TEST PAGE ETpathfinder visiting scientist programmeFirst name Last name Email Phone number Current institution Current position/title Academic informationHighest degree obtained PhDOther doctorateIndustry qualificationYear degree awarded Years of research experience Google Scholar / ORCID profile URL Proposed visitProposed start date Proposed end date Duration in weeks ETpathfinder host/sponsor name Has your host/sponsor confirmed this visit? YesNoResearch planPrimary research objectives (max 300 words) Your relevant expertise and what you bring to ETPathfinder (max 200 words) How does your proposed research align with ETPathfinder's core research areas (quantum noise reduction, cryogenic systems, seismic isolation, ultra-stable optics)? (max 250 words) Expected outcomes and deliverables (max 200 words) Practical informationNationality Andorra, Principality ofUnited Arab EmiratesAfghanistan, Islamic Republic ofAntigua and BarbudaAnguillaAlbania, Republic ofArmenia, Republic ofNetherlands AntillesAngola, Republic ofAntarctica (the territory South of 60 deg S)Argentina, Argentine RepublicAmerican SamoaAustria, Republic ofAustralia, Commonwealth ofArubaÅland IslandsAzerbaijan, Republic ofBosnia and HerzegovinaBarbadosBangladesh, People Republic ofBelgium, Kingdom ofBurkina FasoBulgaria, Republic ofBahrain, Kingdom ofBurundi, Republic ofBenin, Republic ofSaint BarthelemyBermudaBrunei DarussalamBolivia, Republic ofBonaire, Sint Eustatius and SabaBrazil, Federative Republic ofBahamas, Commonwealth of theBhutan, Kingdom ofBouvet Island (Bouvetoya)Botswana, Republic ofBelarus, Republic ofBelizeCanadaCocos (Keeling) IslandsCongo, Democratic Republic of theCentral African RepublicCongo, Republic of theSwitzerland, Swiss ConfederationIvory Coast, Republic ofCook IslandsChile, Republic ofCameroon, Republic ofChina, People Republic ofColombia, Republic ofCosta Rica, Republic ofCuba, Republic ofCape Verde, Republic ofCuraçaoChristmas IslandCyprus, Republic ofCzech RepublicGermany, Federal Republic ofDjibouti, Republic ofDenmark, Kingdom ofDominica, Commonwealth ofDominican RepublicAlgeriaEcuador, Republic ofEstonia, Republic ofEgypt, Arab Republic ofWestern SaharaEritrea, State ofSpain, Kingdom ofEthiopia, Federal Democratic Republic ofFinland, Republic ofFiji, Republic of the Fiji IslandsFalkland Islands (Malvinas)Micronesia, Federated States ofFaroe IslandsFrance, French RepublicGabon, Gabonese RepublicUnited Kingdom of Great Britain & Northern IrelandGrenadaGeorgiaFrench GuianaGuernsey, Bailiwick ofGhana, Republic ofGibraltarGreenlandGambia, Republic of theGuinea, Republic ofGuadeloupeEquatorial Guinea, Republic ofGreece, Hellenic RepublicSouth Georgia and the South Sandwich IslandsGuatemala, Republic ofGuamGuinea-Bissau, Republic ofGuyana, Co-operative Republic ofHong Kong, Special Administrative Region of ChinaHeard Island and McDonald IslandsHonduras, Republic ofCroatia, Republic ofHaiti, Republic ofHungary, Republic ofIndonesia, Republic ofIrelandIsrael, State ofIsle of ManIndia, Republic ofBritish Indian Ocean Territory (Chagos Archipelago)Iraq, Republic ofIran, Islamic Republic ofIceland, Republic ofItaly, Italian RepublicJersey, Bailiwick ofJamaicaJordan, Hashemite Kingdom ofJapanKenya, Republic ofKyrgyz RepublicCambodia, Kingdom ofKiribati, Republic ofComoros, Union of theSaint Kitts and Nevis, Federation ofKorea, Democratic Peoples Republic ofKorea, Republic ofKuwait, State ofCayman IslandsKazakhstan, Republic ofLao, People Democratic RepublicLebanon, Lebanese RepublicSaint LuciaLiechtenstein, Principality ofSri Lanka, Democratic Socialist Republic ofLiberia, Republic ofLesotho, Kingdom ofLithuania, Republic ofLuxembourg, Grand Duchy ofLatvia, Republic ofLibyan Arab JamahiriyaMorocco, Kingdom ofMonaco, Principality ofMoldova, Republic ofMontenegro, Republic ofSaint MartinMadagascar, Republic ofMarshall Islands, Republic of theMacedonia, The Former Yugoslav Republic ofMali, Republic ofMyanmar, Union ofMongoliaMacao, Special Administrative Region of ChinaNorthern Mariana Islands, Commonwealth of theMartiniqueMauritania, Islamic Republic ofMontserratMalta, Republic ofMauritius, Republic ofMaldives, Republic ofMalawi, Republic ofMexico, United Mexican StatesMalaysiaMozambique, Republic ofNamibia, Republic ofNew CaledoniaNiger, Republic ofNorfolk IslandNigeria, Federal Republic ofNicaragua, Republic ofNetherlands, Kingdom of theNorway, Kingdom ofNepal, State ofNauru, Republic ofNiueNew ZealandOman, Sultanate ofPanama, Republic ofPeru, Republic ofFrench PolynesiaPapua New Guinea, Independent State ofPhilippines, Republic of thePakistan, Islamic Republic ofPoland, Republic ofSaint Pierre and MiquelonPitcairn IslandsPuerto Rico, Commonwealth ofPalestinian Territory, OccupiedPortugal, Portuguese RepublicPalau, Republic ofParaguay, Republic ofQatar, State ofReunionRomaniaSerbia, Republic ofRussian FederationRwanda, Republic ofSaudi Arabia, Kingdom ofSolomon IslandsSeychelles, Republic ofSudan, Republic ofSweden, Kingdom ofSingapore, Republic ofSaint HelenaSlovenia, Republic ofSvalbard & Jan Mayen IslandsSlovakia (Slovak Republic)Sierra Leone, Republic ofSan Marino, Republic ofSenegal, Republic ofSomalia, Somali RepublicSuriname, Republic ofSouth SudanSao Tome and Principe, Democratic Republic ofEl Salvador, Republic ofSint Maarten (Netherlands)Syrian Arab RepublicSwaziland, Kingdom ofTurks and Caicos IslandsChad, Republic ofFrench Southern TerritoriesTogo, Togolese RepublicThailand, Kingdom ofTajikistan, Republic ofTokelauTimor-Leste, Democratic Republic ofTurkmenistanTunisia, Tunisian RepublicTonga, Kingdom ofTurkey, Republic ofTrinidad and Tobago, Republic ofTuvaluTaiwanTanzania, United Republic ofUkraineUganda, Republic ofUnited States Minor Outlying IslandsUnited States of AmericaUruguay, Eastern Republic ofUzbekistan, Republic ofHoly See (Vatican City State)Saint Vincent and the GrenadinesVenezuela, Bolivarian Republic ofBritish Virgin IslandsUnited States Virgin IslandsVietnam, Socialist Republic ofVanuatu, Republic ofWallis and FutunaSamoa, Independent State ofUnited Nations Neutral ZoneIraq-Saudi Arabia Neutral ZoneSpratly IslandsDisputed TerritoryYemenMayotteSouth Africa, Republic ofZambia, Republic ofZimbabwe, Republic ofWill you require a visa for the Netherlands? YesNoNot sureDo you have health insurance coverage for the visit duration? YesNoFinancial supportEstimated costs Additional informationAdditional comments or information Required documentsUpload CV (pdf)