Rheinische
Friedrich-WilhelmsUniversität Bonn
International Immunology Training Program Bonn (IITB)
APPLICATION FORM
Personal Data
Last name:
Given name:
Middle name:
Gender:
Date of birth (dd/mm/yy):
Place of birth:
Nationality:
Marital status:
Number of children:
E-mail address:
Current address
Street, No.:
City:
Postal ZIP code:
Country:
State:
Telephone:
Permanent address
Street, No.:
City:
Postal ZIP code:
Country:
State:
Telephone:
1
ImmunoSensation
the immune sensory system
Bonn cluster of excellence
Rheinische
Friedrich-WilhelmsUniversität Bonn
Academic education
Attended colleges or universities (current enrolment)
College/University:
City:
State/Country:
Attended from (dd/mm/yy):
Attended until (dd/mm/yy):
Degree awarded/expected:
Date awarded/expected:
Name and address of thesis supervisor:
Title of thesis:
Grade point average (GPA):
Out of:
Classification (e.g. first class with
honours, with distinction):
Major filed(s) of studies:
Short summary of your Master’s/Diploma thesis (max. 1000 characters incl. space):
2
ImmunoSensation
the immune sensory system
Bonn cluster of excellence
Rheinische
Friedrich-WilhelmsUniversität Bonn
Attended colleges or universities (earlier enrolment; if applicable)
College/University:
City:
State/Country:
Attended from (dd/mm/yy):
Attended until (dd/mm/yy):
Degree awarded/expected:
Date awarded/expected:
Name and address of thesis supervisor:
Title of thesis:
Grade point average (GPA):
Out of:
Classification (e.g. first class with
honours, with distinction):
Major filed(s) of studies:
3
ImmunoSensation
the immune sensory system
Bonn cluster of excellence
Rheinische
Friedrich-WilhelmsUniversität Bonn
Merits/Honours/Scholarships/Awards
Publications (peer viewed journals, book chapter, talk or poster presentations on
conferences)
Former higher/secondary education institutions attended
Institution:
Attended from (mm/yy):
Attended until (mm/yy):
Final grade:
Date awarded/expected:
Degree:
Additional expertise
Related work experience (max.250 characters incl. spaces). If relevant, please list your
methodological background, laboratory techniques, computational skills...)
Language competence
English language test type (e.g. TOEFL, etc.):
Date:
Score:
German language test type:
Date:
Score:
4
ImmunoSensation
the immune sensory system
Bonn cluster of excellence
Rheinische
Friedrich-WilhelmsUniversität Bonn
Have you been studying abroad? (when? where? what?)
Research preferences
Please rank three research groups, which are listed on our web page (“Graduate
Program -> Application & Requirements”) according to your research interests.
Top priority:
First alternative:
Second alternative:
Please summarize for your preferred research group (top priority), why the scientific
focus seems most interesting to you, and how you would contribute to the ongoing
research in that group (max. 4000 characters incl. spaces).
5
ImmunoSensation
the immune sensory system
Bonn cluster of excellence
Rheinische
Friedrich-WilhelmsUniversität Bonn
Financing (if applicable)
I have applied for a scholarship:
Institution/date:
Accepted:
References
You have to provide two letters of reference (please download the file from our web
page “Graduate Program -> Application & Requirements”).
Please list the two referees.
1)
Family name:
Given name:
Title:
Institution & Department:
City:
Country:
E-mail:
Telephone:
2)
Family name:
Given name:
Title:
Institution & Department:
City:
Country:
E-mail:
Telephone:
Please understand that providing false information or withholding information results in
immediate withdrawal of the application.
You hereby declare your consent that all the information above is filed, saved and
made available to the ImmunoSensation Cluster members.
6
ImmunoSensation
the immune sensory system
Bonn cluster of excellence
Rheinische
Friedrich-WilhelmsUniversität Bonn
For our own statistics, we are interested in how you learned about the
ImmunoSensation Cluster and the International Immunology Training Program Bonn
(several possibilities can be checked).
Internet:
Journals:
Friends/colleagues/students:
Faculty:
7
ImmunoSensation
the immune sensory system
Bonn cluster of excellence