FED-tWIN - 20xx Research profiles submission List of the full FED-tWIN profiles submitted by a FSI ranked in strategic order STEP 3 (Each profile jointly established by a federal scientific institute and a university) Submission to Belspo by the contact point of the FSI: deadline xx.xx.20xx Federal Scientific Institute (FSI) Global figures Potentially attributed number of FED-tWIN profiles in 20xx : Total - NL - FR Effective total number of submitted FED-tWIN profiles (= potentially attributed number + min. 3 / + max. 5) Distribution (NL/FR) of the effective submitted FED-tWIN profiles by community Compulsory - choose an item. automatically completed Compulsory - choose an item. NL FR Compulsory - choose an item. Compulsory - choose an item. List: please duplicate the box below according the number FED-tWIN profiles your institution is submitting Ranked in strategic order - Effective submitted number = the potentially attributed number + min. 3 / + max. 5 Full FED-tWIN Profile n°(1, 2 ,3, ... RANKED IN STRATEGIC ORDER) Code EoI (fixed by Belspo in STEP2) Compulsory - choose an item. Box reserved for Belspo Code Profile Compulsory - click and choose an item. 1. Recall of the ScD+RG (automatically completed) FSI automatically completed Scientific domain Scientific field of the research to be performed by the FED-tWIN researcher in a 10 years perspective automatically completed Scientific discipline 1 Scientific subdiscipline 1 automatically completed automatically completed Scientific discipline 2 (facultative: interdisciplinarity) Scientific subdiscipline 2 automatically completed automatically completed Key words automatically completed Research group FED-tWIN - Research profiles submission STEP3 - Document1 1 automatically completed 2. Recall of the EoI (automatically completed) University automatically completed Faculty automatically completed Research group/department automatically completed 3. Description of the full FED-tWIN profile 3.1 Acronym Compulsory - free text. Title Compulsory - free text. Summary (max. 300 words) Compulsory - free text. Key words (max. 6) Compulsory free text. 3.2 Promotors Facultative free text. Facultative free text. Facultative free text. Facultative free text. Name & first name Function E-mail Phone Facultative free text. in the FSI FSI - automatically completed Compulsory - free text. Compulsory - free text. Compulsory - free text. Compulsory - free text. in the University University - automatically completed Compulsory - free text. Compulsory - free text. Compulsory - free text. Compulsory - free text. 3.3 General purpose of the FED-tWIN profile (max. 5 000 words) Short & long term scientific objectives Compulsory - free text. Societal and public service relevance Compulsory - free text. Common challenges of the planned collaboration between the FSI and the University Compulsory - free text. 3.4 Expected contribution (added value and synergies) of the FED-tWIN researcher to the current & future activities in the scientific domain in the FSI (max. 500 words) Compulsory - free text. in the University (max. 500 words) Compulsory - free text. in both the FSI and university (max. 500 words) Compulsory - free text. 3.5 Past record & current activities of the FSI & the University in the scientific domain : scientific results, incl. main publications (max. 10) collaborations current research topics public service & museum projects in the FSI (max. 1 000 words) Compulsory - free text. in the University (max. 1 000 words) Compulsory - free text. FED-tWIN - Research profiles submission STEP3 - Document1 2 3.6 Existing collaboration between the FSI and the university Facultative - free text. (max. 500 words) 3.7 Proposed position to the FED-tWIN researcher in the FSI Compulsory - choose an item. in the university Compulsory - choose an item. 3.8 Required skills and competences of the FED-tWIN researcher PhD scientific discipline(s) Compulsory - free text. Specific expertise Facultative - free text. Experience(s) (possibly in number of years) Facultative - free text. More specific skill(s) Facultative - free text. 3.9 Concrete expected workplan for the 2 first years of the FED-tWIN researcher activity (max. 1 000 words) in the FSI and the university 3.10 Compulsory - free text. Potential non Belgian experts for the evaluation of the profile (min. 4 - max 6.) with a balanced representation of experts from the university/academic field and from museum/research institutions Name & first Nr Country Gender Institution E-mail Phone Web page name 1 2 3 4 5 6 3.11 Compulsory free text. Compulsory free text. Compulsory free text. Compulsory free text. Facultative - free text. 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Compulsory choose an item. Compulsory choose an item. Compulsory choose an item. Compulsory choose an item. Compulsory - free text. Compulsory - free text. Compulsory - free text. Compulsory - free text. Facultative - free text. Facultative - free text. Signatures FSI University Name & first name Date Promotor in the FSI Compulsory - free text. Compulsory - free text. Promotor in the University Compulsory - free text. Compulsory - free text. Rector Compulsory - free text. Compulsory - free text. Signature Signatures FED-tWIN - Research profiles submission STEP3 - Document1 3 FSI DG FED-tWIN - Research profiles submission STEP3 - Document1 Compulsory - free text. Compulsory - free text. 4
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