Ph.D. Prog. Human and Machine Intelligence

	Application Questionnaire for Doctoral Scholarships
	Graduate Programme "Human and Machine Intelligence"

If you intend to apply for a doctoral scholarship there are two ways to download and fill in this questionnaire:

Copy this web page to a local directory, fill in the empty fields or put a cross beside the relevant information and then print the completed questionnaire.
The second way is to print the web page as is and fill in the questionnaire by hand or with a typewriter.

The documents required for the application are listed in the last section of this page.

Personal Details
Christian name, Surname
(acad.) Title (when applicable)
Date and Place of Birth
Marital Status
Nationality
Home Address
Home Telephone
If currently active in a profession: Professional Position
Work Address
Work Telephone
FAX
e-mail

Education
School Education: Date, School, Place
University Education: Subjects, Places of Study, Duration
University Examinations: A. Intermediate Examination: Subjects, Grades, Date, Examiners
University Examinations: B. Final Examination: Subjects, Grades, Date, Examiners
Thesis Presented for Examination: Title, Grade, Supervisor
Scientific Activities: during Studies
Scientific Activities: after completion of Studies
Has your education or work already been financially supported by the state, a foundation or a similar institution?
no	yes, by

I herewith apply for admission to the Graduate Programme "Human and Machine Intelligence" (please mark with a cross where applicable)
	with a Doctoral scholarship Amount of Scholarship (monthly): Basic DM 1.800,- Materials Expenses DM 200,- Family Supplement Dm 300,- (married and/or for at least one child) An additional child care supplement of between DM 300,- and DM 500,- can be paid on application with the necessary proof.
	without Scholarship (financed through a research position, for example))
Have you made an application for financial support for this project or similar projects from another source?
no	yes, from

Included with this Application:

Curriculum Vitae in tabular form
a short description of interests and previous work in the subject area of the Graduate Programme
where applicable, a list of previous scientific publications
a copy of the thesis presented for examination and copies of leaving certificate (Diplom/degree) and intermediate certificate
the names of two referees (university lecturers prepared to write a reference when requested)

Statement:

I hereby ensure the correctness of the information given here and in the attached documents. On admission into the Graduate Programme I will undertake,

to participate in the study programme regularly and to the extent expected
to keep my supervisors informed of my work in progress at regular intervals and to present the results to the research colloquium
to dedicate my work capacity wholly to my research project and not to entertain any secondary job which would not be in accordance with my financial support
to inform the spokesman on taking up a permitted secondary job and of any interruptions due to sickness or other reasons.

Place, Date

Signature

Application Questionnaire for Doctoral Scholarships

Application Questionnaire for
Doctoral Scholarships