专业技术职务申请表

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1、专业技术职务申请表（青年杰出人才申请正高级专业技术职务评聘专用）ApplicationFormforPositionofProfessororEquivalentPosition,SYSUOutstandingYoungFacultyUseOnly编号No.：申请职位PositiontoApply应聘学院（系）School/DepartmenttoApply申请学科AcademicFieldtoApply一、个人资料PersonalInformation姓名ApplicantName性别Gender出生年月DateofBirth国籍Nationali

2、ty最高学历、学位HighestDegree毕业院校DegreeInstitution毕业时间GraduationYear现聘单位CurrentEmployer现聘职位CurrentAcademicTitle任职年月Startingfrom(M/Y)从事专业FieldofExpertise研究方向ResearchInterests身份证号码IDNo.电子邮件Email通讯地址MailingAddress手机MobileNo.二、学习经历（大学及以上，含海外进修经历）EducationalBackground(Bachelordegreeandabov

3、e,overseasstudyincluded)起止年月Date学校名称Schools/InstitutionsAttended（海外高校请注明所在国家)(CountryShouldbeStated）学历/学位DegreeObtained专业Major自From至To三、工作经历EmploymentHistory起止年月Date工作单位/机构Schools/InstitutionsofEmployment职务PositionHeld自From至To10四、学术荣誉及社会兼职AcademicHonors&SocialServices荣誉/社会兼职Tit

4、leofHonors/Services获得/受聘日期DateObtained颁授/兼职机构Issued/EmployedBy五、教学工作（任现职近五年内）（可另附页）TeachingExperience(mostrecent5years;ifcurrentpositionisshorterthan5years,pleaselisttheexperiencessincethepositionstarted;ifneeded,attachasheet.)1．课程教学情况（学年学期至学年学期）CoursesTaughtFromthe(1st/2nd)Sem

5、ester(Year)to(1st/2nd)Semester(Year)类别Type开课学年学期SemesterandYear教学课程名称CourseTitle课程属性CourseType(Compulsory/Selective）学分Credit学时CreditHour授课对象及人数TargetedStudentandNumberofEnrollment实际担任课堂教学学时数ActualCreditHourforClassroomTeaching课程系数CourseCoefficient工作量AmountofTeachingLoadTeaching

6、Full-timeUndergraduates普通全日制本科生教学总计学时数TotalCreditHours10TeachingGraduates研究生教学总计学时数TotalCreditHours2．指导学生情况StudentsSupervised学生类别StudentType时间Period(年月－年月）学生数（专业、年级、姓名）StudentList(major,yearinprogram,name)折合学时数EquivalentCreditHoursPh.DCandidates指导博士生MasterDegreeCandidates指导硕士生1

7、0SupervisingGraduationThesisforUndergraduates指导普通全日制本科生毕业论文其他Others总计学时数TotalCreditHours3．审核意见Verification（1）对校本部申请者的审核意见VerificationforApplicantsfromtheMainCampuses承担普通全日制本科教学工作量合计学时，年平均教学工作量学时。其中，课程教学共学时，指导毕业论文工作量学时，本科生教育教学其他工作折合工作量学时。ForFull-timeUndergraduateTeaching：TotalCr

8、editHours:AverageAnnualCreditHours:CourseTeachingHours