Application Form for Scholarship

Application for Scholarship
Personal Data
Title: Ms Mr
Name:
First Name:
Street:
ZIP code, City:
Telephone No.:
E-Mail:
Date of Birth:
Student ID Number:
Bank Account:
Studies
University:
Department:
Professor:
Degree pursued:
Number of Semesters:
(as in transcript of records)
Diplom Bachelor Master
Type of Scholarship
(please tick)
New Application
Extension
My application contains the following documents (please tick)
Completed Application Form
Information on Current Course of Studies
Curriculum Vitae
Transcript of Records (Copy)
Diploma (s)
Letter of Reference / Recommendation by Professor
Internship (s)
Documents showing Financial Need
(BaföG-Grant, Parents‘ Tax Assessment etc.)
Documents Showing Social Commitment
Other Financial Suppport Received
Misc.
Talanx-Stiftung c/o Stifterverband für die Deutsche Wissenschaft Page 1
Barkhovenallee 1, 45239 Essen, Germany, www.talanx-stiftung.de

Application for Scholarship
Applicant’s name and first name:
I agree that personal data concerning my scholarship will be exchanged among the administrating
institutions (University, Stifterverband für die Deutsche Wissenschaft, financial institution).
Applicant’s signature:
Date:
Decision
Highly Eligible for Funding
Eligible for Funding
Not Eligible
Reasons:
Date: Name: Signature:
Talanx-Stiftung c/o Stifterverband für die Deutsche Wissenschaft Page 2
Barkhovenallee 1, 45239 Essen, Germany, www.talanx-stiftung.de