EACH - Excellence in Analytical Chemistry

Application form for visiting scholars

Personal information

Full name as in passport

Title

Personal identification / passport number

Date of birth

Citizenship

Home address

Country of tax residence

E-mail address

Bank account number

Bank name, bank address

IBAN

SWIFT

Academic degree(s) and position

Affiliation (Office address)

Affiliation type

Select one	University Research organisation Industry Non-research laboratory Other (please specify below)

Specification of "Other" affiliation type (if selected above)

Research interests (more details can be given in CV)

Teaching experience (more details can be given in CV)

Where would you like to teach? (select at least one)

University of Tartu (Estonia)

Uppsala University (Sweden)

University Claude Bernard Lyon 1 (France)

Åbo Akademi University (Finland)

EACH Winter school

Proposed teaching topic

Proposed time(s) of mobility

After pressing "Save" you will be asked to attach maximum two files (pdf, doc, docx) containing the following information (mandatory):

(1) CV

(2) Short description of the planned teaching

I wish to save the form and continue using the link that will be sent into email I give

Email address