Application Emergency Aid Fund – Familien-Servicebüro

Emergency aid fund for students and doctoral candidates at JGU Mainz with family responsibilities

This field is for validation purposes and should be left unchanged.

1) Advising

I am applying for emergency aid in the amount of… (up to €1,000)(Required)

Please enter a number less than or equal to 1000.

Have you already taken advantage on advice from the Family Services Center(Required)

yes

When?(Required)

2) Personal Details

Name(Required)

First Name Last Name

Please enclose a copy of a valid identity document.

Date of Birth(Required)

Nationality(Required)

If not all of your nationalities are shown on your identity document, please enclose copies of other valid identity documents as proof.

Address(Required)

Street and house number address addition City Zip code

Telephone/mobile number(Required)

E-Mail(Required)

Enter E-Mail address Confirm E-Mail address

Bitte geben Sie Ihre JGU-Mailadresse an.

3) Bank Account Details

Account holder(Required)

First Name Last Name

Must match the name of the applicant

Name of the bank(Required)

IBAN(Required)

BIC(Required)

4) Information on studies/doctorate

I am pursuing a…(Required)

First Degree

Second Degree

Doctorate

Please submit a current enrollment certificate for the semester you are applying for or your official notification of acceptance and registration as a doctoral student.

Are you enrolled as doctoral student?(Required)

yes

course of study(Required)

desired degree and subject

When do you expect to complete your degree/Ph.D.?(Required)

Do you still need to complete a semester abroad and/or an internship as part of your undergraduate or graduate studies?(Required)

yes, a semester abroad

yes, an internship

yes, both

5) Information on employment or training relationships

Are you currently employed?(Required)

yes

Are you employed internally at JGU or externally?(Required)

internally

externally

both

Average hours worked per week(Required)

Have you already completed a training or a course of study/sections of studiy?(Required)

yes

Which training or couse of study have you already completed?(Required)

6) Informationen about family responsibilities

I am …(Required)

a parent / person with parental rights

a caregiving relative

a caregiving parent

pregnant / becoming a parent

Multiple selections allowed

Child's/children's information(Required)

First and last name

Date of birth

Please attach copies of birth certificates

If you have more than one child, please click the + on the right to add another row for each child.

How many children are you expecting?(Required)

Estimated date of birth(Required)

Please submit a copy of your maternity records or medical certificate

Information about the person in need of care(Required)

First and last name

Family/Relationship Ties

Copy of the care classification notice which names you as the caregiver as well as proof of the time required for care issued by the medical care Service. In the case of temporary illness/care that does not require a care classification notice, please submit a medical certificate

If you are caring for more than one family member, please click the + on the right to add a new row for each family member.

Information on other persons in your household

Do you live alone (with your child(ren) and/or relatives in need of care)?(Required)

yes

I live with…(Required)

Spouse / partner (according to the LPartG)

Partner

Parents

Other

Who else do you live with?(Required)

7) Information on your income

If your income is irregular, please enter the average amount for the last three months. If you share income (e.g., child benefit) with other people in your household, please enter only the amount that you receive personally. Please attach supporting documents (e.g., bank statements) for all income received over the last three months.

Amount of current savings at the date of application(Required)

in EURO

I have the following sources of income:(Required)

Maintenance pad by the parents or other persons (including own child support)(Required)

per month in euros

BAföG(Required)

per month in euros

Pensions/allowances(Required)

per month in euros

Salary(Required)

per month in euros

Parental allowance / Parental allowance plus(Required)

per month in euros

Child Benefit (for own children)(Required)

per month in euros

Housing benefit(Required)

per month in euros

Child supplement (Kinderzuschlag)(Required)

per month in euros

Child Support / maintenance advance (Unterhaltsvorschuss)(Required)

per month in euros

Benefits according to SGB II(Required)

per month in euros

Other allowances/benefits(Required)

per month in euros

Type of allowances/benefits(Required)

7.2) Information on the income of your spouse/partner

If your income is irregular, please enter the average amount for the last three months. If you and your spouse or partner have joint income (e.g., child support, etc.), please enter here only the amount that your spouse or partner receives. Do not list income that has already been listed above. Please attach supporting documents (e.g., bank statements) for all income from the last three months.

Amount of current savings at the date of application(Required)

in EURO

My spouse/partner has the following sources of income:(Required)

Maintenance pad by the parents or other persons (including own child support)(Required)

per month in euros

BAföG(Required)

per month in euros

Pensions/allowances(Required)

per month in euros

Salary(Required)

per month in euros

Parental allowance / Parental allowance plus(Required)

per month in euros

Child Benefit (for own children)(Required)

per month in euros

Housing benefit(Required)

per month in euros

Child supplement (Kinderzuschlag)(Required)

per month in euros

Child support / maintenance advance (Unterhaltsvorschuss)(Required)

per month in euros

Benefits according to SGB II(Required)

per month in euros

Other allowances/benefits(Required)

per month in euros

Type of allowances/benefits(Required)

8) AInformation on your total monthly income

For irregular expenses, please enter the average amount for the past three months. If you share costs (e.g., rent, electricity/gas, living expenses, etc.) with other people in your household, please enter only the amount that you pay yourself. Please include receipts (e.g., bank statements) for all expenses from the past three months.

Rent incl. utilities(Required)

per month in euros

Electricity and gas (if not included in the rent)(Required)

per month in euros

Telephone/internet(Required)

per month in euros

Insurances(Required)

per month in euros

Childcare costs(Required)

per month in euros

Living expenses(Required)

per month in euros

Transportation (e.g. fuel costs, public transportation) – NOT the semester ticket(Required)

per month in euros

Other(Required)

per month in euros

please specify(Required)

8.2) Information on your spouse’s/partner’s monthly expenses

For irregular expenses, please enter the average amount for the last three months. If you and your spouse/partner share expenses (e.g., rent, etc.), please enter here only the amount paid by your spouse/partner. Do not list expenses that have already been listed above. Please attach receipts (e.g., bank statements) for all expenses from the last three months.

Rent incl. utilities(Required)

per month in euros

Electricity and gas (if not included in the rent)(Required)

per month in euros

Telephone/internet(Required)

per month in euros

Insurances(Required)

per month in euros

Childcare costs(Required)

per month in euros

Living expenses(Required)

per month in euros

Transportation (e.g. fuel costs, public transportation) – NOT the semester ticket(Required)

per month in euros

Other(Required)

per month in euros

please specify(Required)

9) Appendix

Please upload all documents in PDF format to a Seafile folder and enter the sharing link for each document in the fields below. Please combine multiple related documents into a single file.

Explanation of urgency (1-2 pages)(Required)

Possible content to include: graduation phase/final Phase of the doctorate, upcoming stays abroad or internships, loss of income, expiry of BAföG/scholarships, special financial burden, e.g. due to childcare costs, illness or seperation from your partner

Proof of the Phase of your doctorate, issued by your supervisor(Required)

Copy of valid ID card/passport (If you hold multiple nationalities, you may need to provide multiple identification documents)(Required)

Proof of all of your expenses and income(Required)

Must be evidenced through notifications or bank account statements from the last three months

Proof of all of your spouse's/partner's expenses and income(Required)

Must be evidenced through notifications or bank account statements from the last three months

Certificate of enrollment for the Semester you are applying for(Required)

Notification of your acceptance and registration as a doctoral candidate(Required)

Academic records(Required)

transcript of records from JoGuStINe

Copy of maternity records or medical certificate stating the estimated date of birth(Required)

Copy of birth certificates for all children(Required)

Copy of the care classification notice and Statement of the medical service or proof of temporary care activities through medical certificate(Required)

Extract from the examination regulations stating the requirement for a semester abroad(Required)

Extract from the examination regulations stating the requirement for an internship(Required)

Additional documents

e.g., copies of unpaid invoices, enforcement orders, etc.

10) Confirmation