Application for NorFA research training course

Mottagit: / Prog: / Ref.nr.:

1 Last name

/ First name / Sex / Title/position
MaleFemale
University / Academic degree
Department/institution / Telephone (work) / Mobile
Department/institution address / Telefax (work)
Postal code / City / Country / E-mail
2 Title of the project/activity (max 50 characters)

3 Date of single course (dd.mm.yyyy):

/

4 Subject area (See page 5)

From: To:

5 Meeting venue

/ Country

6 Estimated number of participants

/ DK / FI / IS / NO / SE / EE / LV / LT / RU / Other inside the EU* / Other outside the EU* / Total / Men / Women
Research students
Other participants
Teachers
Other countries
7 Summary. Give a short description of the course´s targets and aims (max. 200 words). NorFA reserves the right to use parts of or the text in full for information purposes.
8 Amount requested from NorFA
NOK
The department has accepted to administer the grant according to NorFA’s rules and conditions
The information about the persons and groups participating in the application is correct.
NorFA may request confirmation (Letters of Intent) from the group leaders or network members.
9 Contact persons
(Title, name, university) A short presentation of each contact person must be enclosed (See page 4)
DK / Title / Name / University (or equivalent)
FI / Title / Name / University (or equivalent)
IS / Title / Name / University (or equivalent)
NO / Title / Name / University (or equivalent)
SE / Title / Name / University (or equivalent)
EE / Title / Name / University (or equivalent)
LT / Title / Name / University (or equivalent)
LV / Title / Name / University (or equivalent)
RU / Title / Name / University (or equivalent)

10 Course organisers

(Title, name, university etc) A short presentation of each contact person shall be enclosed (See page 4)
Title / Name / University
Title / Name / University
Title / Name / University
Title / Name / University
Title / Name / University
Title / Name / University
Title / Name / University
Title / Name / University
Title / Name / University
Title / Name / University

11 Other sources of funding

Source / Amount applied for (NOK) / Received (NOK) / Reply pending (dd.mm.yyyy)

12 Budget

/
NorFAs anteckningar
EXPENSES
a) Refundable from NorFA
Travel expenses / NOK
+ Living expenses (room and board) / NOK
+ Honoraria / NOK
+ Administration / NOK
+ Course material / NOK
+ Other / NOK
b) Not refundable from NorFA
Overhead / NOK
+ Other / NOK
NOK
NOK
= TOTAL EXPENSES / NOK
INCOME
+ Requested from NorFA / NOK
+ Other financial souces / NOK
+ Other income / NOK
+ Own resources / NOK
= TOTAL INCOME / NOK

13 The following appendices must be enclosed and numbered

/ Tick the enclosed appendices
1. / A five page (maximum) description of the proposed activity, including:
a) / The current status of research training in the relevant subject area in the Nordic countries. (Adjacent countries when applicable)
b) / The scientific content of the course.
c) / The significance of the course for Nordic research training, with particular attention to potential benefits for the Nordic region.
(The significance for research training in the adjacent areas when relevant.)
d) / How is equal participation and equality of women and men taken into consideration?
2. / The applicant’s CV (Maximum two pages)
3. / A list of the applicant´s publications (Maximum 20 titles)
4. / Profiles of the contact persons (max. one page per person) Use appendix 4.
5. / Profiles of course organisers, if other than above (maximum one page per person) Use appendix 4.
6. / Profiles of lecturers (maximum one page per person) Use appendix 4.
7. / Detailed course programme
8. / Detailed budget
The application must reach NorFA no later than 16.00 pm on 2 May or the next working day if 2 May is a Sunday or public holiday. (See NorFA´s guidelines for applicants)
E-mail:
Address:
NorFA
Holbergs gate1
N-0166 Oslo
Norway

Appendix 4

Presentation of contact persons/course organisers/lecturers
Last name / First name / Sex / Title/position
University / Academic
Department/institution / Telephone (work)
Department/institution address / Telefax (work)
Postal code / City / Country / E-mail
Subject area
Brief presentation:
Subject area
Humanities
Language, Linguistics
History
Folklore, Ethnology
Music
History of Art, Architecture
Theology, Religion
Literature
Philosophy
Archeology
Film and Theatre
Culture
Other and combined subjects
Social Studies
Law
Economics
Economic Geography
Sociology
Political Science
Social Anthropology
Psychology
Pedagogy
Media and Communication
Other and combined subjects
Mathematics / Natural Science
Mathematics
Physics
Chemistry
Earth Sciences
Biology
Informatics
Other and combined subjects
Medical subjects
Medicine (Basic)
Paraclinical Sciences
Clinical Medicine
Clinical Odontology
Psychiatry
Social Medicine
Other and combined subjects
Technology
Mining, Ore and Oil Technology
Building and Construction
Electronic, Electric technologies
Machine Technology and Mechanics
Physical Technology
Shipping Technology
Materials Technology
Fishing and Fisheries Technology
Other related subjects
Agricultural Technology
Farming and horticulture
Forestry
Livestock
Alimentation