；
10 publications of the applicant’s most significant works, including full text of innovative articles, evidence of inclusion in SCI,EI,SSCI and certificate of frequency of citations (original copy sealed by relevant searching authorities), copies of book cover, table of contents, copyright page, the initial page of the chapters by the applicant, copies of patent certificate, etc.
16. 在重要国际组织或学术团体的任职证明复印件，以及作大会报告、特邀报告的邀请信或通知复印件；
Copies of appointment letter for important international organizations or academic societies, and copies of letter of invitation (or notice) for plenary/invited lectures.
17. 申请者需提交来校工作后的研究计划；申请“青年拔尖人才”的应聘者还需提交3名同行专家的推荐函。
The applicant is required to submit a research proposal for his/her study in the university. The applicant for Outstanding Young Scholar is required to submit 3 peer reference letters.
18. 其他本人认为有必要提供的相关材料。
Other documents considered to be relevant
19. 二级单位向人事处提交该表时，应附校内专家评议表。
When this application form is submitted by School/Institute to Office of Personnel, it should be attached with an evaluation form completed by assessors from the university.
中文名 Chinese Name | 护照用名(外籍)Name as in Passport(foreigners only) | 身份证号I.D.Card no. | 护照号(外籍) Passport No.(foreigners only) | |||||||||||||||||||||||||||||||||||
国籍Nationality | 性别Gender | 出生年月Date of birth | 民族Ethnicity | |||||||||||||||||||||||||||||||||||
婚否/结婚时间 Marital Status/Date of Marriage | 参加工作时间 Date of First Job | 政治面貌 Political Status | 专业技术职务Current Academic Title | |||||||||||||||||||||||||||||||||||
最高 学历 | 最高学位Highest Degree | 是否享受政府特贴 Winner of Special Government Allowance (Y/N) | 是否博导 Doctoral Supervisor (Y/N) | |||||||||||||||||||||||||||||||||||
联系电话Telephone Number | ||||||||||||||||||||||||||||||||||||||
申请人才层次Levels of Applicants（ ） Ａ.院士或国际顶尖奖项获得者Academician or Winner of Top International Awards Ｂ.杰出人才Outstanding Scholar Ｃ.领军人才Leading Scholar Ｄ.青年拔尖人才Outstanding Young Scholar Ｅ.骨干教师Key Teacher F.特聘教授Part-time Distinguished Professor | ||||||||||||||||||||||||||||||||||||||
学习经历 Education Background | 从何年何月 (month/year)From | 至何年何月(month/year)To | 毕业学校/专业 Name of Institution/Major | 学历 | 学位Degree Obtained | 指导教师姓名 Name of Thesis Advisor | 培养方式 Training Mode | |||||||||||||||||||||||||||||||
工作经历Work Experience(in descending chronological order) | 从何年何月 (month/year)From | 至何年何月 (month/year)To | 工作单位Name of Employment Institution | 工作岗位Position held | 职称、职务 （英文/中文） Academic Title (in English/in Chinese) | |||||||||||||||||||||||||||||||||
入选人才项目情况Projects | 项目名称Project Name | 项目主管部门 Department of Project Administration | 项目起止时间Starting and Ending times | 获资助情况 Amount of Grant | ||||||||||||||||||||||||||||||||||
获奖情况Academic awards | 获奖项目名称/等级 Name/Level of the Award Program | 获奖时间 Date of Award (month/year) | 排名/参与人数Rank/Number of Participants | 授奖单位 Award Organization | ||||||||||||||||||||||||||||||||||
从事教学情况 Teaching | ||||||||||||||||||||||||||||||||||||||
近5年主持和承担的研究项目Projects(as PI or Co-I) in the last 5 years | 起止时间 Starting and Ending times | 项目性质和来源 Source and Level of Project | 项目名称 Project Name | 经费总额Amount of Grant | 本人排名/参与人数Rank/Number of Participants | 角色（负责人、主要完成人、参与者）Role(PI or Co-I, etc.) | ||||||||||||||||||||||||||||||||
近5年发表的论文 Articles published in the last 5 Years | 序号No. | 论文名称 Title | 刊物名称 Name of Journal | 本人排名/是否通讯作者 Rank/Indication of Corresponding Author if yes | 年度期号Volume and Issue Number | 收录 Indication of Citation Index(SCI,EI,SSCI,etc.) | 刊物属SCI大类第几区Indication of Quarter (Q1, Q2,Q3or Q4) if Included in SCI | 影响因子/他引次数Impact Factor/Number of Citations | ||||||||||||||||||||||||||||||
近5年主要的著作 Books published in the last 5 Years | 书名 Title | 出版社/出版年度Publisher /Year of Publication | 版数Edition | 类别(专著/编著/译著/教材/工具书) Category(Monograph/Compilation/Translation/Reference Book) | 本人撰写或参编字数Number of Words as an Author or Editor | 本人贡献排名/总人数Contribution-based Rank/Number of Authors | ||||||||||||||||||||||||||||||||
近5年的专利成果Patents obtained in the last 5 Years | 专利名称/专利授权号 Name of Patent/Number of Patent | 专利类型 Type of Patent | 专利权人Patent holder | 授权国家Authorized Country | 本人排名/参与人数Rank/ Number of Participants | |||||||||||||||||||||||||||||||||
近5年主要学术兼职、担任国际学术会议重要职务及在国际会议作大会报告、特邀报告情况Details of Professional Membership, Important Posts held & Plenary/Invited Lectures Given in International Academic Conferences in the last 5 Years | ||||||||||||||||||||||||||||||||||||||
培养研究生情况（招收硕士生、博士生人数，指导学生所获奖励等） Details of Postgraduate Supervision(Number of Postgraduate and Doctoral Students, Awards, etc.) | ||||||||||||||||||||||||||||||||||||||
指导教师情况 Details of Serving as an Instructor | ||||||||||||||||||||||||||||||||||||||
其他要说明的情况Other Information Considered to be Relevant | ||||||||||||||||||||||||||||||||||||||
个人能力评价及个人研究工作的创新性评价Self-Assessment on Personal Competence and Academic Innovations | 应聘者须总结本人的科研工作，详细陈述创新点，并作出客观的自我评价。 The applicant is required to summarize his/her major academic achievements here, stating in detail his/her innovations and making self-assessment on his/her academic competence and research capabilities. | |||||||||||||||||||||||||||||||||||||
引进后工作设想 Work Plans throughout the Duration of Appointment | ||||||||||||||||||||||||||||||||||||||
科研工作启动费申报Application for Research Start-up Grant | ||||||||||||||||||||||||||||||||||||||
要购置的主要设备清单Supplies & Equipment to be Purchased | ||||||||||||||||||||||||||||||||||||||
需要配备办公实验室条件、助手要求 Description of Needs for Office/Lab & Research Assistants | ||||||||||||||||||||||||||||||||||||||
配偶情况 Details of Spouse | 姓名Name | 出生年月 Date of Birth | 参加工作时间 Date of First Job | |||||||||||||||||||||||||||||||||||
籍贯Place of Birth | 文化程度 Education Background | 现户口所在地Current Registered Residence |
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在何单位任何职（职称）Name of Employment Institution and Position held(or Academic Title) | 申请如何安排 Job Expectation | |||||||||||||||||||||||||||||||||||||
随迁家属情况 Details of other Trailing Family Members | 姓名Name | 性别 Gender | 出生年月Date of Birth | 与申请人关系 Relation with Applicant | 随迁理由 Reasons for Accompanying Applicant | 现户口所在地Current Registered Residence | 备注 Notes | |||||||||||||||||||||||||||||||
以上情况是否属实 Certification of Above Information | 本人保证以上情况属实，否则愿意承担一切后果和责任。 I hereby certify that the information on this form is true and correct, and will undertake full responsibilities and liabilities for any false information. 申请人签名： Applicant’s Signature: 年year 月month 日date | |||||||||||||||||||||||||||||||||||||
材料核实情况 Verification of Listed Publications | 经审核，申请人科研成果属实。 We hereby certify that the applicant’s publications listed in this form are true and correct. 审核人签名： Verified by: 年year 月month 日date | |||||||||||||||||||||||||||||||||||||
二级单位意见 Offers and Suggestions from School/Institute Applied for | 与应聘者商定的聘用方式为 （预聘/长聘/特聘）。建议学校按 （院士或国际顶尖奖项获得者/杰出人才/领军人才/青年拔尖人才/骨干教师/特聘教授）予以引进，并给予税前薪金 、税前购房补贴 万元、科研启动经费 万元。本院（所）为应聘者提供科研配套经费 万元，提供科研办公场地 m2，其他____________________。 We agree with the applicant to appoint him/her on a （tenure-track/tenure/part-time）basis. The university is advised to recruit the applicant as a(n) (Academician or Winner of Top International Awards/Outstanding Scholar/Leading Scholar/Outstanding Young Scholar/Key Teacher/Part-time Distinguished Professor), with a salary of RMB (pre-tax) , a housing allowance of RMB (pre-tax) (10 thousand), and a research start-up grant of RMB (10 thousand). We will provide the applicant with a research start-up grant of RMB (10 thousand), space for office or research with a total area of m2, and other offers such as____________________. 应聘者的聘期工作目标（ 年）为： The applicant is required to fulfill the following goals throughout the duration of appointment ( year): 1. 2. 3. 4. 5. 院（所）长 签名： 党委书记签名： Dean’s Signature: Signature by the Party Secretary: （学院盖章Seal of Faculty） 年year 月month 日date
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校外专家通讯评议结果 Feedback from External Reviewers | 共向 位专家发出评议材料，其中收回有效评议意见 份，无效评议意见 份。具体评议结果为如下第 种情况： Documents for assessment have been sent to reviewers, and returned with valid reviews and invalid reviews. Results are as follows: 1、应聘者申请领军人才及以上层次。在有效评议意见中，认为应聘者科研成果水平达到国际领先水平的 份，达到国际先进水平的 份，达到国内领先水平的 份，达到国内先进水平的 份，不先进的 份。 Application for the post of academic leader or above. According to the valid reviews, the applicant’s publications are recognized to be (1) internationally leading ( votes); (2) internationally advanced ( votes); (3) domestically leading ( votes); (4) domestically advanced ( votes); and (5) mediocre ( votes). 2、应聘者申请青年拔尖人才。在有效评议意见中，认为应聘者科研水平在同领域同龄人中位于前列 份，在同领域同龄人中处于先进水平 份，不先进的 份。 Application for the post of outstanding young scholar. According to the valid reviews, the applicant, with reference to research capabilities, is recognized to be(1)among the leading researchers of his/her age in his/her academic field( votes); (2) at the advanced level in his/her academic field in comparison to his/her peers( votes); (3) mediocre( votes). 3、在有效评议意见中，强烈建议引进 份，建议引进 份，不建议引进 份。 According to the valid reviews, the applicant is (1) strongly recommended ( votes); (2) recommended ( votes); (3) not recommended ( votes) for appointment. | |||||||||||||||||||||||||||||||||||||
校内专家组评议意见 Feedback from Internal Assessors | 引进 建议 Suggestions for Appointment | 会议于 年 月 日在 召开。专家组成员参会情况：应到人数____人，实到人数____人。会议以投票的方式决定是否同意引进应聘者。投票结果如下： The assessors met together at on / / /. Information about Assessors：Number of assessors supposed to arrive____，Number of assessors that have actually arrived____. The assessors voted on the applicant’s appointment. Results are as follows: 发出选票 张，收回选票 张。其中，有效票 张，废票 张。在有效票中，强烈建议引进 票，建议引进 票，不建议引进 票，弃权 票。因此， （建议/不建议）引进。若建议引进，建议按 （层次）予以引进。 votes are distributed, with___ returned, among which are valid, and are null and void. The valid votes include in strong favor, in favor, ___ not in favor, and ___ abstention(s). As a result, appointment is___________ recommended / not recommended. If appointment is recommended, the applicant is advised to be appointed as a(n) . | ||||||||||||||||||||||||||||||||||||
专家组组长签名：Signature by Head of Assessors: 专家组其他成员签名：Signature by other Assessors: 年year 月month 日date | ||||||||||||||||||||||||||||||||||||||
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