You are on page 1of 2

Internationale Jugendbibliothek

International Youth Library

Fellowship Application Form


(Please write in block letters)
1. Personal information
Last name: (Ms, Mr)_________________________________________________________________
First name:________________________________________________________________________
Nationality (according to passport):_____________________________________________________
Birth date and place __________________________________________________________________
Current address:___________________________________________________________________
E-mail address:____________________________________________________________________

2. Professional qualifications
Current professional position:__________________________________________________________
Academic graduation and degree(s):____________________________________________________
Other qualifications:_________________________________________________________________
Membership in professional organisations:________________________________________________

Please submit separately:


- a letter (with photograph) about yourself and your involvement with children's and youth literature
- a list of your publications, projects, etc. in the field of children's and youth literature
- a list of conferences, seminars etc. in which you have participated or that you organised

3. Study and research plans


Topic of the research project you wish to pursue during your stay at the International Youth Library:
_______________________________________________________________________________
_______________________________________________________________________________
Please submit separately a detailed description of your research project. Please explain the relevance of the
International Youth Library’s collection for your research project and which materials in the collection you
would like to use during your stay.

How will you use the results of your research?


□ PhD thesis □ MA thesis
□ publication □ conference
□ seminar □ other: ____________________________
1
How did you learn about the International Youth Library?

References (names and e-mail addresses):

4. Language skills
Active language skills:
German: very good / average / minimal / none
English: very good / average / minimal / none
___________ very good / average / minimal
___________ very good / average / minimal
Passive language skills:
___________ very good / average / minimal
___________ very good / average / minimal

5. Details regarding the stay at the International Youth Library


Fellowships are usually granted for a period of three months (minimum six weeks).
When do you wish to come? (Please be precise)
1st preferred period: from____________________to_________________________________
2nd preferred period: from____________________to_________________________________
Do you need help with finding accommodation in Munich? Yes / No

6. Remarks / questions:

I herewith confirm that I will take out health insurance for residency abroad for the duration of my
stay.

___________________________ _____________________________________
Place, Date Signature

You might also like