Internship Funding Application If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required First Name * Last Name * Email * Class * Major * Biochemistry and Cell Biology Changing Lives in Changing Socio-Cultural Contexts PhD Chemistry Computer Science Data Engineering MSc Earth and Environmental Sciences Electrical and Computer Engineering Foundation Year Global Economics and Management Global Governance and Regional Integration PhD Industrial Engineering and Management Integrated Social Sciences Intelligent Mobile Systems International Business Administration International Relations MSc International Relations Politics and History Mathematics Medical Preparatory Year Medicinal Chemistry and Chemical Biology Pscyhologie MSc Psychology Supply Chain Engineering and Management MSc Welfare State, Inequality and Quality of Life PhD Matriculation Number * Cumulative GPA * Internship Institution * Country * City * From * To * What will be the main working language during your internship? * Does the internship take place in your home country? Personal Statement * Tell us why you chose this speciﬁc internship and how it ﬁts into your career plans, why you could not ﬁnd a compensated internship or other sources of support, and why Jacobs University should provide you with internship funding for this speciﬁc internship. Internship Institution Details * Please provide a short description (500 characters) of the internship institution, the department/lab you will be working and the project you will be involved in. Internship Support * Please indicate what support the internship host institution provides during your internship (e.g. housing, food, salary, transportation, etc.). If this is a paid internship please indicate the amount of payment per month. Bank * IBAN * BIC Code (Optional for bank accounts outside of Germany) Account Holder * Conditions * I understand that the stipend applies only for the internship stated in this webform and it is not transferrable to another internship, or the same internship of a different duration. In any of the following cases, the funding will have to be returned to Jacobs University: If I do not complete the above stated internship; If my internship is shorter than the duration mentioned in this funding application; If I decide to participate in an internship other than the one stated on this internship; If, after my internship, I leave Jacobs University without graduating. I agree to the conditions stated above. If you have any further questions, please contact the CSC-Team.