Application Form
ACADEMIC YEAR 2025 - 2026 (OCTOBER 2025 - SEPTEMBER 2026)
Please print this form and complete it by hand. Alternatively, open and complete the Word application form.
Family Name _______________________ Given Name ________________Middle Initial ____________
Passport number (or ID number if Israeli citizen) _____________________________________________
Rank _________________________ . If not Full Professor, Please specify ________________________
Present Place of Employment ___________________________________________________________
Address of Present Place of Employment __________________________________________________
Fax Number _________________________ E-mail Address __________________________________
Home Page ________________________________________________________________________
Citizenship: Israeli/non Israeli (erase and complete as relevant)__________________________________
Date and Place of Birth ________________________________________________________________
Marital Status ____________________ Number of Children (who will accompany you) ______________
Proposed Field of Research ____________________________________________________________
__________________________________________________________________________________
Approximate duration of proposed visit ____________ months from _____________ , ______________
months year
Have you in the past been awarded a Weizmann Visiting Professorship? __________. If yes - Please specify:
Name of Visiting Professorship ________________________________________ Period/s of the Visiting
Professorship _______________________________________________________________________
Signature ___________________________________ Date __________________________________
Please attach:
- your curriculum vitae
- a list of your publications
- a brief statement of your proposed research (1-2 pages)
- your photograph
- letter of invitation from your prospective host at the Weizmann Institute
Endorsement (by signature herein) of request by:
- Head of proposed hosting department: 1
- Dean of proposed hosting Faculty: 2
1,2 In place of a signature, you may attach an e-mail affirming endorsement of this application from the above-mentioned.
Please submit the completed application by e-mail to visiting.proposal@weizmann.ac.il
All Applications Must Be Received annually No Later Than December 31