VISITOR FUNDING APPLICATION FORM

OZGRAV VISITOR FUNDING AWARD APPLICATION

Please fill out the below form (visitor or nominating CI). Before completing this form please note you will need to upload the following: 1) A copy of nominated visitor's CV 2) Written approval from the OzGrav Host Node Leader & Secondary Host Node Leader (if applicable). (Approval can be in the format of an email or signed letter).

Nominating CI Name

Prefix First Last

Primary OzGrav node host(Required)

NOMINATING CI FROM SECONDARY HOST, IF APPLICABLE

Prefix First Last

Visitor details: Name(Required)

Prefix First Last

Institutional Affiliation(Required)

Country(Required)

Phone number

Email(Required)

Start date of proposed visit(Required)

End date of visit(Required)

Visitor's contribution will be across the following themes(Required)

Instrumentation

Data

Astrophysics

Please advise what percentage the Applicant will contribute to Instrumentation, Data and Astrophysics(Required)

Are you intending to take part in any of the following. Please note that all activities mentioned below are strongly encouraged and will be taken into consideration when reviewing your application(Required)

Visit at least 2 other OzGrav nodes

Give seminars and/or public talks on OzGrav-related topics

participate in relevant ozgrav node and theme meetings and videocons

Proposed activities during visit, including contribution to OzGrav research, details of collaborators and any other activities (e.g. seminars, Public talks, Node visits ) (max 500 words): *(Required)

Proposed schedule during the visit(Required)

Brief summary about the visitor and the expected benefits to OzGrav (max 500 words): *(Required)

Funding from hosting OzGrav Node(s) or other sources *(Required)

Please indicate in the sections below the proposed $ AUD amount

Requested funding from OzGrav Central(Required)

Accommodation costs(Required)

Airfare costs(Required)

Transport costs (taxi, public transport etc) *(Required)

Other expenditure, please specify

Upload a copy of visitor's CV(Required)

Max. file size: 100 MB.

Please upload written approval from primary node leader (and secondary node leader if applicable) *(Required)

Max. file size: 100 MB.