| 1. | Personal details |
| 1.1 | First name, last name and title(s) |
| 1.2 | Gender |
| 1.3 | Nationality |
| 1.4 | Age, date and place of birth |
| 1.5 | Private address and telephone |
| 1.6 | Work address, telephone, telefax |
| 1.7 | E-mail(s) for contact |
| 1.8 | Position at work |
| 2. | Scientific education |
| 2.1 | University entrance qualification or high school-leaving exam certificate (e.g. Abitur, A-Levels, Baccalaureat) including date, place, marks (i.e. the certificate which allows you to study at a university) |
| 2.2 | University studies (dates, universities, subjects, practical training, holiday courses, etc.) |
| 2.3 | Intermediate and final examinations (dates, universities, marks) |
| 2.4 | Diploma or equivalent thesis (project title, institute, supervisor, dates) |
| 2.5 | PhD thesis (project title, institute, supervisor, dates) |
| 3. | Non-scientific activities |
| 3.1 | Military or community service, maternity or paternity leaves (dates) |
| 3.2 | Vocational (i.e. professional) training (dates, description) |
| 3.3 | Employment (dates, description) |
| 4. | Current research project |
| 4.1 | Title of research project currently pursued at home institution |
| 4.2 | Location of current research project (university, institute, supervisor) |
| 4.3 | Beginning of current research project (date) |
| 5. | Planned training or course |
| 5.1 | Title of planned training or course |
| 5.2 | Location of planned training or course (full name and address of university, institute, and supervisor) |
| 5.3 | Beginning and duration of training or course |
| 6. | Financial circumstances |
| 6.1 | Calculation of expenses for travel, lodging, and/or course fees |
| 6.2 | Applications submitted to other funding institutions |
| 6.3 | Income of applicant (net per month, duration) |
| 7. | Source |
| Where did you first find out about the Boehringer Ingelheim Fonds (e.g. personal recommendation of supervisor or B.I.F. fellow; internet, article in journals, meetings, fellowship reference books, other sources) | |
| 8. | Information on projects or courses |
| 8.1 | Title and summary of current research project including references (length: about 2 pages) |
| 8.2 | Title of planned training and outline of your experiments in the host laboratory (about 2 pages), aim of the training and reasons for wishing to work with this particular group; alternatively: title of course and statement of its impact on your future scientific career |
| 8.3 | Statement in which you describe the connection with your current research project |
| 8.4 | List of your publications (if available) |
| 9. | Additional documents to accompany your application |
| 9.1 | Letter of recommendation from the supervisor of your current research project including a statement that your salary will be continued during the envisaged training |
| 9.2 | Letter of acceptance from the supervisor of the host laboratory stating that the host institute will cover the research-related costs; alternatively: letter of acceptance from the organizers of the scientific course including details of tuition fees and other costs |
| 9.3 | Estimate of expenses for travel issued by a travel agent and/or internet agency |
| 9.4 | University entrance qualification or high school-leaving exam certificate (photocopy/Xerox) |
| 9.5 | Certificates of all examinations (e.g. Diploma, BSc, MSc). |
 |
| From Jena to Kentucky I am very glad to have been given that unique opportunity! In the host laboratory, I was expected to plan my experiments, to come up with and consider hypotheses and to research information by myself. I thus learned a lot more than laboratory techniques. I also expanded my personal skills - and the experience of living in another country and working in an international, intercultural team was very important to me. I would not have liked to miss it! Anne Jansen |