Scholar-in-Residence Application Form 

Duration for_____ months
Do you have a PhD degree? Yes____ No____
Have you applied to this scholarship program before? Yes____ Year_______ No____
Personal Details
Family Name	First Name	Title	
			
Date of Birth	Place and Country of Birth	Nationality	
			
Preferred Email Address	Second Email Address	Telephone Mobil Nr.	

Current Institutional Affiliation (Address)	
Preferred Mailing Address:	

How did you come to know about the Scholar-in-Residence Program?
	
Did employees of the DM give you assistance in preparing the research project? If so, please specify who advised you:	

Qualification
Highest qualification	Field of Study	Year	University	

Other Degrees	Field of Studys	Years 	Universitys	

				

Project Information
Title of the Research Project:	
	
Short Project Summery (approx. 200 words):	
	
The two confidential references will be sent by the following people:	

The application is only complete with the following documents:

Filled out form
Two confidential references 
Current CV
Project description (3-5 pages)

Please send the application to:  a.walther@deutsches-museum.de