Visitor Proposal Form - Higgs Centre for Theoretical Physics

About this proposal

I am proposing myself
Select this option if you are proposing yourself for a visit.

About the visitor

Visitor's name

Visitor's email address

Visitor's current institution

Visitor's current position

Visitor's CV

Max file size: 64 MB.

About the host(s)

Host's name (local point of contact)

Host's email address

Name(s) of any Higgs Centre member(s) involved

Name(s) of any Higgs Centre visitor(s) involved

About the visit

Type of visit proposed

Purpose of the visit

Outline the purpose of the visit and the potential outcomes.

Breakdown of estimated expenses

Please specify estimated expenses for travel and accommodation. Please also specify the nature of any other anticipated expenses.

Estimate of total costs directly associated with visit

Please enter the sum of all costs entered in the cost breakdown above.
A contribution of up to £100 per visit is normally made for Affiliates.
The Higgs Centre will usually cover all travel and accommodation costs for Associates/Distinguished Visitors (subject to the usual rules, i.e., economy class fares etc).

Approximate date

Indicate roughly the date(s) you would like.

Proposed duration

Outline how long you anticipate the visit to last.

References

Supporting statement

Provide a reference for the visitor explaining what they would bring to the Higgs Centre.

Email address of referee (if applicant is a PhD student)