Fellowship Application Form Final

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Fellowship Application Form

Personal Data

Family Name Given Name(s)

Academic Title

Date of Birth Gender

Nationality/ Nationalities

Address / Academic Position

E-Mail

Permanent
Mailing
Address

Current Academic Position

Current
Institution

Fellowship

Type of Fellowship Regular Fellowship Junior Fellowship

Program Brain & Mind Earth

Energy Society

Title of Fellowship Project

Preferred Fellowship period (month/year – month/year)

Have you applied to any other Institute for Advanced Study with this or a similar Fellowship Project?

No

Yes, and I confirm that I will inform the HWK in case the project gets funded by any other institution.

HWK Fellowship Application Form – Version Feb 2023 - page 1


Non-peer Abstract (max. 1500 characters incl. blanks) Character count:

Peer Abstract (max. 1500 characters incl. blanks) Character count:

HWK Fellowship Application Form – Version Feb 2023 - page 2


Regional Collaboration Partners (if applicable - please enclose support letter for infrastructure)

Title, Name,
Institution

Title, Name,
Institution

Letters of Reference (to be sent to the respective Head of Program directly by email)

Title, Name,
Institution, E-Mail

Title, Name,
Institution, E-Mail

Remarks

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How did you learn about the HWK Call for Applications?

HWK Website

Internet search

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Personal recommendation

My institution's research funding support

Other

Application Material to be submitted

With this Application Form I submit the documents as indicated in the Application Guidelines.

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1 Application Form incl. abstracts for non-peer and for peer audience

2 Cover letter to the Rector of the HWK (signed)

3 Project proposal incl. work schedule and references (max.ten pages)

4 Curriculum vitae

5 List of publications

6 Recent publication

7 If applicable: Letter confirming access to research infrastructure from


regional collaborators

8 Two reference letters to be sent to the responsible Head of Program

9 Junior Fellowships only: abstract of doctoral dissertation


(max. 1500 characters incl. blanks)

HWK Fellowship Application Form – Version Feb 2023 - page 4

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