EMBO Short Term Fellowships
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Application submission

Please read the conditions for short time fellowship applications along with the Guidelines and Help Notes on the EMBO webpage before completing this application.


Please note that you can make amendments to your application within 2 weeks of registering.

   
Short Term Fellowship Application
 
NAME AND ADDRESS OF APPLICANT:

Please note that firstname, surname, email-address and confirm email-address has to be filled in first time in order to submit the application form!

Surname*:  
Firstname*:  
Correspondence Address:  
     
Nationality:
  NOTE: In the case of non-European applicants, a letter from the receiving institute in Europe explaining how the scientific programme of the receiving institute would benefit from the award of a fellowship
Email address*:  
Email address confirm*:  
Telephone Number:   Fax Number:  
Date of birth (dd.mm.yyyy): Marital status:  
Age of children      
     
     
NAMES AND ADDRESSES OF REFEREES:

Please add names, addresses and emails of two persons (not from the receiving institute) from whom confidential scientific letter of reference will be requested. Please add this information as soon as possible! - even if you have not completed the rest of your application.

Please download the Confidential Letter of Reference Form and send it to both your referees. These forms filled in and signed are to be sent to the EMBO Fellowship Office by e-mail (fellowships@embo.org) or by post (EMBO, Meyerhofstr. 1, 69117 Heidelberg, Germany).

 

     
Name: Full Postal Address:  
Telephone Number:
Fax Number:
Email address:
Country:  
     
Name: Full Postal Address:  
Telephone Number:
Fax Number:
Email address:
Country:  
           
NAME AND ADDRESS OF RECEIVING INSTITUTE:

Please add the name and address of  the receiving institute. Please add this information as soon as possible - even if you have not completed the rest of your application.

Please download the Acceptance Form and send it to the receiving institute. This form filled in and signed is to be sent to the EMBO Fellowship Office by e-mail (fellowships@embo.org) or by post (EMBO, Meyerhofstr. 1, 69117 Heidelberg, Germany).

           
Name of host supervisor: Full postal address of the host institute:  
Telephone Number:
Fax Number:
Email address:
Country: City  
           
JUSTIFICATION OF THE CHOICE OF THE RECEIVING INSTITUTE:  
   
 
PROPOSED RESEARCH:
           
TITLE OF THE PROPOSED RESEARCH:
     
           
AREA OF RESEARCH:      
           
SUMMARY OF THE PROPOSED RESEARCH:
Please provide a 200-word summary of the proposed activity  
   
           
BIOLOGICAL SIGNIFICANCE OF THE PROPOSED RESEARCH:
Please provide a 200-word summary of the proposed activity  
   
           
           
           
PROPOSED WORK AT THE RECEIVING INSTITUTE:
Please provide synopsis of proposed activity at the receiving institute, all references to publications given in full (written by the applicant and not longer than about 1500 words, not counting references)  
   
           
KEYWORDS:  
Please provide 5 key words related to the proposed research:  
       
   
           
PLACE OF DEPARTURE:
Add points of return and normal place of work, if different.
   
       
INTENDED STARTING DATE:  
   
       
PROPOSED DURATION OF FELLOWSHIP - NUMBER OF DAYS (7-90 days):  
   
       
Do you intend to return to your home laboratory after the fellowship? Yes No    
       
If yes, for how long?    
       
RETURN TRAVEL ESTIMATE      
Please provide an APEX travel cost estimate in Euro for a return trip (to and from host institute):
     
       
       
CAREER PLAN AFTER THE FELLOWSHIP:      
           
     
       
PRESENT POSITION:  
   
NAME AND ADDRESS OF INSTITUTION:  
   
     
City:  
     
Country:  
     
     
SYNOPSIS OF CURRENT WORK:    
Please add a description of your current work ( max 1500 words):    
   
     
SCIENTIFIC CV:  
       
Academic Research Training:  
       
Please list, in reverse chronological order, your academic research training and positions held, since (and including) your PhD research. Please state the duration, kind of training or position, the research topic, the supervisor, and the institute, if applicable.  
   
       
EDUCATION:  
       
Please list, in reverse chronological order, your education and training prior to your PhD work, starting from the beginning of your university (or equivalent) studies. Please state the duration, the university, major subjects, and the degrees obtained, if applicable. Do not list the stages of your pre-university education. You may, however, include here any professional, non-academic positions held in the past, as well as any relevant fellowships and awards you have previously received  
   
       
     
PhD AND POST-DOC INFORMATIONS (NOT MANDATORY):    

PhD OR EQUIVALENT AWARD:

 
Country:    
Date:  
       
LABORATORIES IN WHICH CANDIDATE HAS WORKED SINCE RECEIVING PhD OR EQUIVALENT
Please list with dates (month/year):  
   
     
PUBLICATIONS:  
       
List of (co-) authored, peer-reviewed publications (excluding review articles or manuscripts submitted or in preparation), in reverse chronological order. Please indicate by an asterisk the three most important publications in your list. In the case of shared first authorship, please keep the order of authors as they appear on the original publication  
   
       
       
OTHER GRANTS:  

Please list other grants, awards, contributions, or fellowships towards either travel or subsistence expenses of proposed visit you are receiving or applying for:

 
   
           
Have you previously applied for EMBO funding? Yes No    
       
If yes, give application number:    
       
Have you recently interrupted your career due to child care? Yes No    
       
If yes, please state the duration and dates:    
   
       
       
List of previously held fellowships from EMBO or other organizations with dates (month/year):  
   
       
Please tick when application is complete.  
  When an application is marked completed, you can not modify the application anymore.  
       
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