Application for a Safe Haven Fellowship

Personal information
Name as in passport*
First Last
Preferred name
If different from your name in passport
First Last
Gender*
- Male
- Female
- Other
- Rather not say
Date of birth*
Day
Month
Year
Nationality*
Other nationality/nationalities
Home address*
Home postal code*
Home city*
Country*
Phone*
Private email address*
Work email address*

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

Work and career
I am:*
- employed at a university/research institute
- not employed at a university/research institute (e.g. independent researcher)
University/Institute Affiliation*
Faculty/Department*
Present position*
Discipline*
University address*
University postal code*
University city*
University country*
Type of employment contract*
- Tenured
- Temporary
- Other (i.e. zero-hours contract)
Duration
Masters degree(s)*
Discipline Where obtained
Ph.D. degree(s)
Discipline Where obtained Date (month, year)
Link to your personal website

Project proposal
Title of your project*
Upload Project Description; Motivation and C.V.*
Drop files here or

Accepted file types: pdf, doc, docx, Max. file size: 10 MB, Max. files: 3.
Project proposal: a project description of max. 1000 words, including: a) a clear (research) topic and (research) question; b) relevance of the (research) project: academic, societal, cultural or artistic relevance; c) identification of the problems involved and methodology; d) feasibility of the time schedule; e) intended (research) output; f) added value/necessity of the NIAS environment for the fellow (max. 150 words); CV (max 2 pages).

I agree that NIAS-KNAW uses my application data for procedures pertaining the fellowship application*
- Yes
My academic work meets research integrity standards*
- Yes
NIAS is committed to the ethical aspects of research and follows the Netherlands Code of Conduct for Research Integrity, which can be read here: https://nias.knaw.nl/code-of-conduct-for-research-integrity/
I have completed this application truthfully*
- Yes
How did you learn about this Fellowship?
(e.g. word-of-mouth, social media, email, grant office, etc)
Email
This field is for validation purposes and should be left unchanged.

Questions

Discipline	Where obtained

Discipline	Where obtained	Date (month, year)