application form draft - aquacosm · 2017. 8. 10. · when you click on 'submit...

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Citizenship: Birth year: AQUACOSM Transnational Access in 2018 TA-Application Form 1. Please indicate if you are applying as: Group Leader, or Individual 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

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Page 1: Application Form draft - Aquacosm · 2017. 8. 10. · When you click on 'Submit Application', the form will use your email client to forward the completed form to us for review. Alternatively

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

Page 2: Application Form draft - Aquacosm · 2017. 8. 10. · When you click on 'Submit Application', the form will use your email client to forward the completed form to us for review. Alternatively

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

Page 3: Application Form draft - Aquacosm · 2017. 8. 10. · When you click on 'Submit Application', the form will use your email client to forward the completed form to us for review. Alternatively

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

Page 4: Application Form draft - Aquacosm · 2017. 8. 10. · When you click on 'Submit Application', the form will use your email client to forward the completed form to us for review. Alternatively

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).

Page 5: Application Form draft - Aquacosm · 2017. 8. 10. · When you click on 'Submit Application', the form will use your email client to forward the completed form to us for review. Alternatively

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:

Page 6: Application Form draft - Aquacosm · 2017. 8. 10. · When you click on 'Submit Application', the form will use your email client to forward the completed form to us for review. Alternatively

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]