Application Form "Junior Professorship (W1 without tenure track) for Psychological Intervention in Inclusive Settings" (temporary position limited to 6 years) Bielefeld University, Department of Psychology 2015 Please fill in the following pieces of information and add this form to your application I. General Information 01 02 03 04 05 06 07 08 09 11 12 Surname First name Academic degree Date of birth Number and age of children (not required / voluntary information) Study subject (B.Sc. and M.Sc) (institution, place and time) Date of PhD / field (Year/Institution/Place) Additional academic or practical training (partly or fully completed) Work places since graduation (M.Sc.) (place and time) Current position Current workplace (institution) II. Number of Publication 13 14 15 16 17 incl. in press and online first Number of First (responsible) authorships (Full Articles, no commentaries) in peer-reviewed journals (in own language (please indicate language) / in English) Number of co-authorships Full Articles, no commentaries) in peer-reviewed journals (in own language (please indicate language) / in English) Number of monographs Number of publications in edited books / journals without peer review Additional contributions (number and type of contribution) III. International Experience / Editorships / Editorial Work 18 International academic/professional experience (>1 month) (institution, place, duration (fromto), function/type of stay abroad) 19 Activities in publication process (journal reviews, memberships of editorial boards, (co-)editorships) IV. Teaching Experience 20 Teaching Experience (please indicate since when you have been teaching and the study programs (e.g., B.Sc. in psychology) (Do not list all taught classes - we will retrieve this information from your application) 21 Number of supervised theses (B.Sc. / M.Sc./PhD; please differentiate between in progress and completed theses) V. Transfer of Knowledge / Applied Positions / Non-Academic Positions or Occupations 22 Type of non-academic occupation (kind of occupation, place, time) (e.g., times as school teacher) VI. Miscellaneous 23 Positions academic selfadministration (function, institution, time) 24 Functions in scientific associations (name of association, function, time) VII. Third Party Funding (if already applicable) Please indicate all projects (please, feel free to add columns to the table) where you contributed as main- or co-applicant. Project 1 Name of project Main applicant (principal investigator) Co-applicants Research network / collaborative research centre (if applicable) Duration (from - to) Funding agency (e.g., DFG, NIH, EU) Total funding in Euro Project 2 Project 3