DIRECTORATE GENERAL XII
SCIENCE, RESEARCH AND DEVELOPMENT / JOINT RESEARCH CENTRE
Direction B: R&TD: Cooperation with non member countries and international organizations
Unit XII-B-1: European Economic Area, COST, EUREKA, International Organizations
draft: January 1996
Information Guide for the implementation of the scheme
for Short-Term Scientific Missions in the COST framework
* * *
EVALUATION FORM for
APPLICATIONS for SHORT-TERM SCIENTIFIC MISSIONS
* Please indicate one of the following : (NA = not applicable, 1 = poor, 2 = average, 3 = good). The subdivisions of the criteria only indicate examples of the factors to be considered and do not require an individual evaluation. If your recommendation is "modify" then please explain how.
(Revised January 1996)
A P P L I C A T I O N ? F O R M
For the attention of the chairperson of the Management Committee COST Action ______ :
Please complete using a typewriter or in BLOCK CAPITALS
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1. Description of candidate
1.1. I apply for the period from _____________ to ______________
1.2. COST Action and title:
1.3. Academic qualifications (Title, Degrees) :
1.4. Nationality :
1.5. Date of birth :
1.6. Present employer (if different from organisation above) :
2. Detailed Work Plan (to be attached)
3. Detailed estimation of the funding requested (to be attached)
Details of bank account :
5. I enclose the "Acceptance by the host institution" of the work plan duly signed.
I would be pleased to provide further information if requested to do so.
I, the undersigned, declare that the information provided above and enclosed is, to the best of my knowledge, accurate and complete.
: ....................... Signature : ..................................
Acceptance by the Host Institution
This declaration is to be completed by the head of the host research group and returned to the grant applicant.
Please complete using a typewriter or in block capitals
Last updated 20/11/1999