Bavaria´s Programme for the Promotion of Equal Opportunities
for Women in Research and Teaching 2017

APPLICATION FOR FUNDING

1 Application for a
Scholarship for doctoral students in the final phase of doctoral research (up to 3 months)
Scholarship after receiving doctoral degree (up to 6 months)
Scholarship for those pursuing a Habilitation (mentorship registered) (up to 6 months)
Scholarship after finishing one’s Habilitation or equivalent qualification (up to 6 months)
Scholarship to support returning to work after a period of parental leave (up to 6 months)
period of funding: from _____________ to _____________ = __ months

2 Applicant

Faculty: _____________________ Chair: _________________________

Surname: _______________________ First name: ___________________________
Academic title: _______________________ Nationality: ___________________________
Date of birth: _______________________ Place of birth: ___________________________
Street: _______________________ Postcode: ___________________________
City: _______________________ Marital status: ___________________________
Tel. Uni: _______________________ Tel. private: ___________________________
Email-address Uni: ____________________________________________________________
Email-address private: ____________________________________________________________
Children (if yes, please specify names and dates of births and enclose birth certificate(s)):
_______________________________________________________________________________
_______________________________________________________________________________

3 Current financing or last financing

Financed by: from…to

Page 1 of 5 
 
  
   

 
 
4 Academic Career
4.1 Degree

Course of study:

University:

Qualification /Grade:

4.2 Doctorate

Subject:

Topic:

University:

Start/
(planned) Finish:
Grade:

4.3 Post-doctoral lecture qualification

Subject:

Topic:

University:

Start/
(planned) Finish:

4.4 Further academic activities (e.g. post-doc.)

Institution/University/ Topic Start/

Subject (planned) FInish

Page 2 of 5 
 
  
   

 
 
5 Interruption of the academic career
Occupation/Parenting/Care of relatives, … from…to

6 Planned academic activities during the funding period

Subject:

Topic:

Start/
(planned) Finish:
Connection to / Supervised
by(Name, chair/
organization):

7 Funding
Will you pursue paid work during the funding period?

□ Yes, from________________________ to ________________________

Type of activity: _____________________________________________________________
Number of hours: _____________________________________________________________
Please enclose a copy of employment contract/income statement.

□ No

Have you already been sponsored by this program?

□ Yes, from ________________________ to ________________________

□ No

Have you applied for any other scholarship during this period?

□ Yes, Institution: ________________________ from _____________to ______________

□ No

Page 3 of 5 
 
  
   

 
 
8 Bank account
Account holder:
Account number:
Sort code:
IBAN:
BIC:
Name of bank:

9 Declaration by the applicant

I assure the accuracy of my statements and I agree to notify of any change to the information
provided in this application without delay.

In the case of award of such scholarship, I agree to notify the university if I carry out a paid activity.

The scholarship ends not later than the end of the funding period. Within the funding period, the
scholarship ends at the end of the month of the submission of the academic work. I undertake to
notify the submission of the work promptly.

I assure to submit not later than two months after the end of funding
 a one-page final report as well as
 the evaluation form of the scholarship
to the Equal Opportunities Department.
I present the proof of submission of the dissertation and/or communication of the date of the viva
voce or defense immediately. For a doctoral scholarship, I submit a copy of the doctorate certificate
at a later date. Should the dissertation not be submitted as planned at the end of the funding, I
undertake to submit reasons as well as to present the intended progress of the work.

_______________________________ _______________________________________
Place, Date Signature of the applicant

Please submit the application with the relevant documentation to the respective faculty
women’s representative by 1st April 2017

If you have any questions, please seek advice in the Equal Opportunities Department
(Stabsabteilung Chancengleichheit).

_______________________________ _______________________________________
Submission date Signature of the faculty women’s representative

Page 4 of 5 
 
  
   

 
 
The following documentation is attached to this application:

□ One page motivation statement

□ CV
□ Copies of recent university reports
□ Opinion of the supervisor for the project
□ brief description of the project / scientific project (max. 1 page): subject and bjective ,
accurate program of content and timings (including funding period )
□ If applicable, evidence of registration of mentorship (post-doctoral lecture
qualification)
□ If applicable, copy of employment contract/ proof of income
□ If applicable, copy of birth certificate(s) of the child/children
□ If applicable, copy of passport / residence status

Please submit the application in duplicate to

your respective faculty women’s representative. Thank you.

Page 5 of 5