application form draft - aquacosm · 2017. 8. 10. · when you click on 'submit...
TRANSCRIPT
Citizenship:
Birth year:
AQUACOSM Transnational Access in 2018 TA-Application Form
1. Please indicate if you are applying as:
Group Leader, orIndividual
2. Please indicate if any of the applicants represents one of the following:
Private sector / Industry /SME (small and medium-sized enterprises
Education:
Describe Other:
3. Personal information
First name(s):
Last name(s):
Phone number:
Email:
4. Affiliation
Institution:
Department:
Address:
City:
Postal Code / Zip:
Country:
Type:
Describe Other:
Male Female
PGR = PostGRaduate
PDOC = PostDOC
EXP = EXPert
TEC = TEChnician
OTH = Other
UNI = University
RES = Research Institution
SME = Small and medium-sized enterprises
PRV = Private
OTH = Other
5. Expertise and training Application as a Group Leader
Include contributors/experts, number:
Include trainees, number:
Physics
Chemistry
GHG (Green-House Gases
Virus
Bacteria
Phytoplankton
Mesozooplankton
Application as an Individual
Join a group as a trainee
Themes:
Join a group as an expert / contributor
Themes: Physics
Chemistry
GHG (Green-House Gases
Virus
Bacteria
Phytoplankton
Mesozooplankton
6. Activity type
Join a plannedmesocosm experiment at the respective facility
Own research project at the respective facility
Periphyton
Macrophytes
Microzooplankton
Zoobenthos
Fish
Other theme(s):
Periphyton
Macrophytes
Microzooplankton Mesozooplankton
Zoobenthos
Fish
Other theme(s):
Other
Application as a Group Leader
Physics
Chemistry
GHG (Green-House Gases
Virus
Bacteria
Phytoplankton
Periphyton
Macrophytes
Microzooplankton Mesozooplankton
Zoobenthos
Fish
Other
7. Project information
7.1 Themes:
7.2 Project title:
7.3 Project acronym:
7.4 Project description (see TA-Application Guidelines
Mesozooplankton
8. Additional information
8.1 Specific requirements
8.2 Isotopes:
8.3 Hazardous materials:
9. Location of the mesocosm facility
9.1 Location first choice:
Location second choice:
9.2 Rationale
10. Dates
End date:
End date:
1st choice start date:
2nd choice start date:
Flexibility:
11. Data policy agreement
I have read and agree to comply with the open data policy as stated in the TA application guidelines. More details on open data policy within AQUACOSM can be found in the data management plan (DMP).
12. Group member list (if you apply as a group leader, please list your group members)
Group Member 1:
First name(s):
Last name(s):
Role in project:
Group Member 2:
First name(s):
Last name(s):
Role in project:
Group Member 3:
First name(s):
Last name(s):
Role in project:
Group Member 4:
First name(s):
Last name(s):
Role in project:
Group Member 5:
First name(s):
Last name(s):
Role in project:
Group Member 6:
First name(s):
Last name(s):
Role in project:
Group Member 7:
First name(s):
Last name(s):
Role in project:
Group Member 8:
First name(s):
Last name(s):
Role in project:
Group Member 9
First name(s):
Last name(s):
Role in project:
Group Member 10
First name(s):
Last name(s):
Role in project:
Submit Application
This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 732065
In submitting this application, you agree that you have read and understood the Application Guidelines and that you are authorised by your institution or organisation to submit and act on this proposal.
When you click on 'Submit Application', the form will use your email client to forward the completed form to us for review. Alternatively you can email the form as an attachment to [email protected]. If you later realise you have made an error, you can resubmit the form at any time and the latest application before the deadline will be considered.
Please ensure you forward on all the required accompanying documentation to [email protected]