Application Form
for the
Psychotherapy Science Doctoral Programme
at the Sigmund Freud PrivateUniversity Vienna
Academic Title
Last Name
First Name(s)
Previous Name(s) [i.e., Maiden
Name]
Street Address
Postal Code, City
Country
Telephone Number
E-Mail
Date of Birth
Place of Birth (city, country)
Citizenship
Academic Degrees
(B.A., M.A., MSC, Magister,
Diplom, PhD, doctorate)
Date:
Place:
Subject Area(s):
Grade(s):
Psychotherapy training and
psychotherapeutic selfassessment (teaching analysis,
psychotherapy - number of
hours)
Further training (completed)
1
Scientific publications
(if any)
Brief description of the
proposed dissertation project
(working title, content,
literature), provided you
already chose a subject
See last page
Are you interested in working
on subjects relating to
current SFU research projects?
(i.e., education research,
disaster research, outcome
research, the history and
prehistory of psychotherapy)
□ YES
My motivation for joining the
doctoral programme in
Psychotherapy Science
Time resources and personal
schedule
How did you learn about the
programme?
2
□ NO
Brief description of the proposed dissertation project
(fill in only if it is not an SFU project): contents, methods,
theoretical foundation, references:
3