PCGG - Application Form

PCGG Application Form

Please fill out the following form first. All items marked with an asterisk (*) need to be filled out. When you are done, click on the "Continue"-Button at the bottom of the page to get a summary of your application and the opportunity to select your CV and your list of publications for upload before finishing your application.

Personal Information

*First Name:

*Last Name:
(Surname, as it appears or would appear on publications)

Male Female

*Date of Birth:

Place of Birth:

*Nationality:

Marital Status:

Number of Children:

*Permanent Address:
(e.g. your parent's home)

Telephone:
Fax:

*Present Address:
(where you are now, please indicate dates of validity)

Same as above

Telephone:
Fax:

*E-mail Address:

Website:

Academic Information

*Current Position:	Permanent Non-Permanent

*Year of University Enrolment:
*Undergraduate Degree: (e.g. B.Sc. in Physics, Vordiplom Physik)
*Year of Completion of Undergraduate Degree:
*University and Country from which the Undergraduate Degree was obtained:
Information on your Ranking: (e.g. second best out of 30 undergraduates in that year)

*First Year of Graduate Studies:
*Graduate Degree: (e.g. M.Sc. in Chemistry, Diplom Chemie)
*Year of Completion of Graduate Degree:
*University and Country from which the Graduate Degree was obtained:
Information on your Ranking: (e.g. among the 10% best students that year)
*Title of your Masters/Diploma Thesis:
*Duration of your Thesis Work:	months
*Can you supply the thesis electronically?	Yes No

*Level of your English Language Skills:
*Did you take an English language test? Name:	If other, please specify:
*If you took an English language test, what is your score? (Note: we normally expect an IELTS score of 6.5 or higher in the academic module and a TOEFL score of 550 (213) in the paper (computer-based) test)

*Level of your German Language Skills:
*Did you take a German language test? Name:	If other, please specify:
If you took a German language test, what is your score?
*Are you interested in learning/improving your German skills during your stay?	Yes No

Other Language Abilities? Please indicate your level.

List of Previous Scholarships, Awards: (Please include time)

What do you Want?

References

List of 2-3 Scientists with full postal and e-mail Address who have agreed to send a Letter of Recommendation:

*Scientist No. 1 Name:
*Scientist No. 1 e-mail Address:
*Scientist No. 1 postal Address:

*Scientist No. 2 Name:
*Scientist No. 2 e-mail Address:
*Scientist No. 2 postal Address:

Scientist No. 3 Name:
Scientist No. 3 e-mail Address:
Scientist No. 3 postal Address:

Comments and Questions

Please give us any extra information which is not covered by this questionnaire, or ask us any question which is not answered on this web site (make sure you have checked the FAQ and other pages before you do so):
How did you learn about this scholarship opportunity?