Leibniz Association's Open Access Publishing Fund Application form monographs Submission DetailsWho’s submitting the application?*I am the eligible applicant.I am submitting this grant application on behalf of the eligible applicant. Last name* First name* Which address should be used for further communication? E-mail* Phone*Applicant details Last name -Applicant* First name - Applicant* Academic title* ORCID Job title (i.e. research assistant):* Leibniz institute*please choose..AIPARLATBBIPSBNITMDBMDDZDIDIEDIfEDIPFDIWDMDPZDRFZDSMDSMZDWIFBHFBNFIZ KAFLIFMPFZBGEIGESISGIGAGNMGWZOHBIHIHKIHSFKIAMOIAPIDSIEGIfADoIfLifoIfWIFWIfZIGBIGZIHPIKZINMINPIOMIÖRIOSIOWIPBIPFIPHTIPKIPNIRSISASIUFIWHIWMIWTIZWKISLIAGLIfBiLIKATLINLIVLSBLZIMBIMfNMFOPDIPIKRGZMRWISGNTIBTROPOSWIASWZBZALFZASZBWZEWZfLZFMKZMOZMTZPIDZZF Work address (street, postcode, city) E-mail* Phone Information on the publication for which funding is requestedThe applicant is*AuthorEditor Title*Type of publication (multiple answers possible)*MonographEdited volumeConference proceedingsPhD thesisHabilitation thesisChapter or article in an edited volume Publisher* Place of publication Address E-mail Phone Monographic series and volume number Editors of monographic series Publication date* Number of pages* Number of illustrations, tables etc. ISBN May be supplied later - send to email@example.com DOI/URN/Handle May be supplied later - send to firstname.lastname@example.org Repository via which the publication will be made available as soon as it is published May be supplied later - send to email@example.comLong-term archiving of the full text will be provided byGerman National Library (DNB)Other institution (please specify)May be supplied later - send to firstname.lastname@example.org Other institution*Creative Commons License*CC BYCC-BY-SAOther (please specify)Bitte geben Sie die Creative-Commons-Lizenz an, unter der das Werk erscheinen soll other license* Abstract (max. 1.000 characters)*Quality assurance*Manuscript was subjected to a peer review processManuscript was subjected to an academic editing processManuscript was approved by the institute’s scientific boardDissertation, Habilitation etc.: an expert opinion or a recommendation is available (doctoral theses will only be funded if graded “magna cum laude” or higher)Other (please specify)Please choose all that apply (multiple answers possible) other quality assurance*Typesetting*By authorBy publisher or external providerBy Leibniz institute Estimated costs of open access publication (net sum in Euro)*Required documentsPlease e-mail the following documents (PDF attachments) to email@example.com and confirm this by ticking the relevant box in this form. If the relevant information is not yet available to you, please submit it as soon as possible and leave a brief note that you will do so in the comments field at the end of this form.Table of contentsTable of contentsQuality assuranceWritten confirmation of the quality assurance process (from the series editor, the institute's scientific board, peer review panel, publisher, etc.)ContractCopy of publication contract/author’s agreementPublication costsDetailed statement of costsAcknowledgementsTerms and conditions*I accept the terms and conditions of the Leibniz Association Open Access Publishing Fund (Monographs).Costs*I am aware that the grant provided by the Leibniz Association Open Access Publishing Fund (Monographs) may not cover the entire costs of publication and guarantee the payment of the remainder.Data processing*I agree to the processing of my personal data by the German National Library of Science and Technology. The data will be used and stored exclusively for the stated purpose.Acknowledgements*I agree to mention my Leibniz Institute affiliation and the grant from the Leibniz Association Open Access Publishing Fund (Monographs) in the publication.Deadline*The publication will be published no more than six months after the application for funding has been submitted. Any documents necessary will be supplied within this period of time via email to firstname.lastname@example.org.Notification*I will inform the Leibniz Association Open Access Publishing Fund (Monographs) via email to email@example.com immediately upon publication of the funded publication. Notes Don't fill this field!