Justification for the Organization of a Scientific Workshop in Belgium - Page1of5

Justification for the organization of a scientific workshop in Belgium - page1of5

Justification for the organization of a scientific workshop in Belgium in the frame of the exchange program with TÜBITAK /
Fonds Wetenschappelijk Onderzoek – Vlaanderen
Research Foundation - Flanders
Egmontstraat 5 - B-1000 BRUSSEL
Phone: 02 512 91 10- Fax: 02 512 58 90
E-mail:
Website: / FWO_VS_K7_20140402
To be filled in by the
investigating department
received date
number / file

What is this form?

With this form you can indicate all details concerning thegrant to support the organization of a scientific workshop,allocated in the frame of the exchange program between FWO and TÜBITAK.

How to submit this form?

This form has to be submittedto the FWOby e-mailthree months before the workshop takes place, usingthe address mentioned above.

How does the FWO handle the data in this form?

The FWO uses your information only for processing your candidature. The data will be handled confidentially and won’t be disclosed to third parties.
As soon as the FWO has processed your application, you will receive a notification message.

Details of the approved project

Specify the title of the approved project
Mention the application number of the approved project

Details of the principal investigator

Enter the details of the principal investigator of the project.

first and surname
legal domicile address
private phone
department address
work phone
e-mail address
birthplace
date of birth / day / month / year
nationality / gender / / m / / f
civil status

Enter the current function of the principal investigator of the project.

institution
division or department
position

Workshop details

Specify the title of the workshop
Specify the Dutch translation of the title of the workshop
Specify the theme of the workshop
Specify the objective of the workshop
Specify the scientific importance (justify the organization of this workshop in max 1 page)
Is there an open call for presentations? /
Is the workshop open to all interested scientists? /
Motivate your answer to the two previous questions.
Will the proceedings be published? /
Specify the format in which the proceedings will be published.

When will the workshop be held?

beginning / day / month / year
end / day / month / year

Where will the workshop be held?

Scientific and organizing committee

Specify the keynote speakers
First name / Surname / Current occupation / Institution
Scientific committee
Give the composition of the scientific committee. Among the Belgian members, at least two tenured academic staff members affiliated to at least one institution other than the host institution of the Principal Investigator, should be involved.
First name / Surname / Current occupation / Institution
Organizing committee
Give the composition of the committee. Among the Belgian members, at least two tenured academic staff members affiliated to at least one institution other than the host institution of the Principal Investigator, should be involved.
First name / Surname / Current occupation / Institution

Revenues

How many participants are expected?
Specify the revenues from proceedings.
Specify the revenues from advertising.
Are there any other revenues?
Is there a registration fee? /
If so, how much is the registration fee?
If not, motivate why you are not asking for any registration fee?
Do you have any remarks or extra information regarding the revenues? (Optional)
Organisatonal costs
Secretarial costs
Printing costs
Other costs
/

Expenses

Specify the organisational costs.
Specify the secretarial costs.
Specify the printing costs.
Specify any other costs. (Optional)
Do you have any remarks or extra information regarding the costs? (Optional).
Specify any foreign speakers. (optional)
First and surname / Nationality / Travel / Accommodation / Fee

Funding

What amount do you request from FWO?
Which host institution is managing the funds?
What amount do you request from the Flemish Community?
What amount do you request from the ministery?
What amount do you request from the host university?
What amount do you request from F.R.S. -FNRS?
Do you have any remarks or extra information regarding the funding? (Optional)

Mandatory attachments

Enclose the following document(s) with this form:

Programme of the workshop