Application form scientific research

This application form is open from 1 august until 15 october

Currently this application form is only available in English, we are working on a dutch translation. If you want, you can fill in the fields in Dutch.

Please select the funding source you wish to apply for(Required)

De Cock-Hadders Foundation funding for scientific research

Preferred language for correspondence(Required)

Nederlands

English

Name(Required)

Email address(Required)

Enter email address Confirm email address

P-number(Required)

Position (including source of funding)(Required)

Start date of PhD project(Required)

End date of PhD project(Required)

Research group

(Primary) department(Required)

Name of your department(Required)

Internal UMCG postcode(Required)

(Short) Title of the project(Required)

Overall objective of your PhD project(Required)

Overall description of the project including scientific background(Required)

Detailed work plan for the period for which financial assistance is requested(Required)

Location and availability of research facilities and other facilities(Required)

Main participants in the project

Mention also your supervisor(s) max 6.

Name, title and affiliation (department)(Required)

Task(s) in the project(Required)

Hours contribution per week(Required)

Supervisor - Name, title and affiliation (department)(Required)

Supervisor - Task(s) in the project(Required)

Supervisor - Hours contribution per week(Required)

Add extra participants

Name, title and affiliation (department) 3

Task(s) in the project 3

Hours contribution per week 3

Name, title and affiliation (department) 4

Task(s) in the project 4

Hours contribution per week 4

Name, title and affiliation (department) 5

Task(s) in the project 5

Hours contribution per week 5

Name, title and affiliation (department) 6

Task(s) in the project 6

Hours contribution per week 6

Name, title and affiliation (department) 7

Task(s) in the project 7

Hours contribution per week 7

Name, title and affiliation (department) 8

Task(s) in the project 8

Hours contribution per week 8

Name, title and affiliation (department) 9

Task(s) in the project 9

Hours contribution per week 9

Name, title and affiliation (department) 10

Task(s) in the project 10

Hours contribution per week 10

Budget

Overall budget for consumables, specified according to sources and years (calendar years, not academic years)

Item(Required)

Price(Required)

Detailed specification(Required)

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Price

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Detailed specification

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Detailed specification

Literature: recent publications from the applicant relevant for the present project (submitted, in press, published, conference presentations)(Required)

Background literature: relevant for the present application and not given in the previous box (max. 10*)(Required)

Existing international publications

Have you applied for a grant from the De Cock-Hadders Foundation in the last four years?(Required)

Title of the project(s) + year of application

If you have applied for more than 1 project, please fill in al the projects where you applied to. Each project on a new line.

Was it awarded?

Name applicant(Required)

Date(Required)

Applicant's signature(Required)

Drop files here or

Max. file size: 64 MB, Max. files: 1.

Name of supervisor(Required)

Date(Required)

Signature, preferably by a letter of approval(Required)

Drop files here or

Max. file size: 64 MB, Max. files: 1.

* As an alternative to an electronic signature from your supervisor, you can include a copy of a letter signed by your (primary) supervisor in which (s)he states that (s)he has read your application and has approved the content. Please upload the copy to the box above, before the Hora Finita statement.

Include a print screen or other copy of your Hora Finita Dashboard(Required)

Drop files here or

Max. file size: 64 MB, Max. files: 1.

Terms and conditions(Required)

I have completed this form truthfully and agree to the terms and conditions.

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Email

This field is for validation purposes and should be left unchanged.

This application form is open from 1 august until 15 october

Currently this application form is only available in English, we are working on a dutch translation. If you want, you can fill in the fields in Dutch.

Main participants in the project

Budget