Application Form

BioImaging-GR

NEW MEMBER APPLICATION FORM

Note: all fields marked with (*) are required

PERSONAL DETAILS

First Name (*)

Last name (*)

E-mail (*)

Confirm E-mail (*)

Institution (*)

Department

PROJECT DETAILS

Research project Title (*)

Are you representing a private company or industry user? (*)

If yes, you can write the words 'industry user' in the fields where you do not wish to disclose details

Name of your principal investigator(PI) or supervisor (*)

Email address of the principal investigator or supervisor (*)

Please provide a short CV (*)

Scientific background of the project (*)

Description of the work proposed to be conducted at the BioImaging-GR facility (*)

Expected results (*)

Importance of the project for your overall research (*)

Are there biological hazards associated with the project? (*)

Has your project already undergone an external review, e.g. as part of a funding proposal? (*)

If yes, please provide details like funder, grant number, and outcome of the evaluation. This might allow us to skip scientific evaluation within BioImaging-GR

List of additional resources that may be required at the facility

select multiple if needed

Expertise level in using the selected technology (-ies) (*)

Have you already communicated with the selected Node(s) (*)

External reviewers you would like to exclude

Additional comments or remarks

APPLICATION Privacy Issues

Processing of your personal data is carried out exclusively by Bioimaging-GR for the needs and purposes of the Bioimaging-GR and they will be kept in a password-protected database.

I accept (*)

I accept