Application form –TNA InGRID Personal information Title (e.g. prof./dr./mr/mrs/…) First name Last name Nationality Gender (e.g. male/female) Address of residence (e.g. Parkstraat 47 box 5300, BE-3000 Leuven) Country of residence Job title (e.g. research assistant, …) Name of institute/organisation Address of institute/organization (e.g. Parkstraat 47 box 5300, BE-3000 Leuven, Belgium)) Email Phone (e.g. +32-16-323333) Research expertise Home institution type UNI = university and other higher education organisations RES = public research organisation (including international research organisations as well as private research organisations controlled by a public authority) SME = small or medium enterprise PRV = other industrial and/or profit private organisation OTH = other organisation not fitting in one of the above categories University degree (e.g. Master in Sociology, (Degree Title; date of award) 1992) Doctorate (e.g. Doctor in the Sociology, 1992) (Degree title, date of award) Fields of expertise/topics of interest Research experience UND = undergraduate PGR = post-graduate (student with a first University degree or equivalent), PDOC = post-doctoral researcher TEC = technician EXP = experienced researcher OTH = other Short list of relevant and recent publications (for ex. Van Gyes G. (2012), Indicators of collectively-agreed (max. 3) wages in the Eurozone. A quality report. Policy paper CAWIE project, HIVA-KU Leuven, Leuven.) Research infrastructure to visit Research infrastructure HIVA-KU Leuven TARKI-POLC AIAS SOFI IECM ISER BIGSSS CEE UNIPI-DEM S3RI Duration (e.g. 15 working days) Proposed period (e.g. 15/08/2013-30/08/2013) Travelling with children Yes No Single visit or group visit Single visit Group visit, together with… In case of a group visit: I will visit the research Please add the name(s) of the other team members and infrastructure together with … institute name(s) if different from your own institute New user Yes Have you already visited an InGRID research No infrastructure? Project of the visit Short description of project/proposal (max. 300 words) Title of project (with acronym) Main scientific field (e.g. social sciences, humanities, …) Specific disciplines (e.g. psychology, economics, …) Main goals of visit (max. 300 words) Expected scientific contribution (max. 300 words) Proposed output and dissemination activities (e.g. working paper, conference presentation, publications, …) Which data are required and how will they be used? (max. 750 words) If you are planning to link data from different sources: please provide the following information: - Which data sources will be linked? - On which level do you propose to link data (e.g. individual respondent level or geographical level, like NUTS2) - indicate the intended methods for combining data (linking, matching etc.) Other Upload your cv (including a list of relevant Preferably in pdf format publications) How did you find out about the call? (e.g. via the InGRID website, via InGRID mail communication, via a colleague, …) Additional remarks By completing this registration form you agree with the terms and conditions for Transnational Access within the InGRID project