Application Form

Application Form (Grow Your Idea - AUTUMN 2024)

(1) Personal Details

Personal Details

Family name / surname*

Given name(s) / first name*

Contact Details

Phone*

E-mail address*

I am a scientist at...

Geo.X partner institution*

(2) Scientific Topic

Scientific topic or research idea*

Short summary

Planned event format*

Round table discussion

Workshop

Scientific retreat

Others

If others

Envisaged time window*

Justification for requested funds*

Requested funds (total)*

Do you need organizational support from the Geo.X coordination team?

Yes

(3) Current Stage, Partners and Further Information

What is the current status of your group?*

New group

Existing group

If the group already exists

Existing / envisaged participants*

Further relevant information regarding your application

Did you consultat your Geo.X coordinator? (obligatory)*

Yes

How did you learn from this call?

Geo.X website

Mailing list

Geo.X coordination team

Newsletter

Colleague

Others

If others

(4) Declaration and Submit

Declaration*

I declare that the given information is true and that Geo.X is allowed to store the data for purposes of application/admission.

Data Protection*

I hereby agree that my personal data is collected, processed and used only for the purpose of processing my application to the Geo.X Head Office. A storage of personal data beyond the processing period takes place only to the extent necessary for accounting purposes. Data without allowing a direct reference to the person are used for statistical evaluation. The revocation is possible at any time with the Geo.X Head Office.
PRIVACY POLICY

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The Research Network for Geosciences in Berlin and Potsdam

Application Form