Application Hartweg-Fonds

Application Form

Area of Research *

Diagnostic Ragiology

Nuclear Medicine

Radio Oncology

Other

If other, please specify:

Planned project site / country *

Internal reference

Salutation *

Academic Title

Name *

First Name *

Position

Institute *

Division

Street *

Postbox

ZIP *

City *

Telephone Number *

E-mail *

* Mandatory field

including the following documents to research@samw.ch:

CV including a publication list (max. 3 pages)
Letter of motivation concerning the research period incl. brief description, start date and duration of the research period, address of the host institution, contact of the host institution (max. 2 pages)
Confirmation letter of the host institute
Letter of recommendation from two references
Summary of the research project (max. 1 page)
Research proposal or study protocol (max. 8 pages)

Application Form