Application for funds for research activities abroad for staff members

Requirements:

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 data@vetmeduni.ac.at

Information on the employment status:

Department / organisational unit: Click and enter data

Phone number at Vetmeduni Vienna:

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

Date of the promotion (if applicable):
Date format dd.mm.yyyy

Have You received funding for research activities abroad for staff members by the IRO in the current calendar year?

Yes No

Information on the research activity:

Name of the host institution: Click and enter data

Institute / clinic: Click and enter data

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

Sojourn: from	until
Date format dd.mm.yyyy	Date format dd.mm.yyyy

Working title of the research project: Click and enter data

Co-operation partner: Click and enter data

Date and signature:

Date:	Applicant’s signature

Endorsement of the supervisor:

Recommended: yes no	Supervisor’s signature

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

Will be filled in by IRO:

Letter of motivation (approx. 1-2 A4 pages), including a description of the proposed research project: available

Invitation from the host organisation (Original correspondence with time specifications) available

Copy of the granted leave of absence (Freistellung): available

Copy of the doctoral certificate (Promotionsurkunde) where applicable: available

Specification of costs: available

Decision about funding through VRFI:

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

No, because requirements are not met

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

Date:	VRFI’s signature