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* 1. First Name

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* 2. Last Name (Family Name)

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* 3. Academic Title

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* 4. Gender

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* 5. Email Address

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* 6. Country of Residence

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* 7. Citizenship

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* 8. Second Citizenship (if applicable)

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* 9. Highest Level of Education Achieved (e.g. BA, MA, PhD, MBA, PGCert)

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* 10. Professional Background
Please select the sector that best describes your background (please select 1):

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* 11. Primary Areas of Expertise
Please select the area(s) where you have the most expertise in Innovation and Entrepreneurship (you can select up to 3):

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* 12. Relevant Experience
Briefly describe your experience in the area(s) selected above:

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* 13. Regarding the expertise area you have indicated you are most qualified in, please select how many years experience you have in a European context (i.e. working in Europe):

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* 14. Current Occupation (Job Title)

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* 15. Current Organisation/Company

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* 16. Start Date of Employment at Current Occupation

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* 17. Description of duties at Current Occupation

Please list the details regarding the most relevant previous occupation(s) related to your selected expertise area:

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* 18. Occupation 1

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* 19. Occupation 2

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* 20. Occupation 3

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* 21. How many years experience do you have as an external evaluator?

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* 22. Have you ever been an external evaluator for the European Commission?

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* 23. If YES which programme? E.g. Horizon Europe/2020, Erasmus, etc.

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* 24. If YES please give details of any relevant experience you have with being an evaluator for the European Commission:

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* 25. Have you ever been an external evaluator for European Institute for Innovation and Technology and its Knowledge Innovation Communities (EIT and KICs)?

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* 26. If YES which Knowledge Innovation Communities (KICs) and which Funding Call?

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* 27. If YES, please give details of your evaluator experience with the European Institute for Innovation and Technology and its Knowledge Innovation Communities (EIT and KICs):

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* 28. Please indicate if you are willing to be a rapporteur?

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* 29. If you would like to be a rapporteur briefly outline your previous experience (if any) as working as a rapporteur:

Dates for the EIT HEI Call for Proposals 2024 Assignment

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* 30. Please confirm that if selected you will be available for online evaluator briefings (approx. 3 hours) on one of the following:

- PM Tuesday, 17 December 2024
- AM Wednesday, 18 December 2024

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* 31. Please confirm that you will be available for independent remote evaluation between 20 December 2024 and 22 January 2025, with your individual evaluations completed by the 22 January deadline.

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* 32. Please confirm that if selected you will be available for a remote consensus meeting on the dates 27 January - 5 February 2025.

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* 33. Please confirm that if you have indicated you are willing to be a rapporteur you will be available for a remote panel meeting on the dates 19 - 20 February 2025.

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* 34. Please confirm that if you have indicated you are willing to be a rapporteur you will be available for preparing evaluation reports by 7 February 2025.

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* 35. Please upload your CV:

PDF file types only.
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* 36. Please follow the link to download the template and then upload your signed copy of the Declaration of Non-participation as a PDF document.

PDF file types only.
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* 37. I understand that: Personal details which are submitted for the purpose of applying to the Call for Evaluators (names, email addresses, etc) will be stored by EIT RawMaterials for the purpose of processing applications, specifically for the following:

• to enable you to submit your application and CV to apply for specific call,
• to match your details with the potential assignments related to the call and to eventually contact you
• to retain your details and notify you about future opportunities similar to the specific role for which you have contacted us;
• to answer your enquiries.

The personal data provided will be stored with the utmost of care and in accordance with data protection requirements. Applicants may at any time request to see the personal data that we hold relating to them, and request their deletion, by contacting hei@eitrawmaterials.eu.

The EIT HEI Initiative privacy policy can be found at https://eit-hei.eu/privacy-policy/

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