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Application for a grant from the Leibniz Association’s Open Access Monograph Publishing Fund for a monograph, edited volume or chapter in an edited volume (6.2019) Details on the application submission (This question is mandatory) The application is being submitted by (e.g. a staff member of the institute acting on behalf of the applicant) Choose one of the following answers the applicant someone on behalf of the applicant (This question is mandatory) submitted by (needed contact information of the person submitting the application on behalf of the applicant) last name first name e-mail phone number Details on the applicant (This question is mandatory) Applicant Last name First name Academic title Job title ORCID (if present) (This question is mandatory) Leibniz institute Please choose... AIP ARL ATB BIPS BNITM DBM DDZ DI DIE DIfE DIPF DIW DM DPZ DRFZ DSM DSMZ DWI FBH FBN FIZ KA FLI FMP FZB GEI GESIS GIGA GNM GWZO HBI HI HKI HPI HSFK IAMO IAP IDS IEG IfADo IfL ifo IfW IFW IfZ IGB IGZ IHP IKZ INM INP IOM IÖR IOS IOW IPB IPF IPHT IPK IPN IRS ISAS IUF IWH IWM IWT IZW KIS LIAG LIfBi LIKAT LIN LSB LZI MBI MfN MFO PDI PIK RGZM RWI SGN TIB TROPOS WIAS WZB ZALF ZAS ZBW ZEW ZfL ZFMK ZMO ZMT ZPID ZZF Work address: street, postcode, city (This question is mandatory) Email Telephone Details of the work to be published (This question is mandatory) Application as Choose one of the following answers Author Editor Last name and first name of further authors (e.g.: Doe, Jane; Doe, John) Last name and first name of further editors (e.g.: Doe, Jane; Doe, John) (This question is mandatory) Title of the publication (This question is mandatory) Type of publication (Multiple answers possible) Monograph Edited volume Conference proceedings PhD dissertation Habilitation thesis Chapter in an edited volume (This question is mandatory) Title of the edited volume (mandatory if application for a chapter in an edited volume) (This question is mandatory) Publisher Publisher details Place of publication Address Email Telephone Book series and volume number (if part of a series) Editors of the book series (if part of a series) (This question is mandatory) Publication date (Format: MM.YYYY) (This question is mandatory) Length or number of pages (including front matter, bibliography etc.; average 2,200 characters per page) Number of illustrations, tables etc. ISBN (may be supplied later - send to monografienfonds@leibniz-gemeinschaft.de) ISSN (may be supplied later - send to monografienfonds@leibniz-gemeinschaft.de) DOI/URN/Handle (may be supplied later - send to monografienfonds@leibniz-gemeinschaft.de) Name of the repository via which the work will be made available as soon as it is published (may be supplied later - send to monografienfonds@leibniz-gemeinschaft.de) Long-term archiving of the full text will be provided by (may be supplied later - send to monografienfonds@leibniz-gemeinschaft.de) Choose one of the following answers German National Library (DNB) Other institution (please specify) (This question is mandatory) CC licence Choose one of the following answers CC-BY CC-BY-SA other (please specify) (This question is mandatory) Abstract (max. 1,000 characters) (This question is mandatory) Quality control (please select) Check all that apply Manuscript was subjected to a peer review process Manuscript was subjected to an academic editing process Manuscript was approved by the institute’s scientific board For dissertation, thesis, etc.: an expert opinion or a recommendation is present (for doctoral dissertation: magna cum laude or higher) other (please specify) (This question is mandatory) Typesetting Choose one of the following answers To be done by the author To be done by the publisher or external provider To be done by the institute (This question is mandatory) Estimated costs of open access publication (net sum in euros) (Net costs excluding tax) Checklist for supporting documents (This question is mandatory) Please send the manuscript's table of contents to monografienfonds@leibniz-gemeinschaft.de. (This question is mandatory) Please send written confirmation of the quality assurance process (from the series editor, the institute's scientific board, peer review panel, publisher, etc.) to monografienfonds@leibniz-gemeinschaft.de. (This question is mandatory) Please send a copy of the publication contract/author’s agreement to monografienfonds@leibniz-gemeinschaft.de. (This question is mandatory) Please send a detailed statement of costs or publisher’s quote that clearly itemises the open access costs to monografienfonds@leibniz-gemeinschaft.de. Declarations (This question is mandatory) The grant for the open access element of a monograph may not cover all the costs of publication. I confirm that the costs of publication will be met (where applicable by own contribution, third-party funding, grant from the institute, etc.). (This question is mandatory) I consent to the OA Monograph Publishing Fund collecting the data associated with the funded publication and sharing it with the OA officers of my Leibniz Institute. I consent to this data being published via LeibnizOpen and on the website of the OA Monograph Publishing Fund. (This question is mandatory) I agree to mention my Leibniz Institute affiliation and the grant from the Leibniz Association’s Open Access Monograph Publishing Fund in the publication. (This question is mandatory) I accept the terms and conditions of the Leibniz Association's Open Access Monograph Publishing Fund. (This question is mandatory) The publication for which funding is requested will be published no more than six months after the application is submitted. Any missing documents will be submitted within this period via email to monografienfonds@leibniz-gemeinschaft.de and before the costs are reimbursed. (This question is mandatory) I will inform the OA Monograph Publishing Fund via email to monografienfonds@leibniz-gemeinschaft.de immediately upon publication of the funded publication. Notes Submit Load unfinished survey Resume later Please confirm you want to clear your response? Exit and clear survey ×