CV form for the Global Master's Programme in

Health Informatics 2020/2021

Please read the instructions before you complete the CV form.

IMPORTANT: You must fill out this form in Adobe Acrobat Reader. Using any other pdf viewer than Adobe
Acrobat Reader will corrupt the CV form.

If you have any questions regarding this CV form, kindly contact the Admissions Office at: Contact Admissions.

First Name(s)

Last Name(s)

Checklist
Upload the CV and certifying documents to your account at Universityadmissions.se under “Other documents”.
Kindly indicate in the checklist below which sections of the CV form you have filled in.

Please scan your certifying documents into one file. Please read the instructions for how to upload.
Check whether you have transcripts of records that need to be sent via regular post or directly from the issuing
university to University Admissions.

Education (certified according to the instructions at UniversityAdmissions.se)

Research experience within academic studies
Relevant research experience that is not part of your academic studies (certified according to the instructions)
Relevant work experience that is not part of your academic studies (certified according to the instructions)
Extracurricular activities (certified according to the instructions)
Statement of intent

After reviewing the entire application we will make an overall assessment of its quality.

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Health Informatics 2020/2021
Education
Please state the name of the university where you obtained or are completing your degree and in which country. Please note that
you must follow the instructions at Universityadmissions.se for how to certify your degrees. If you list any other studies such as
freestanding courses, please also certify them. Make sure all text is shown in the text field (do not exceed the text field).

Completion date (year/month/day): if not completed, state the expected completion date.

Bachelor/undergraduate: Name of university, country

Degree, field of study Completion date (YYYY-MM-DD)

0DVWHUJUDGXDWH (if applicable) Name of university, country

Degree, field of study Completion date (YYYY-MM-DD)

Doctoral education (if applicable) Name of university, country

Degree, field of study Completion date (YYYY-MM-DD)

Other studies (e.g. freestanding courses)

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Health Informatics 2020/2021
Research experience within academic studies
Describe any research experience (max. 4), for example your thesis/degree project, that you have acquired as part of your
studies (Bachelor’s or Master’s level) by completing the form below. Certificates of verification are not required and should not be
submitted. Make sure all text is shown in the text field (do not exceed the text field).

% of full time: 100 % is a full work week and equal to 40 hours per week. Example: If you worked on a particular project 4 hours per week, the workload is 10 %.

Start date End date % of

Title/course name (YYYY-MM-DD) (YYYY-MM-DD) full time Institution, company, etc.

Brief description of project, subject area, techniques, responsibilities, etc.

Start date End date % of

Title/course name (YYYY-MM-DD) (YYYY-MM-DD) full time Institution, company, etc.

Brief description of project, subject area, techniques, responsibilities, etc.

Start date End date % of

Title/course name (YYYY-MM-DD) (YYYY-MM-DD) full time Institution, company, etc.

Brief description of project, subject area, techniques, responsibilities, etc.

Start date End date % of

Title/course name (YYYY-MM-DD) (YYYY-MM-DD) full time Institution, company, etc.

Brief description of project, subject area, techniques, responsibilities, etc.

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Health Informatics 2020/2021
Relevant research experience that is not part of your academic studies
Describe any research experience (max 4) that you have acquired that is not part of your Bachelor (or higher) degree and that is of
relevance for the Master’s Programme in Health Informatics. Complete the form below for each research experience you cite.

You must verify each research experience by providing a certificate from your research supervisor (issued in English or Swedish)
that contains the official letterhead of the institution etc., your supervisor’s name, position and signature. We do not take comments
on your performance into account, only confirmation of your position and duration. Other letters of support are NOT considered! Only
experience verified by appropriate documentation will be considered.

In the description, list any publications that have resulted from your research experience. State the complete reference with authors,
title, year, journal, volume and page numbers. Verify each publication by providing a copy of the first page of each published article
(in English) in which the author list, abstract and journal name are shown. Make sure all text is shown in the text field (do not exceed
the text field).

% of full time: 100 % is a full work week and equal to 40 hours per week. Example: If you worked on a particular project 4 hours per
week, the workload is 10 %.

Start date End date % of

Title (YYYY-MM-DD) (YYYY-MM-DD) full time Institution, company, etc.

Brief description of project, subject area, techniques, responsibilities, publications, etc.

I have uploaded verifying documents

Start date End date % of

Title (YYYY-MM-DD) (YYYY-MM-DD) full time Institution, company, etc.

Brief description of project, subject area, techniques, responsibilities, publications, etc.

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Continued on the next page.
I have uploaded verifying documents
Health Informatics 2020/2021
Relevant research experience that is not part of your academic studies
Continued from the previous page.
Start date End date % of
Title (YYYY-MM-DD) (YYYY-MM-DD) full time Institution, company, etc.

Brief description of project, subject area, techniques, responsibilities, publications, etc.

I have uploaded verifying documents

Start date End date % of

Title (YYYY-MM-DD) (YYYY-MM-DD) full time Institution, company, etc.

Brief description of project, subject area, techniques, responsibilities, publications, etc.

I have uploaded verifing documents

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Health Informatics 2020/2021
Relevant work experience that is not part of your academic studies
Describe any work experience (max 4) that you have acquired that is not part of your Bachelor (or higher) degree and that is of
relevance for the Master’s Programme in Health Informatics. Complete the form below for each work experience you cite.

You must verify each work experience by providing a certificate from your employer (issued in English or Swedish) that contains
the official letterhead of the company etc., your employer's name, position and signature. We do not take comments on your
performance into account, only confirmation of your position and duration. Other letters of support are NOT considered! Only
experience verified by appropriate documentation will be considered.

% of full time: 100 % is a full work week and equal to 40 hours per week. Example: If you worked on a particular project 4 hours
per week, the workload is 10 %.

Start date End date % of

Title (YYYY-MM-DD) (YYYY-MM-DD) full time Company name

Brief description of project, work tasks, responsibilities, etc.

I have uploaded verifying documents

Start date End date % of

Title (YYYY-MM-DD) (YYYY-MM-DD) full time Company name

Brief description of project, work tasks, responsibilities, etc.

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Continued on the next page.
I have uploaded verifying documents
Health Informatics 2020/2021
Relevant work experience that is not part of your academic studies
Continued from the previous page.
Start date End date % of
Title (YYYY-MM-DD) (YYYY-MM-DD) full time Company name

Brief description of project, work tasks, responsibilities, etc.

I have uploaded verifying documents

Start date End date % of

Title (YYYY-MM-DD) (YYYY-MM-DD) full time Company name

Brief description of project, work tasks, responsibilities, etc.

I have uploaded verifying documents

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Health Informatics 2020/2021
Extracurricular activities
Describe any extracurricular activities that you have performed (max. 3) that show ambition and initiative. Examples of such activities
could be experience from serving on boards or committees, starting a business or running projects, leadership or voluntary work, etc.

You must verify each activity you describe by providing a certificate (issued in English or Swedish) containing an official letterhead, the
name, position and signature of the person providing the certificate, and confirmation of your position and its duration. Only activities
verified by appropriate documentation will be considered. Make sure all text is shown in the text field (do not exceed the text field).

Start date End date

Activity (YYYY-MM) (YYYY-MM)

Brief description

I have uploaded verifying documents

Start date End date

Activity (YYYY-MM) (YYYY-MM)

Brief description

I have uploaded verifying documents

Start date End date
Activity (YYYY-MM) (YYYY-MM)

Brief description

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I have uploaded verifying documents
Health Informatics 2020/2021
Statement of intent
Please describe why you are applying specifically to the Master’s Programme in Health Informatics and to Karolinska Institutet, and
explain why you believe you are a good candidate. The arguments you use as well as the format and structure of the statement will
be assessed. Make sure all text is shown in the text field (do not exceed the text field).

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