Application for funds for participation in a subject – specific course abroad for academic staff

Requirement:

Currently employed by Vetmeduni Vienna

Before habilitation

If applicable, no longer than 9 years after graduation (doctoral degree)

The minimum length of stay is 5 days

Personal information:

Last name: Click and enter data	Title:

First name: Click and enter data

Date of birth:
Date format dd.mm.yyyy

Gender: female male

Nationality: Click and enter data

Email-address: Click and enter registration number@vetmeduni.ac.at

Information on the employment status:

Department / Organisational unit: Click and enter data

Phone number at Vetmeduni Vienna:

Status:
If status „Other“, then please specify:

Date of the graduation (if relevant):
Date format dd.mm.yyyy

Have You received funding for participation in a subject – specific course abroad by the IRO in the current calendar year?

yes no

Information on courses / professional training:

Description of the organizer/host: Click and enter data

Institute / clinic (if relevant): Click and enter data

City: Click and enter data	Country: Click and enter data

Length of the course/training: from	until
Date format dd.mm.yyyy	Date format dd.mm.yyyy

Title of the program: Click and enter data

Date and signature:

Date:
Applicant’s signature

Endorsement of the superior:

Recommended: yes no	Superior’s signature

Please hand in the completed form with application documents at the IRO / Dr. Ursula Schober.

Will be filed in by the IRO:

Description of the course or training, resp. available

Official acceptance of course participation available

Copy of the granted leave of absence: available

If necessary, copy of the PhD certificate: available

Specification of costs: available

Decision about funding through VRFI:

Yes, the maximum amount of € 800,00 (depends on clearance)

No, requirements are not met

No, because there are no funds left in the current year.

Date:	VRFI’s signature