Professor Ph.D. BA MA
Date of Birth*:
Afghanistan Albania Algeria Andorra Angola Antigua & Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia & Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Burkina Faso Burma (Myanmar) Burundi Cambodia Cameroon Canada Cape Verde Central African Republic Chad Chile China Colombia Comoros Congo Congo, Democratic Republic of the Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador East Timor Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia, The Georgia Germany Ghana Great Britain Greece Granada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, North Korea, South Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal The Netherlands New Zealand Nicaragua Niger Nigeria Norway Northern Ireland Oman Pakistan Palau Palestinian State Panama Papua New Guinea Paraguay Peru The Philippines Poland Portugal Qatar Romania Russia Rwanda St. Kitts & Nevis St. Lucia St. Vincent & The Grenadines Samoa San Marino São Tomé & Príncipe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad & Tobago Tunesia Turkey Turkmenistan Tuvalu Uganda Ukraine Unites Arab Emirates United States Uruguay Uzbekistan Vanuatu Vatican City State Venezuela Vietnam Yemen Zaire Zambia Zimbabwe
Position and Status at Home Institution:
Professor Postdoc Ph.D./Doctoral Student
End of stay*:
Contact Person at the host institution:
Will you sign a work contract with Bielefeld University?
Self financed Alexander von Humboldt-Foundation Cusanuswerk Degussa Foundation Erasmus Erasmus Sokrates Evangelisches Studienwerk e.V. Villgist Foundation of German Business (Stiftung der Deutschen Wirtschaft) Friedrich-Ebert-Foundation Friedrich-Naumann-Foundation Fritz-Thyssen-Foundation Fulbright Commision Gerda-Henkel-Foundation German Academic Exchance Service DAAD German Research Foundation DFG Hans-Böckler-Foundation Heinrich-Böll-Foundation Hertie-Foundation Konrad-Adenauer-Foundation Rosa-Luxemburg-Foundation Schering-Foundation Volkswagen Foundation World University Service Other
Please name your funding body, if your reply to the previous question was "other":
Status at Bielefeld University:
Professor Postdoc Doctoral Student
Purpose of stay:
Research Teaching Research and Teaching
Research area in Bielefeld*:
Will you be accompanied by your spouse?
How many children under the age of 18 will accompany you?
0 1 2 3 4 5 more than 5
Have you previously been to Bielefeld University?
Never 1 time 2-4 times more than 5 times
If you have been to Bielefeld University, please indicate your status during your previous stay: (multiple answers are permitted):
degree seeking student
exchange / non degree student
Regular University Staff
What kind of cooperation were you engaged in with Bielefeld University so far?
I attended workshops and conferences at Bielefeld University
I carried out joint research projects with scholars from Bielefeld University
I published together with scholars from Bielefeld University
There is student exchange between my home university and Bielefeld University
Please indicate the areas in which you would like to get more information and support from the Welcome Unit of Bielefeld University:
I would like to get information via email about activities and events of the Welcome Service.
Your preferred language of communication:
The information you provided will be solely used for the preparation and organisation of your (intended) stay at Bielefeld University. If necessary, your data will be passed onto your host department and other University institutions. Your contact details will be used to keep you updated with news for international scholars at Bielefeld University and with alumni activities. Your information will not be passed to third parties without your prior consent. Statistical surveys will only be realised in anonymised form. You way withdraw your consent to the storing and processing of your data at any time. Your personal details will be deleted two years after leaving Bielefeld University.
I have read the declaration of consent and hereby agree to it.