Candidature for a Tournesol grant- page1of9

Candidature for a Tournesol grant
Fonds Wetenschappelijk Onderzoek – Vlaanderen
Research Foundation – Flanders
Egmontstraat 5 - B-1000 BRUSSEL
Phone: +32 2 512 91 10- Fax: +32 2 512 58 90
E-mail:
Website: / FWO_TOURNESOL_20170315
To be filled in by the
investigating department
received date
number / file

What is this form?

Visit grants in the frame of the existing exchange agreement TOURNESOLas published on the FWO website can be applied for with this form.

How to submit this form?

This form has to be submitted to the FWO, at thee-mail address on top of this document. Whenever you submit a new application, please update your personal details in the e-portal, especially your bibliography.

When to submit this form?

The form has to be submitted by 30 June 2017.

How does the FWO handle the data in this form?

The FWO uses your information only for processing your candidature. The data will be handled confidentially and won’t be disclosed to third parties.
As soon as the FWO has processed your application, you will receive a notification message.

Details of the Flemish research unit

Detailsof the principal investigator
1 /

Enter your personal details.

first and surname
legal domicile address
private phone
department address
position
work phone
e-mail address
birthplace
date of birth / day / month / year
nationality / gender /

☐

/ m /

☐

/ f
civil status
2 / List your three most important scientific publications which are relevant for this exchange program.
Your detailed publication list with full bibliographical references should be completed and updated in the FWO e-portal.
Details of the Flemish team
3 /

Enter the details of researchers involved in the proposal.

first and surname / institution / division or department

Details of the foreign research unit

Details of the principal investigator
4 / Enter the name and address of the foreign host institution within which the applicant(s) intends to exercise his or her activities.
name of the institution
address of the institution
5 / Enter the name and address of the person for whom the applicant will be working and from whom authorization was received.
first and surname
legal domicile address
private phone
department address
position
work phone
e-mail address
birthplace
date of birth / day / month / year
nationality / gender /

☐

/ m /

☐

/ f
civil status
6 / List his/her three most important scientific publicationswhich are relevant for this exchange program.
Thedetailed publication list with full bibliographical references should be completed and updated in the FWO e-portal.
Details of the foreign team
7 /

Enter the details of people involved in the proposal.

first and surname / institution / division or department

Details of the proposed research

8 / Enter the title of the project.
9 / Duration of project.
beginning / day / month / year
end / day / month / year
10 / Fill in the specific scientific field of research in which you areengaged.
Select at least one, and maximally three codes of the list of disciplines, that is available at
discipline 1
discipline 2
discipline 3
11 / Provide additional keywords if necessary.
12 / Provide an abstract of the proposed project.
Use up to 240 words.
13 / Give a detailed description of the proposed project.
Your presentation should not exceed three pages.
14 / Provide a schematic work plan of the proposed project including the different work packages linked to the requested exchanges.
This work plan should not exceed one page.
15 / Collaboration and scientific context of the research groups
Please indicate the complementarity or synergy of the research teams (including past co-operation). What is the added value of the proposed collaboration (e.g. expertise, equipment, etc.).
Your presentation should not exceed one page.
16 / Fill in the financial resources for this project from other sources of funding
Mention funding from all origins, including the industrial sector.

Details of the stay(s)

From Flanders to France
17 /

FWO covers the travel and accommodation costs for the Flemish researcher(s) travelling to France (up to max. €2.000/project/year).

Enter the details of the stays for the first year of the project.

first and surname / academic degree
+ current position / number of stays / duration / cost
18 /

Enter the details of the stays for the second year of the project.

first and surname / academic degree
+ current position / number of stays / duration / cost
From France to Flanders
19 /

The Embassy of France in Belgium covers the travel and accommodation costs for the French researcher(s) travelling to Flanders (up to max. € 2.000/project/year).

Enter the details of the stays for the first year of the project.

first and surname / academic degree
+ current position / number of stays / duration / cost
20 /

Enter the details of the stays for the second year of the project.

first and surname / academic degree
+ current position / number of stays / duration / cost
Overview
21 /

Overview of the budget

years / FWO / Embassy of France / total
travel cost / accommodation cost / travel cost / accommodation cost
year 1
year 2
total
Employment details of Flemish person(s) performing the exchange
Person 1
22 /

Enter the current position.

first and surname
institution
department
academic degree
date of PhD (if applicable)
position
position since / day / month / year
23 / Will (s)he be occupying the same post after his/her termof residence?

☐

/

yes

☐

/

no

24 / Will his/her present salary or fellowship continue during his/her stay abroad?

☐

/

yes

☐

/

no

25 / State details of the credits or fellowships allocated for the term of residence concerned.
Fill in the source, specify if it is national or international, etcetera.
26 / Enter any previous employment.
27 / List his/her three most important scientific publications which are relevant for this exchange program.
Thedetailed publication list with full bibliographical references should be completed and updated in the FWO e-portal.
Person 2
28 /

Enter the current position.

first and surname
institution
department
academic degree
date of PhD (if applicable)
position
position since / day / month / year
29 / Will (s)he be occupying the same post after his/her termof residence?

☐

/

yes

☐

/

no

30 / Will his/her present salary or fellowship continue during his/her stay abroad?

☐

/

yes

☐

/

no

31 / State details of the credits or fellowships allocated for the term of residence concerned.
Fill in the source, specify if it is national or international, etcetera.
32 / Enter any previous employment.
33 / List his/her three most important scientific publications which are relevant for this exchange program.
Thedetailed publication list with full bibliographical references should be completed and updated in the FWO e-portal.
Person 3
34 /

Enter the current position.

first and surname
institution
department
academic degree
date of PhD (if applicable)
position
position since / day / month / year
35 / Will (s)he be occupying the same post after his/her termof residence?

☐

/

yes

☐

/

no

36 / Will his/her present salary or fellowship continue during his/her stay abroad?

☐

/

yes

☐

/

no

37 / State details of the credits or fellowships allocated for the term of residence concerned.
Fill in the source, specify if it is national or international, etcetera.
38 / Enter any previous employment.
39 / List his/her three most important scientific publications which are relevant for this exchange program.
Thedetailed publication list with full bibliographical references should be completed and updated in the FWO e-portal.

Mandatory attachments

40 / Enclose the following documents with this form and tick them in the tick list.

☐

/

an authorization from the person of the foreign host institution for whom you will be working