ORIGINS visitor application

Please fill in the following form to apply for funding for visitors.

Visitor applications will be evaluated in the Research Board Meeting following the submission.

In case of success of your proposal, please create a request ("Gastwissenschaftler") in the ordering system (ID number).

Are you applying for a short or long term visitor?
Please enter your email address to receive a copy of the submitted form
Name of proposer Name of proposer First Last
Name of ORIGINS Principal Investigator Name of ORIGINS Principal Investigator First Last
Research Unit(s) and/or Connector(s)

Research Unit(s) and/or Connector(s) RU-A (Particles & Forces) RU-B (Particles & Cosmos) RU-C (Large-Scale Structure) RU-D (Galaxies, Stars & Planets) RU-E (Towards Molecular Life) CN-1 (Correlators) CN-2 (Antimatter) CN-3 (Dark) CN-4 (Extreme) CN-5 (Accelerators) CN-6 (Chemo-Energetic Fingerprints) CN-7 (Dust) CN-8 (Geoastronomy) CN-9 (Habitats) CN-10 (Emergence)
Name of visitor Name of visitor Title First Last Suffix
Email of visitor
Visitor affiliation
Please add a short description of the planned scientific activities
Envisaged start of visit Envisaged start of visit / MM / DD YYYY
Envisaged end of visit Envisaged end of visit / MM / DD YYYY
Does the visitor receive funding from another guest program?
Contribution(s):
The talks or lectures should be coordinated with the Scientific Coordinator

Preliminary talk title
Preliminary title of second contribution (targeted at students)
Groups interested in the visit
(more than one group should be mentioned)
Where will the guest be located (Cluster building or at another institute)?
Total amount that should be provided by the ORIGINS Cluster (in Euros)
Costs that should be reimbursed

Costs that should be reimbursed travel costs accommodation per diem