Application form for the Open Access Publishing FundFirst name corresponding/submitting author: *Please enter the first name of the corresponding/submitting author here.Last name corresponding/submitting author: *Please enter the last name of the corresponding/submitting author here.E-mail address of corresponding/submitting author: *Please enter the e-mail address of the corresponding/submitting author here.E-mail address of applicant (if different):Please enter the e-mail address of the applicant here.Institute/faculty at Leipzig University: *Please enter the author´s institute/faculty at Leipzig University here.Title of the article: *Please enter the title of the article here.Journal name: *Please enter the journal name here.Date of submission:Please enter the date of submission here.Expected cost:Please enter the expected cost here.I have read and understood the criteria and I do fully qualify for support by the Open Access Publishing Fund of Leipzig University. (Dowload the Open Access Publishing Conditions (PDF) – will open in new window)Yes *Please tick here if you have read and accept the criteria AND fully qualify for support by the Open Access Publishing Fund of Leipzig University.I have read and understood the following criteria in particular:The corresponding/submitting author is a member of Leipzig University. (Yes) *Please tick here if the corresponding/submitting author is a member of Leipzig University.There is no sufficient third-party funding for the open access-publication of this article. (Yes) *Please tick here if there is no sufficient third-party funding for the open access-publication of this article.The publication publishes prime, original research or presents a review (most commonly publication type research article or review). (Yes) *Please tick here if the publication publishes prime, original research or presents a review (most commonly publication type research article or review).I am a junior scientist: *YesNoPlease tick here if you are a junior scientist or not.Comments:Please enter any comments you might have, here.I have read and agree to the privacy statement of Leipzig University Library:Yes *Please tick the checkbox to confirm that you have read and agree to the privacy policy of Leipzig University Library.Fields marked with an * are required fields and must contain data. Submit