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*
- De Cock-Hadders Foundation funding for scientific research
- Winston Bakker Fund for scientific research
Preferred language for correspondence*
- Nederlands
- English
Name*
Name Surname
Email address*
Enter email address Confirm email address
P-number*
Position (including source of funding)*
Start date of PhD project*
MM slash DD slash YYYY
End date of PhD project*
MM slash DD slash YYYY
Research group
(Primary) department*
Name of your department*
Internal UMCG postcode*
(Short) Title of the project*

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Budget
Overall budget for consumables, specified according to sources and years (calendar years, not academic years)
Item*
Price*
Detailed specification*
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Price
Detailed specification
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Price
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Price
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Price
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Price
Detailed specification
Item
Price
Detailed specification

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Literature: recent publications from the applicant relevant for the present project (submitted, in press, published, conference presentations)*
Background literature: relevant for the present application and not given in the previous box (max. 10*)*
Have you applied for a grant from the De Cock-Hadders Foundation in the last four years?*
Title project + year of application
Was it awarded?

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Name applicant*
Applicant's signature*
Max. file size: 64 MB.
Date*
MM slash DD slash YYYY
Name of supervisor*
Signature, preferably by a letter of approval*
Max. file size: 64 MB.
Date*
MM slash DD slash YYYY
*o 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*
Max. file size: 64 MB.

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Terms and conditions*
I have completed this form truthfully and agree to the terms and conditions.
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This application form is open from 1 august until 15 october