Santorio Global Fellowship

SANTORIO GLOBAL FELLOWSHIP

Application Form
- Full Name
  
  First NameLast Name
- Mobile Number
  
  Country CodePhone Number
- E-mail
  example@example.com
- Nationality
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Current affiliation (if any)
- Academic position
  
  Other
- Are you the recipient of any CSMBR grants or awards?
- Where will your research be based?
- Who sponsors this application?
- Title of the proposal
- Key words (max. 5)
- Start date
  
  MonthDayYear
  Date
- End date
  
  MonthDayYear
  Date
- Short proposal (max. 150 words)
- Cover Letter (Pdf. Max 1000 words)
  
  The Cover Letter should state your motivation in applying for this grant and how it will advance your research.
  Cancelof
- Main Proposal (Max 2,000 words)
  
  The main proposal should capture the essence of the proposed research and its relevance. Consider providing the text with headings to further clarity.
  Cancelof
- Costs Outline
  
  Cancelof
- CV (Pdf. max. 5 pages)
  
  Cancelof
- The Centre for the Study of Medicine and the Body in the Renaissance (CSMBR) Pisa, collects information from members, participants to its events and other individuals for exclusive academic and adminitrative purposes.
  
  Collected data will be safely stored in the CSMBR repository and may be used to contact individuals about scientific events and other activities organised by the CSMBR and its partner institutions. The CSMBR will not allow the collected data to be used for any market analysis or survey.
- Would you receive updates about the CSMBR events and grants?
- By ticking the box below, you authorise the CSMBR to collect and store your data for the above-mentioned purposes
- Should be Empty: