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BMEP - Biomedical Education Program
Scholarship information
BMEP history
Who can apply
How to apply
Alumni
Team/ Contact
Imprint / legal notice
How to apply
...
Application Form
...
Application Form
Academic Year
/
21st of May 2022
Mandatory fields are marked with '*'
Applicant Name
* Family name (in capital)
* First name
* Birth date
* Birthplace
Contact Information
* Streetname
* House number
* Postal code
* City
* Phone number
* E-Mail
Private Issues
Citizenship
Contact Information of emergency contact
Family name
First name
Streetname
House number
Postal code
City
Phone number
Banking Account
* Account holder
* Bank institut
* IBAN
* BIC
Scientific Activities
* Currently supported by a DAAD-Funding?
yes
no
* Currently enrolled in a full-time degree program?
yes
no
* Home university name
Home university adress
* Street name of university
* House number
* Postal code
* City
* Descipline
Student data
* Have you already written your doctoral thesis?
yes
no
If YES: Title of the doctoral thesis
If YES: Family name of Mentor of doctor thesis
If YES: First name of mentor of doctor thesis
BMEP specific information
Local mentor
?
Mentor at German university.
* Family name of local mentor
* First name of local mentor
University
* University name
* Streetname
* House number
* Postal code
* City
* Country
* E-Mail
Host mentor
?
Mentor at the host institution abroad.
* Family name of host mentor
* First name of host mentor
University
* University name
* Streetname
* House number
* Postal code
* City
* Country
* E-Mail
* Project title
* Are you interested in clinical rotations during your stay at your Host Institution (medical students only)?
yes
no
* If YES, can the clinical rotations be organized through your Host Mentor?
yes
no
If NO, why not
Additional Information regarding Host, Host Institution and/or Host City
Additional Information
Extracurricular activities, interests and hobbies
Does your medical school require a report on your elective studies?
yes
no
Additional documents:
We need the following files from you in pdf format:
Cover Letter
CV (curriculum vitae)
Research Proposal
Local Mentor Letter
Host Mentor Letter
OPTIONAL: Other (references, certificates, ...)
Please upload maximum 5 to 6 documents. Collective documents in defined order prefered. NO MORE!
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