Page 1 Applications by post to: Robert Bosch Stiftung GmbH Ms. Christiane Käsgen Heidehofstr. 31 70184 Stuttgart Robert Bosch Stiftung GmbH Ms. Christiane Käsgen Heidehofstr. 31 70184 Stuttgart Germany or by e-mail (PDF) to: research-grants@bosch-stiftung.de Journalists on Location – Research Grants: Application 1. Personal Information Please attach a photo. Last name, first name Street address Zip Code/City Country e-mail Telephone/Fax Cell phone Date of birth/place of birth Nationality Sex Female Male Employment status Freelance Staff writer Current employer(s) 2. Do you have experience in the target region? Yes Please provide a brief description: No 3. Project Page 2 Research topic Target country/countries Anticipated timeframe for research and creation of the article(s) The grants will be awarded to research projects lasting a maximum of three months. Planned date for the publication of results Publication planned to appear: Printed Online Is the research project to be implemented by a transnational te am? Yes No Participation of journalists from: 4. Amount applied from the Robert Bosch Stiftung euros Research grants ranging from €2,000 to €7,000 can be applied for, depending on the cost and duration of the research. The grants can cover travel and living expenses, as well as the costs for communication, research materials, fees (including third parties fees, e.g. interpreters), and per diem allowances. Please fill out the attached cost and financing plan. 5. Have you previously received funding from the Robert Bosch Stiftung? Yes No Please provide a brief description: 6. Additional Information How did you find out about “Journalists on Location – Research Grants“? Funded research projects should begin no earlier than three months after the application deadline. Please attach resumes/CVs and contact information for any additional participants. Please note: This year’s call for applications is limited to research projects for preparing online and printed publications in the fields of economics and politics. Please include the following documents with your application form (in German or English): - Resume/Curriculum Vitae in tabular form for the applicant and any additional participants - Detailed information about the planned research (1-3 pages): Research plan: project outline, central questions to be addressed by the research, course of action (including itinerary and duration), research objective, schedule, and if necessary, information about transnational cooperation with other journalists; statement of need describing why you are applying for a research grant from the Robert Bosch Stiftung for this project (and why it is not being financed by your media organization, for example) - Written statement of intent from the editor of a well known media source to publish the research subject matter (for a transnational cooperation, a written statement of intent for publication from a second country is desired) - Short profile of the printed media or the website for which the publication is intended (only for publications outside of Germany, Austria, and Switzerland) - Three relevant work samples (if not available in German or English, then include a short summary in German or English) - Cost and financing plan (see the attached document) including information regarding personal and, if applicable, third-party funds, as well as the amount applied for from the Robert Bosch Stiftung Application deadline: October 15, 2012 Only complete applications will be considered. I hereby declare that the above personal information is true. I agree that information about me may be shared with third parties if it is a necessary part of the program’s procedures. Place, Date Legally binding signature Page 3 Cost and budget plan Page 4 Journalists on Location – Research grants 2012 21.2.2407.0049.1 Type of costs Total costs Own funds € € Requested/ approved from other sources € Requested from Robert Bosch Stiftung Material costs e.g. Travel expenses Total material costs Total project costs Personal funds comprise one’s own financial means, technical equipment, facilities, office supplies, etc. Third-party funds come from donors other than the Robert Bosch Stiftung. If the amount of funding available from third-party funds and personal funds is not certain at the time of application, a separate sheet with an explanation should be attached to the application. Place, Date Legally binding signature € Comments by the foundation