IUBMB Relocation Support for Displaced Trainees - Application Form

See the list of Life Scientists by EMBO, #ScienceForUkraine, Global Research Groups Supporting Ukrainian Scientists offering to host Ukrainian researchers in their labs.

Applicant Details

Title

First Name *

Middle Name

Last Name *

Pronouns (optional)

Email Address *

Are you a Resident of a Country that is a Member of IUBMB? *YesNoTHIS IS A REQUIREMENT

If yes, please provide details

Member Certificate or Letter upload *

No file chosen

Please upload a certificate or confirmation letter of membership in your local Biochemistry and Molecular Biology society or a sponsorship letter from the host institution.

Reason for Relocation *

Current Position *

Current Supervisor Name & Title *

Email Address of Current Supervisor *

Institute Name *

Department Name

Room Number

Street Address *

City *

State/Province *

ZIP / Postal Code *

Country

Phone *

Briefly describe your current project *

Host Details

Is your Host a Resident of a Country that is a Member of IUBMB? *YesNoTHIS IS A REQUIREMENT

If yes, please provide details

Name of Host Receiving Institute *

Name and Title of Host Supervisor at Receiving Institute *

Email Address of Host Supervisor *

Receiving Institute Address *

City *

State/Province *

ZIP / Postal Code *

Country

Briefly describe your project in the host laboratory *

Financial Support Requested

Total Financial Support Requested in US dollars (max support USD $2,000)

USD

Eligible costs are $500 (no receipts are required)

Provide Travel Details *

Planned Start Date *

Year

Month

Day

Planned End Date

Year

Month

Day

Supporting Documents

Curriculum Vitae of Applicant *

No file chosen

Acceptance Letter from Host Lab *

No file chosen

A letter of acceptance from the Head of the receiving institute countersigned by the leader of the group in which the applicant will work, stating that the institute will receive the applicant and indicating what funds and resources will be available to support the trainee.

Signature *

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