Application form for academy conference grant fund

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APPLICATION FORM FOR CONFERENCE GRANT FUND / Who can apply?
Researchers affiliated with research organisations in the Netherlands
What can you apply for?
You can apply for a grant of up to € 8500. See the standard amounts in the Guidelines.
What are the deadlines?
-  1 May (for conferences taking place after 1 August)
-  1 November (for conferences taking place after 1 February of the subsequent year)
The Conference Grants Fund assists the organisers of international scientific conferences in the Netherlands.
Please read the Guidelines before submitting an application. See: knaw.nl/conference-grants-fund
  1. APPLICANT information

Title, initials, last name
Mr/Ms
Organisation
Correspondence address
Postcode / Place
Telephone no.
E-mail address
Account number (IBAN): / Private bank account number prohibited
Name of account holder
Address and place of residence of account holder
Reference
  1. CONFERENCE INFORMATION

Title
Starting date / Finishing date
Number of days
Location
Discipline or disciplines involved
Number of participants expected
Grant amount requested
  1. CONFERENCE SUBJECT AND PROGRAMME

1.  / What is the scientific purpose of the conference and why is it of international importance? What is the main scientific question being addressed at the conference? (max. 100 words)
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2.  / What are the anticipated results of the conference? (max. 100 words)
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3.  / What does the scientific programme consist of? Please provide the titles (provisional if necessary) of lectures (session themes).
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4.  / List the names (with job title and affiliation) of the organisers and how they are involved in the conference. (approx. 100 words)
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5.  / Which speakers (with job title and affiliation) have been invited? Indicate which ones have accepted.
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6.  / Provide short CVs for the three most important speakers (including their three most important publications of the past three years).
7.  / What is the composition of the participant target group? The majority should be post-doctoral researchers.
8.  / How is the conference being publicised internationally? (max. 100 words)
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  1. BUDGET

Total outgoing / €
Breakdown:
-  Cost of conference centre / €
-  Cost of professional conference agency / €
-  Speakers’ expenses, per day / €
-  Travel and overnight accommodation for speakers / €
-  Other costs / €
Total incoming / €
Breakdown:
-  Academy grant (max. € 8500) / €
-  Total funding from other sources / €
-  Participants’ registration fees / €
-  Other revenue / €
9.  / Indicate whether and, if so, from which organisations you have requested funding/sponsorship (give the name of the organisation, the amount, and whether or not it has been awarded).
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10.  / If your budget exceeds €170,000, you must explain the Academy’s explicit involvement in the conference. There is limited funding available for such conferences. (max. 100 words)
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  1. SIGNATURE OF APPLICANT

Add your electronic signature (JPG or GIF file)
Signature / Date
HOW DID YOU HEAR ABOUT THE CONFERENCE GRANt FUND?
An e-mail from the Academy
On the Academy’s website
From a colleague
Other, namely:
HOW TO APPLY
Complete and e-mail this form to
Questions
If you have any questions, please contact Rachel Basaur at or +31 20 5510804