Apply for a Summer Stay

I would like to apply for a....*
- Individual Summer Stay
- Team Summer Stay
- Group Summer Stay
First choice: Period you are applying for*
- Monday 14 July - Sunday 3 August
- Monday 14 July - Sunday 27 July
- Monday 21 July - Sunday 3 August
Second choice: Period you are applying for
- Monday 14 July - Sunday 3 August
- Monday 14 July - Sunday 27 July
- Monday 21 July - Sunday 3 August
Fellow Year*
Your team member/group members (3-5)
Name Affiliation Fellow Year

Click the plus button on the right to add more rows (max 5)

Personal Information
Your name*
First Middle Last
Date of Birth*
Day
Month
Year
Nationality*
Other nationality/nationalities
Home address*
Home postal code*
Home: city*
Home: country*
Phone*
Email address*

You will receive the acknowledgement of receipt on this email address. Make sure this field is filled out correctly.

Project Proposal
Title of the (research) project*
Research question*
Description of the (research) project*
Including reference to the intended research output
Added value of working at NIAS Amsterdam*

I have completed this application truthfully*
- Yes
I agree that NIAS-KNAW and the NFA use my data for the selection procedure*
- Yes
If possible, I would like to bring my partner/family
- No
- Yes, my partner
- Yes, my child(ren)
Comments
This field is for validation purposes and should be left unchanged.

Personal Information

Name	Affiliation	Fellow Year