MICHAEL FOUNDATION - the Epilepsy Foundation

Application for Focused MICHAEL Fellowships

The following papers/documents are required and can be uploaded after your application has been submitted to the MICHAEL FOUNDATION:

I hereby apply for Focused MICHAEL Fellowships.

Please enter your name, address, age, e-mail address and the hosting department.
(Fields marked with * must be filled out).

Gender:

Academic Title:

Institution/Workplace:

Institution/Workplace [+]:

First Name:

Please enter your first name.

Last Name:

Please enter your last name.

Address:

Please enter your address (street, number).

ZIP Code:

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City:

Please enter your city.

Country:

Please enter your country.

E-mail:

Please enter your e-mail address.

Phone:

Age:

Please enter your age.

Hosting Department:

Please enter your hosting department.

Notice:

Please click "Next". In the following step you can check your details and correct them if necessary.

After submitting your application, you will receive an e-mail with a password-protected link to upload your papers and documents (PDF preferred).

Please note that your application cannot be considered without the required papers/documents!
Legal recourse is excluded.

MICHAEL FOUNDATION /
STIFTUNG MICHAEL

Alsstrasse 12
53227 Bonn
Germany

Phone: +49 228 - 94 55 45 40
Fax: +49 228 - 94 55 45 42
E-mail: poststiftung-michael.de