Annex 1

To the Rector 
Università degli studi di Modena e Reggio Emilia

APPLICATION FORM 
VISITING PROFESSOR a.y. 2026/27

Unimore Master’s Degree Programme /PhD Course in which the teaching activity will be performed		
Unimore Department/s in charge of the above-mentioned courses		
Supervisor	Prof. …….email	

Visiting Professor Data: 
Name		
Surname		
Place and date of birth		
Nationality		
Address		
Country		
E-mail		
Home Institution		
Department/Faculty		

Position	⁭ Full professor          

⁭ Associate professor  

⁭ Researcher                   	

Typology of Proposed Visiting Professorship 
	
⁭ Short-Term VP          

⁭ Long-Term VP  

⁭ Full Term 	
Brief summary of the teaching activity to be carried out	Fill in
(Please consider this section as a brief summary.
A complete teaching activity proposal must be attached to the present application form) 

⁭ Seminars          

⁭ Modules  

⁭ Official Unimore’s single course               
(an official single course, with a one-semester duration, within a Unimore’s Master’s Degree Programme)
	
Proposed length of stay	a.y. 2026/27

□ 1 month
□ 2 months
□ 3 months
□ Full semester (only for VPs Full Term in charge of a single course*)

From…………………to…………………….

Documents to be mandatorily annexed:
-	Curriculum Vitae of the candidate including a list of the 5 most important publications/monographs within the last 5 years, and/or a list of the candidate’s speaking engagements at international conferences in the last 5 years;
-	Plan of the teaching activities. Content: title, full description, duration in hours, credits, teaching language, etc. The plan may include, in addiction to the abovementioned teaching activities, also any eventual scientific initiative (research activity meetings, future cooperation development etc.)
-	Delibera di Dipartimento (Annex 2, to be attached by the involved Department/s)
-	Personal data processing authorization (Annex 3)

Date, 

Signature of the Applicant (Visiting Professor)
________________________________

Signature of the Director/s of the Department/s in charge of the teaching activity to be performed
__________________________

*