SPECIAL RESEARCH FUND
SHORT STAY ABROAD
CALL FOR OUTGOING MOBILITY
Candidate
Indicative title of the short stay
In English:
In Dutch:
□ invitation of the host institution*
Annexes:
□ parallel application external funding (FWO or other)*
Signature applicant
(date)
Signature promoter (if applicable)1
(date)
*Required annex: without this annex the application will be declared inadmissible
This application document, duly filled out, has to be send to:
BOF@uhasselt.be
Only upon reception of a confirmation e-mail, your application has been successfully.
1
If the proposal is submitted by a postdoctoral researcher.
Special Research Fund– Call for tender
Short Stay – outgoing mobility
PART I - DATA OF THE APPLICANT
1. Personal data
name
first name
other names
Research group (compulsory)
Research institute (if applicable)
2. Promoter – if applicable
2
Promoter
name
first name
research group / institute
address
phone number
e-mail
3. Data receiving institution
Name host institution / faculty
Name host research group / institute
Contact person / promoter host institution
address
country
phone number
e-mail
2
If the proposal is submitted by a postdoctoral researcher.
Special Research Fund – Call for tender
Short Stay – outgoing mobility
Promoter 2
PART II – THE SHORT STAY
1. The short stay
-
Motivate the choice of the host institution.
-
Outline the motives of your short stay and, as far as possible, the time schedule.
-
Time schedule, indicating the period of your stay at the host institution.
Year
Jan
Febr
March
April
May
June
July
Aug
Sept
Oct
Nov
Dec
2. Approval by discipline group (vakgroepraad)
Date of approval by discipline
group:
3. Added value of the proposal in relation to the collaboration between Hasselt University and the
host institution.
4. Give a detailed description of the scientific purpose of your stay and the added value for your
own/your promoter’s research and research group.
5. Indicate your output ambitions with this short stay.
6. List your 5 most relevant publications for this stay.
Special Research Fund – Call for tender
Short Stay – outgoing mobility