Junior Research Retreats Application Use this form to submit your application. By submitting the application you agree to the Global Math Exchange Program conditions. Last name, first name Name of the organizer that serves as the main contact person Your E-mail address Are you a BIGS Mathematics graduate students in good standing? By answering Yes, you are confirming that you are a graduate student member of BIGS Mathematics who fulfills all of the obligations that put you in good standing (i.e. you have a supervisor and a mentor etc.) yes no Name of your host institution Name of your host Begin of research visit Fill in the date on which you intend to begin your research visit at the host institution. End of research visit Fill in the date on which you intend to return from your research stay at the host institution. Justification for your research visit Explain briefly how the proposed research visit at the host institution will benefit your dissertation work and your further academic goals. Expected travel costs List here all the projected re-imbursable travel costs for your trip with the expected amount (example: economy class return flights to/from Boston 1100 Euros) . Make sure that you understand the funding conditions and limits of the program. Name of your supervisor at the University of Bonn Supporting statement from supervisor You need to submit a supporting statement from your supervisor confirming that they are in agreement with your research visit plans and that the proposed research visit benefits your dissertation and your academic development. You can upload such a supporting statement as a PDF here. Hosting agreement You need to submit a hosting agreement with your application that confirms that your host will provide you with the necessary working space and agrees to serve as your mentor suring your research visit at the host institution. Please upload the hosting agreement as a PDF here.