KTH Opportunities Fund: Grant Application Form Those eligible to apply for funding using this application form are: 1. Current students at KTH (undergraduate and postgraduate) Current PhD students at KTH. Current Post-Docs at KTH (first two years only). Unfortunately KTH Opportunities Fund is unable to provide seed funding for student start-ups, profit making enterprises or projects which do not primarily benefit KTH students. KTH OF cannot fund salaries for PhD students and Post Docs. 2. Projects should start no earlier than 6 weeks after dead line for applications. Please note that retrospective funding cannot be given. 3. If your application is in relation to study or research at another academic institution you must provide a letter of invitation. All applications must be signed by your academic supervisor. If your projects is not conducted at an academic institution/course it should be signed by the President/Vice President of THS ( ordf@ths.kth.se). Please note that THS will need at least one week to process your application prior to the application deadline. 4. A signed hard copy of your application should be sent to KTH Opportunities Fund, Lindstedtsvägen 30, 10044 Stockholm. Alternatively, a scanned version of the signed copy can be emailed to opportunities@kth.se. Name your application “Application_KTHOF_Name_Lastname” 5. The application form, supporting statement and other supporting documentation may be completed either in Swedish or English. Section 1 - Applicant information Name Email Telephone Personal number Click here to enter text. Department / School Click here to enter text Tick which of the following applies ☐ I am the sole applicant ☐ I am applying on behalf of a group of applicants (Note that we need a signature from all group members in section 6) If you are applying on behalf of a group, please note that all members must meet the eligibility criteria for funding. ☐ I am a current student at KTH ☐ I am a PhD student at KTH ☐ I hold a postdoctoral position (first two years only) Number of applicants: Click here to enter text. Programme/Course/Level: (What are you studying and in which year) School ☐ School of Architecture and the Built Environment ☐ School of Biotechnology ☐ School of Chemical Science and Engineering ☐ School of Computer Science and Communication ☐ School of Electrical Engineering ☐ School of Information and Communication Technology ☐ School of Industrial Engineering and Management ☐ School of Engineering Sciences ☐ School of Technology and Health ☐ School of Education and Communication in Engineering Science Section 2 – Payment information In order to make grant payments as quickly as possible, please include bank details for the account to which a grant should be made. Bank name Account number Clearing code Section 3 – Project description Name of project: (Not academic title, rather a description of what you are going to do. For example: ”Field study in India”, ”Research Internship at Harvard”) Time frame: Start: Click here to enter a date. End: Click here to enter a date. (Project must be finished at the end date, please mention potential milestones in project description) Description of project/activity Tell us about your project: (Provide a brief but full description of how Describe briefly the project for which you seek a grant for. Include exactly what the money is going to be used for, what the background of the project is and how you/other students/KTH will benefit. Maximum 600 words. the grant will be used) Background: Project description: What exactly are you seeking a grant for: Why do you seek financial support? Expected results/impact: Number of students/individuals who will benefit: How much are you seeking from KTH Opportunities Fund? Budget ( Please provide detailed information on what expenses your grant will cover, a breakdown of the exact expenses) When do you need the grant to begin? Example: Flight ticket Stockholm-Helsinki: xxx SEK Building material: XXX SEK If applicable, please enter other sources from where you have obtained, or intend to obtain, funding for the project Section 4 – Agreement A successful grant must be used as described above. Any changes to the grant purpose must be approved by KTH Alumni Advisory Board. The grant must be spent within the timeframe described above or a revised time plan must be submitted and a new decision be taken. KTH reserves the right to request receipts indicating that the grant has been used in accordance to the application. Grant recipients are expected to participate in publicity and promotion undertaken by KTH. This may include, but is not limited to: interviews, photography and promotion via web and social media and presenting the project work during events. Grant recipients must provide a report, including photographs, to explain how the grant has been used. Grant recipients must promote the support they have received from KTH Opportunities Fund in any publicity – wording can be provided and any copy should be approved by KTH Alumni Office. Section 5 – Supporting information and supporter signature A letter of invitation is enclosed (please tick box if applicable) ☐ I confirm the details outlined above and have provided a letter in support of this application (signed by THS president/vice president or academic supervisor). Name Click here to enter text. Position Click here to enter text. Email Click here to enter text. Date Click here to enter a date. Signature Section 6 – Applicant signature I agree to the terms described above and certify that this application is accurate to the best of my knowledge. Signature Date Click here to enter a date.