Application for financial support of project ”…………………………………………………………………………………………………………..”, to be carried out at [VWA Helsinki / WAB Bergen] under JNU VWAB programme

For internal use only:

Proposal number:

Date received (deadline …):

Research Area:

User ID Number:

Applicant:

Family name:

First name:

Academic Title:

Gender: [F/M]

Date of Birth:

Citizenship:

Research status: [Undergraduate/Post-Graduate/Post-doctoral researcher/Technician/Experienced researcher]

Language skills:

Home institution:

Country:

(Use the following codes: Denmark DK, Estonia EE, Finland FIN, Iceland IS, Latvia LV, Lithuania LT, Norway NO, Russia RU, Sweden SE)

Organisation:

Department:

Post code:

Town:

Street name and number (or PO Box) :

Telephone:

Fax:

E-mail:

Web address:

Affiliation type: [University/Public research organisation/Private research organisation, non profit/Industrial or commercial enterprise]

Project Proposal

Planned research stay: From [ ] to [ ] ; alternative period: From [ ] to [ ]

At [VWA Helsinki / WAB Bergen]

Project title:

Project research questions/tasks:

1.

2.

3.

If the proposed project is part of a user group project, please indicate:

Group project title:

Group affiliation:

Affiliation type: [University/Public research organisation/Private research organisation, non profit/Industrial or commercial enterprise]

Number of group members:

Group project leader academic title and position:

Group project leader name:

Why is use of VWAB for the conduction of your project required?

Date: Signature:

Please attach to your proposal:

· Project description (max. 5 pages)

· CV

· List of publications

· List of conference lectures and invited guest lectures