Application Form Research Proposal Scholarship

Personal Information
Name
First Name
Gender
female male non-binary/other/prefer not to disclose

Date of birth
Nationality(ies) (multiple answers possible)

Contact Details
E-Mail address
Phone number

Private postal address

Street & House number
Post code & City
Country

I am currently employed at the JGU or the University Medical Center Mainz.

Yes
No

If yes, please indicate department / faculty / school or academy / chair / working group / organizational unit
and professional contact details:
Information on your degree
(If you have more than one degree, please indicate the one with which you wish to apply for admission
to doctoral studies.)

Type of degree, e.g. Master of Arts, Master of Education, Master of Science, German State
Examination, Magister artium

Major subject

if applicable, 2nd Major subject/Minor subject(s)

The degree qualifying for doctoral studies was/is obtained at...

Johannes Gutenberg University Mainz (JGU).
another university/college in Germany:
a university/college abroad:
,
country:

The degree diploma qualifying for a doctorate has already been obtained.
Yes
No

If you have a degree:

Date of completion (Date of the last exam)

For foreign degrees:

The recognition of the foreign degree by the JGU...
has been applied for.
has not been applied for yet.

Degree is not available yet:

I have already submitted my thesis on .
I will probably submit the thesis on .
(Note: Applications are only possible if the thesis is submitted by the end of the respective application
period at the latest. Otherwise, we ask you to apply one of the following application deadlines.)

There is no final thesis in my study programme.

In addition to the thesis, I must complete other examinations in order to graduate (please
explain in the covering letter or on a separate sheet).
If you have any reasons that have delayed the pursuit of your doctoral studies after graduation (e.g. disability, illness,
parental or care leave, participation in student bodies, refugee status or flight from war or violence), please state these
in your covering letter.

Information about the planned doctorate

Faculty, academy or school in which you would like to do the doctorate:
Faculty 01: Catholic Theology and Protestant Theology
Faculty 02: Social Sciences, Media, and Sports
Faculty 03: Law, Management and Economics
Faculty 04: University Medicine
Faculty 05: Philosophy and Philology
Faculty 06: Translation Studies, Linguistics, and Cultural Studies
Faculty 07: History and Cultural Studies
Faculty 08: Physics, Mathematics, and Computer Science
Faculty 09: Chemistry, Pharmaceutical Sciences, Geography, and Geosciences
Faculty 10: Biology
Mainz School of Music
Mainz Academy of Fine Arts

I am in an aptitude assessment process at JGU (fast-track procedure) in accordance with the

applicable doctoral regulations.
Yes
No

Subject in which you would like to do the doctorate (in accordance with the applicable doctoral
regulations):

Topic of the dissertation/preliminary working title

Have you already been accepted as a doctoral student by a faculty of the Johannes Gutenberg
University or another university?
Yes
No
If yes, please indicate university, faculty/department and date of acceptance:

Are you planning a joint doctorate with another university?

No
Don't know yet
Yes, with a university of applied sciences.
Yes, with a foreign university (co-tutelle doctorate)
Other

Mentor at JGU

(Note: In order to apply, you must have a commitment of supervision from a mentor at JGU. The mentor must be entitled
to supervise in the chosen subject.)

Language skills
Language skills in English
No knowledge of English
Basic knowledge (A1-A2 according to the CEFR)
Good knowledge (B1-B2 according to the CEFR)
Very good knowledge (C1-C2 according to the CEFR)
Knowledge at first language level (e.g. native speaker or having completed your secondary
education in an English-speaking country)

Language skills in German

No knowledge of German
Basic knowledge (A1-A2 according to the CEFR)
Good knowledge (B1-B2 according to the CEFR)
Very good knowledge (C1-C2 according to the CEFR)
Knowledge at first language level (e.g. native speaker or having completed your secondary
education in an German-speaking country)

Further information about the Common European Framework of Reference (CEFR)

Other language skills (please indicate languages and if possible the respective level of competence)

Data protection*
I hereby consent to the collection, storage and use of my personal data by the Gutenberg Graduate
School of the Humanities and Social Sciences. No data will be passed on to third persons or institutions. This
agreement may be revoked at any time. I have read the declaration on data protection.

Place, Date:

Signature: ___________________________________________________________________________