Application Form
Declaration of Intent KU Leuven
Odysseus-program
Please submit the KU Leuven Odysseus application form of your
declaration of intent at the latest
June, 10th 2015 (5 pm) by mail to Veerle.Bruggeman@doc.kuleuven.be
(each part as a separate pdf (A-D)).
After the internal procedure, the research coordination will inform you about the result
beginning of July. If positive, a full proposal has to be submitted at FWO (deadline
September, 30th 2015). This application form is a shortened version of the full proposal
; the questions in this declaration of intent are based on those requested by FWO in the
full proposal.
Further information can be found on the FWO website and the KU Leuven Odysseus
website. For questions, please contact Veerle Bruggeman.
Part A: Administrative Details
Administrative Details of Applicant
Family Name
Birth Family Name
First Name (s)
Gender
Female 
Male 
1st Nationality
(DD/MM/YYYY)
Date of Birth
2nd Nationality
Country of Residence
Country of Birth
Contact address
Street Name and number
PO Box
Postal Code
Town
Phone 1
Cedex
Country
Phone 2
Fax
E-mail
Qualifications
University degree
Date of award (DD/MM/YYYY)
Doctorate
Date of award (DD/MM/YYYY)
Full-time postdoctoral experience
Number of months
Place of activity during the previous 5 years (reference date is September, 30th 2015)
From
To
From
To
From
To
Choose
Institute/
Country
Institute/
Country
Institute/
Country
Proposed start date of the Odysseus award
(the earliest October, 1st 2016)
Odysseus Group I project
(DD/MM/YYYY)
Odysseus Group II project
Administrative Details of Host Institution
Name of host institution
Name of research unit/department
KU Leuven co-promoter
Requested budget
Add the required budget for staff, consumables and equipment and give a short motivation for this
request (max. 1 page)
Year
Staff (€)
Consumables (€)
1
2
3
4
5
Total (€/y)
Type 1 : min. 400.000 €, max 1.500.000 € per year
Type 2 : min. 100.000 €, max 200.000 € per year
Equipment (€)
Total (€/y)
Part B: Curriculum Vitae and personal statement
B1. Background of the applicant (max. 4 pages)
Summary of your most important results and conclusions of your recent work (with
reference to your publications, achievements,…)
B2. Curriculum vitae (2 pages)
Please include the following topics in your CV :
a) Positions as postdoc/professor : period, name of the institution, name of the
Faculty/department, name of the head of the research unit (only for postdoctoral
positions)
b) Supervision of graduate students and postdoctoral fellows
c) Information on current or past major sources of research funding (name of the project,
budget, source of funding, involvement (as (co)-PI))
d) Information on fellowships, prizes, special awards given in recognition of your scientific
achievement
e) Other elements to be considered : eg. Invited lectures, editorial activities, institutional
responsibilities, major collaborations,…
B3. Full publication list
B4. Personal statement
The personal statement is your opportunity to bring forward your personal motivation to apply for
this Odysseus grant at KU Leuven, your (research) interests, your experiences and activities and
future goals. The personal statement should focus on your personal background or experience that
have significantly influenced you or your goals. It should be a document that describes your
abilities, skills and accomplishments as evidence of your aspirations for pursuing your career in
research. Use up to 3000 characters.
B5. Career breaks (optional)
Mention all your career breaks. If you have interrupted your academic career at any given point for
at least three months, you may provide details about this below. Use up to 4000 characters.
Part C: Project Description
(less extensive than the final FWO application form (=10 pages))
Project description (max. 4 pages)
Provide a short project description that addresses:
 Overall aims and objectives of the research
 Proposed methodology to be used
 Novelty and groundbreaking character of the proposed research
Part D: Research context
(This part can be written in dialog with the KU Leuven co-promoter)
D1. Explain how this project fits in the research activities of the host institution
If the project has already been initiated, please state the progression of your research. Use
up to 2600 characters.
D2. Provide the national and international context
Mention research collaborations, larger projects, programs and international networks in
which your research can be situated. Use up to 1800 characters.
D3. What is the multiplicator effect in the host institution ?
Use up to 1800 characters.