Curriculum vitae for individual funding requests
(This information will be used only within the scope of your request and will be treated strictly confidential!)

1.	 Name and address
1.1	 Name				:				m/f*
1.2	 Street				:
1.3	 Postal code/town/country	:
1.4	 Phone number			:
1.5 E-mail				:

2.	 Civil status
2.1	 Place and date of birth		:
2.2	 Nationality				:
2.3	 Personal circumstances of importance for this request:			

3.	 Education
3.1	 Highest degree			:
3.2	 University graduation date	: 
 (please state Faculty)

4.	 Church and societal involvement
4.1  Church affiliation			:
	  member by birth / confirmation (*
4.2  Pastor / elder / deacon / none (*
4.3  Other functions in your church or congregation	:
4.4  (Board)functions in Christian organisations:

5.	 Finances
5.1  Job: Full-time / part-time (* engaged as:
5.2  Paid other jobs	:
5.3  Bank account and account number (*	:

								Signature:

(* please indicate what is the case