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Application form for PhD students’ affiliation to the Swedish National Graduate School on Ageing and Health (SWEAH) 2024

1.
Family name
This question is compulsory
2.
Given name
This question is compulsory
3.
Personal code number/Social security number
This question is compulsory
4.
Female /Male/ Non binary
This question is compulsory
5.
Work address
This question is compulsory
6.
Home address
This question is compulsory
7.
E-mail address
This question is compulsory
8.
Work phone number
This question is compulsory
9.
Home phone number
This question is compulsory
10.
Project/ thesis title
This question is compulsory
11.
University where you are formally admitted to graduate studies (must be a SWEAH partner university)
This question is compulsory
12.
Organisation where you are employed as a PhD student (if other than above)
This question is compulsory
13.
Disciplinary orientation
This question is compulsory
14.
Type of funding
This question is compulsory
15.
Name of main supervisor and his/her scientific discipline/-s
This question is compulsory
16.
Supervisor’s telephone work
This question is compulsory
17.
Supervisor’s e-mail
This question is compulsory
18.
Name of co-supervisor/-s and his/her/their scientific discipline/-s
This question is compulsory
19.
Date of registration as PhD student (year-month-day)
This question is compulsory
20.
Rate of study
This question is compulsory
21.
Have you had any leave of absence for more than 6 months during your graduate studies?
This question is compulsory
22.
Date of planned mid-way review or corresponding (year-month-day)
This question is compulsory
23.
Planned dissertation defense (semester and year)
This question is compulsory
24.
Affiliated with another research school? If yes, which one?
This question is compulsory
25.
Personal motivation for affiliation to the Swedish National Graduate School on Ageing and Health (SWEAH)
This question is compulsory
26.
Completed courses on research (PhD) level, registered in Ladok 
This question is compulsory
27.
Publication list (original work, other publications, abstracts). Mark the publications that are part of your PhD thesis work with* (attach as supplement)
This question is compulsory
28.
Please attach your Curriculum Vitae (CV)
29.
Please attach your research program for thesis work with the following headings: introduction, theory, aims and research questions, design and method, work plan, relevance (maximum 4 pages excluding references)
30.
Please attach a certificate from your main supervisor with motivation for the affiliation of the PhD student to the SWEAH and his/her contribution to a multi- and cross-disciplinary environment for research on ageing and health (maximum 1 page)
31.
Please attach the signed signature page
32.
Submit the complete application, with all signatures and attachments no later than September 30, 2024. Incomplete applications will not be considered
This question is compulsory