Please note that the following questionnaire must be completed in full.

It will not be possible to save your answers and complete them later.

Any questionnaire that has not been validated cannot be evaluated.

  • Personal informations
    • Family Name
    • First name
    • Date of Birth
    • Address
    • Email
    • Phone number
    • Nationality
    • Family situation
  • University education
    • Name of the university
    • University address
    • Degree obtained
  • Professional situation
    • Title
    • Name and address of the structure
    • Speciality
    • Sub-specialty
    • Name of the reference contact in your current structure
    • Telephone number and email of the reference contact in your current structure
  • Regarding the project presented:
    • Abstract
    • Speciality
    • Sub-specialty
    • Project duration
    • Start date
    • End date
    • Family situation during training
    • Concerning a possible co-financing of your project:
      • If existing, by which entity and at what height

I have all the requested information

Apply