David Baumgardt Memorial Fellowship Application

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Please complete this form in it's entirety in order to be considered for the fellowship.

First Name

Middle Name

Last Name

Address Line 1

Address Line 2

City

Country

State

Provinces

State/Province

Postal Code

Telephone Number

Date of Birth

Place of Birth

Social Security Number

Citizenship

Command of German

GoodFairPoorNil

Do you speak any other languages?

YesNo

Please list the other languages you speak and level.

Education

University

Dates attended

Degree

Field of study

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Education

University

Dates attended

Degree

Field of study

Add more education

Education

University

Dates attended

Degree

Field of study

Organizational Position

Affiliated Organization

Awards, academic honors, fellowships held:

Have you researched at LBI before?

YesNo

When did you conduct your research at LBI?

Please list institutions where you have pursued similar research projects:

Please list the title of your project and a brief description

Please upload a longer description of the project on a separate document.

What other organizations have you applied to for financial support?

Research project

Full description of your project.

Financial Plan

Evidence of highest degree obtained

Evidence of Ph.D. enrollment

Official Transcript

Doctoral Candidates only (Graduate & Undergraduate)

Two letters of recommendation

Doctoral Candidates only (one by doctorial advisor, one by a scholar familiar with your work)

Two letters of recommendation

Post-Doctoral Candidates only (by scholars familiar with your work)

Application materials will not be returned. No reason for a decision will be given.

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