Visitor programme application form

Applicant (PI) details

First name *

Last name *

University / Institution *

Email *

Role *

Visitor's details

First name

Last name

University / Institution *

Role *

PIs in the other sites included in the tour (add as many as needed) *

Proposed visit plan and justification of the funding requested *

In kind contribution from hosts’ institution *

Track record of the visitor

Fit of the visitor’s profile with the CCP5 remit and benefits to the CCP5 community *

Are you a member of CCP5? * YesNo

If you are a CCP5 member, since when?

Gender

Ethnic background

Your research area Research area[]Soft Matter (including polymers, liquid crystal, surfactants, liquids but excluding biophysics)Solid stateBiophysics (including protein, lipids)Molecular DynamicsRare eventsMonte Carlo methodsQuantum Mechanics methodsMesoscopic methods (including coarse-graining, DPD and LB)Continuum modellingMultiscale modellingNumerical modellingTheory (including SAFT, EoS)Machine LearningOther

If you answered Other above