Author: cesaro

UNIVERSITY OF PADOVA
PhD Course in Sciences, Technologies and Measurements for Space

Request of authorization for making paid activity (didattica integrativa, tutoring, external job)
To the STMS PhD Course Board
The undersigned ……………………........................, enrolled at the Sciences, Technologies and Measurements for Space - STMS PhD Course, 
-	Cycle no. ………... (year …….) 
-	Curriculum:         ☐MMIS/MMES     ☐ STASA     
-	Supervisor: prof. ……………………………………….…………………………………………….
-	Type of grant:  ……………………………………………………………………………………….

requests the authorization for the following external activity:
1)	Didattica integrativa, in case of winning of the selection
-	Max. hours normally allowed in a course year: 40; 
-	hours already authorized in this academic year ………………………; 
-	hours for which this request is presented: ………………………
2)	Other activities funded by UniPD, in case of winning of the selection (e.g., Tutor Junior: specify)
………………………………………
3)	Other external activities (if the activity foresees a call for the selection, in case of winning of the selection)
Institution/Company: ……………………………………………………… Country: …………………………..
Full Address: ……………………………………………………………………………………………………………..  
in the following period: from (date) ……/……/………… to (date) ……/……/…………. 

Short description of the activity (if “didattica integrativa” you must specify: Course title, Corso di Laurea/Laurea Magistrale and professor): ………………………………………………………………………………………………………………………..……………………………………………
Type of contract (only for 3) Other external activities) …………………………………..

I hereby declare that the income related to the external activity does not entail the overcoming of the income limits imposed by PhD regulations.
Doctoral student (signature) ………………………………...........                             date ………/………/…………

I hereby declare that the external activity does not interfere with the Training and Research Activity of the Student, as per Analytical Report and Personal Training Plan approved by (or which will be presented to) the PhD Course Board.
Approved by the Supervisor (signature) ……………………………………

I hereby declare that the external activity is consistent with respect to the activities carried out by the Student within the PhD Course (from 38^th cycle).
Approved by the Supervisor (signature) ……………………………………

The signed document must be scanned and sent as a PDF file to:
•	dottorato.cisas@unipd.it
•	to the Supervisor in cc