ECTS Academy Application 2025- Clinical Call Step 1 of 6 - Biographical sketch 0% Section 1. Biographical sketchName* First Last ECTS Membership number* Date of Birth Day Month Year Mr./Mrs./Mx.Mr.Mrs.Mx.Nationality* If you hold more than one nationality, please list them all.Address* Street Address Address Line 2 City ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email* PhoneMobileDo you hold a permanent faculty position?* Yes No Applicants holding a permanent faculty position for at least 3 years are not eligible to apply.If yes, since when?* DD slash MM slash YYYY Education / Training*Education / TrainingDegreeCompletion Date MM/YYYYField of StudyThesis TitleMentor/Advisor Name(s) Begin with baccalaureate or other initial professional education, such as nursing, include postdoctoral training and residency training if applicable* I confirm that at the time of application I am <10 years after qualifying from medical school AND <5 years after completing specialization (both criteria must be met). This period may be extended up to a maximum of 2 years in case of exceptional circumstances (illness and pregnancy/childcare). Year of qualifying from Medical School:*Year of certification as a Specialist (if specialisation held):* Professional PositionsCurrent Position*PositionStart Date MM/YYYYFieldInstitution/CompanySupervisor/Employer * I confirm that my present position is either not be a permanent faculty position or I am currently <3 years into a permanent faculty contract. Previous Positions*PositionStart Date MM/YYYYEnd Date MM/YYYYFieldInstitution/CompanySupervisor/Employer List in chronological order previous positions.Areas of Expertise*Indicate with keywords, 3-5 areas of expertise (e.g. pre-clinical imaging, muscle physiology, etc.) Research Support as Principle Investigator ONLY*Project TitleDate of FundingWeb address of grant, if availableSource of FundingFunding Amount • List up to five of your ongoing and completed research supported by grants projects as PI or co-PI* only! Do not list grants in which you don’t have a Pi or co-PI role. You should consider: institutional grants, personal fellowships, national grants, EU grants, international grants. In case of EU grants, please also indicate if you were a work package leader. *Co-Pi = person who leads a research unit in a coordinated projectAwards & Prizes*Dates of FundingSource of FundingShort description List here major travel grants, NI grants, awards/prizesGrant confirmation Drop files here or Select files Max. file size: 256 MB. Please upload grant confirmation document if the website is not available.Invited talks national (not related to abstract submission)*DateTitle of talkInviting institution/conference Invited talks international (not related to abstract submission)*DateTitle of talkInviting institution/conference Contribution to Science*Max. file size: 256 MB.Upload a list all of your articles published in peer-reviewed journals. Provide complete author list and highlight your name in bold. Add impact factor and DOI of the journal for each article. Specify your cumulative impact factor and h-index. When preparing the list, please bear in mind that the eligibility foresees a minimum of 3 first authored research paper and preferably one last authored research paper in international peer reviewed journals.* I confirm that I have coauthored at least 3 original publications as first or last authors in international peer reviewed journals and attach my list of pee-reviewed publications above Your Cumulative Impact Factor* H-Index* List Publications as First/Last author with IF of journal*Clinical Trials Participation (for MDs only)Describe the clinical trials you have participated in. Indicate the type of a trial (pharma sponsored or investigator-initiated). Indicate your role in the trial (Co-PI) .Teaching experience* Affinity to Bone Field*Conference NameNumber of times attended List here the bone-specific conferences you have attended and indicate how many timesIf you have clinical trial experience please state the trials below and your role (PI, sub-PI, research assistant, other)*Contribution to Scientific Societies (state society and your contribution)*Please provide evidence of, and capacity for, leadership. List here if you have been appointed to senior roles in national or international academic organizations or other societies. Indicate if you have contributed to society work, organization of meetings, committee work and editorial board activities. Also, indicate if you have participated in outreach activities or public engagement. Social & Leadership Skills*Please provide evidence of leadership. List here if you have supervised students or postdocs, conducted lab courses and lectures. Also, please provide information on acquired soft skills that may be useful for ECTS Academy initiatives (e.g. homepage design, journalism courses, leadership courses etc.). Submit PhotoMax. file size: 256 MB.Motivation Letter*Describe why your experience and qualifications make you particularly well-suited for a research career in the musculoskeletal research. Describe future career goals. Please indicate how you would like to contribute to the ECTS Academy. Max 3500 characters.Reference Letters*NameEmail The referee should be someone in the field with a link to the applicant but with exclusion of direct supervisor. Please provide two referee names and their email addresses, who will write a reference letter for you. We will send them a link to an online form.How did your hear about the ECTS Academy ?* From an ECTS Member From another society Mailing list Social Media ECTS Website Other If Other - Please Specify * I herewith declare that the information provided is honest and true. EmailThis field is for validation purposes and should be left unchanged.