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Apply for a Coordination Trip

Privacy policy: We only store the data required for this specific purpose (application), and only for as long as it is needed. We do not disclose any of this data to other parties than members of this project.

Please note that you need to contact the SWINDON/exceed coordinator of your geographical region before applying here. For contact details, please have a look here.

All fields have to be filled in & all files have to be attached!

Measure (register for) : Coordination Trip - Sub-Sahara Africa 2017
Home Institute/Department *
:
Home University *
:
Academic Degree achieved (full member only) *
:
Gender * : f m 
Family Name *
:
First Name *
:
Date of Birth *
:
Home Country *
:
Nationality *
:
Subject Area (e.g. environ. engineering) *
:
Host University (complete name) *
:
Host Country *
:
Host Professor / Colleague *
:
Stay from *
:
Stay till *
:
Married ? * : Yes No 
Children ? * : Yes No 
e-mail *
:
Short Comment ? (if not, write "no") *
:
Visa needed ? * : Yes No 
If you have a credit card look whether it is valid * : Yes, it is valid 
Travel Health Insurance ? (If not, make sure) * : Yes No 
Phone or Mobile *
:
Nearest Airport ? * :
Statement for coordination trip (pursued goal)
:

Please make sure the document is named as follows: FAMILYNAME_givenname_cv (e.g.: SMITH_John_statement_applicant.pdf) .pdf, .docx| max. 2MB
Statement of inviting institution /colleague)
:

Please make sure the document is named as follows: FAMILYNAME_givenname_abstract (e.g.: SMITH_John_statement_invitation.pdf) .pdf, .docx | max. 2MB
ToC *
:

.docx, .jp(e)g or .pdf | max. 1MB

I confirm that I contacted the EXCEED-SWINDON coordinator of my geographical region.

I confirm that I uploaded all required documents. I´m aware of the facts that only complete applications will be processed.

I accept that my sent in files are stored on the EXCEED-SWINDON webpage's password secured member area to be viewed online by the deciding members of the Management Board and to be used for statistical purposes.