ARCHES
Award for Research Cooperation and
High Excellence in Science

Call for 2018/2019:
Chemistry, Physics, Technology and Mathematics

This form can be downloaded and completed via Internet: http://www.minerva.mpg.de/arches/arches_nomination-procedure.html	
	
Please do not alter layout of pages when completing the form.
	
Personal details of the nominated Principal Investigator from Israel	
	 			
	Surname		First name(s)		
					
	Former surname		Date of birth (dd.mm.yy)		
					
	Gender		Citizenship 		
					
	Present professional position (with/without tenure?)		Title		

	
Current institution of the candidate	
			
	University/Institution		
			
	Department/Institute		
							
	Street, P.O. Box		Tel.		Fax		
					
	Postal code		City/Town		
					
	E-mail				

Personal details of the nominated Principal Investigator from Germany	
	 			
	Surname		First name(s)		
					
	Former surname		Date of birth (dd.mm.yy)		
					
	Gender		Citizenship 		
					
	Present professional position (with/without tenure?)		Title		

	
Current institution of the candidate	
			
	University/Institution		
			
	Department/Institute		
							
	Street, P.O. Box		Tel.		Fax		
					
	Postal code		City/Town		
					
	E-mail				

Information concerning the nomination	
	General scientific area:		
			
	Special field of research:		
			
	 Key words (up to 5):		
			
	Brief summary on the nominees’ outstanding academic achievements:		
			
	Short summary of the project in layman’s terms:		

 
Information on the curriculum vitae of the Israeli Principal Investigator	

University education and university/college examinations (please give names of degrees as customary in the nominee’s country, starting with the high school degree – in Germany “Abitur”)
	
	Period
(Year)	Name of institution	Place	Degrees	Major subject studied/examined		
							
Employment record	
	Period
(Year)	Name of employer	Place	Position		

 
Fellowships, awards and honors (Israeli PI):	
	Year	Name		
				
Memberships in scientific associations:	
	Year	Name		

Information on the curriculum vitae of the German Principal Investigator	

University education and university/college examinations (please give names of degrees as customary in the nominee’s country, starting with the high school degree – in Germany “Abitur”)
	
	Period
(Year)	Name of institution	Place	Degrees	Major subject studied/examined		
							
Employment record	
	Period
(Year)	Name of employer	Place	Position		

 
Fellowships, awards and honors (German PI):	
	Year	Name		
				
Memberships in scientific associations:	
	Year	Name		

 
Information on the nominator (please refer to the information sheet)	
	 						
	Title		Family name		Given name		
			
	Entitled to nominate in his position as…  		
			
	University/Institution		
			
	Department/Institute		
			
	Street/P.O. Box 		
							
	ZIP Code		City				
							
	Tel.		Fax.		E-mail		

Place		Date		Signature of the person entitled to nominate*	

* I hereby confirm that I am not aware of any circumstances or aspects that could speak against an award being conferred to the nominee (e.g. regarding his or her personality, integrity and career or regarding possible conflicts with legally binding principles of academic ethics, the danger of technology transfer relevant to armaments industry and therefore restricted, etc.).

We would like to draw your attention to the fact that the personal information you give will be kept and processed. In the course of the evaluation procedure, the details will be made available to members of the Minerva Fellowship Committee. Should the nominees be selected to receive an award, the names, nationalities, field of research, key words, contact information and duration of the funding will appear in lists prepared by the Minerva Foundation. The lists will also be passed on to governmental offices as well as organizations that fund research and support cooperation. In addition, the lists serve to network all Minerva guest researchers and meet the needs of PR work.