Application form for admission in the Governance of Risks and Resources postgraduate programme at Heidelberg University Eingang Photo for winter term/summer term 20 . . . . / . . . . (for official use only)
Registrier-Nr.
The application form for admission for the enrolment for the Legum Magister programme at Heidelberg University should be sent to the „Geographisches Institut der Universität Heidelberg“..
Address: ______A t t n . : ______
1. Details of subjects desired Bitte diese Spalte nicht ausfüllen 1.1 Study course For official use only
1st major subject: G o v e r n a n c e o f R i s k s a n d R e s o u r c e s
2nd major subject: -
1st minor subject: -
Academic Degree Master of Science
2. Personal details
2.1 ______Surname(s) ______First name
2.2 ______Place of birth ______Date of birth Citizenship
Gender male female
ZulassungsvermerkZulassungsvermerk 3. Correspondence Address ______c/o or Apartment
Street address ______Zip code Town Country - - - Ablehnungsvermerk: ______Area code Telephone number E-Mail 4. Educational background
4.1 Secondary education
Please indicate your higher education entrance qualification ______(e.g. GCE, baccalaureat, Lise Diplomasi, High School Diploma, Apolyterion, Maturität etc.)
Title of higher education entrance qualification: ......
Place and date of issue: ______
4.2 Admission exam to the University in home country
Did you pass an admission exam to the University? yes no
Place and date of admission exam to the University: ______
4.3 Details of University education Please give a complete list of your university studies
Country Name and Place of University Subject from - until Degree Date of issue
Proof of evidence has to be provided for all education listed above by – A translation of all documents (into German or English), verified true by the original place of study or Justice of the Peace – Photocopy of all documents verified true by the original place of study or Justice of the Peace
5. Information about language proficiency
5.2 Knowledge of English language good fair poor
Have you passed an English language exam? yes no mother tongue
Title of English language exam: Cambridge Certificate in Advanced English TEOFL (paper based) Scoring: TEOFL (Internet based) Scoring: TOEIC Scoring: IELTS certificate level 6+ Other English language exam
Title of English language exam: ______
Place and date of English language exam: ______
5.1 Knowledge of Spanish language good fair poor
Have you passed a Spanish language exam? yes no mother tongue
Title of Spanish language exam: DELE B1 DELE B2 DELE C TELC A TELC B
Other Spanish language exam
Title of Spanish language exam: ______
Place and date of Spanish language exam: ______
5.3 Other language skills:
Languages: ______6. Financial statement
6.1 Will you receive a scholarship? yes no
Title of scholarship: ______
Name of sponsor: ______
Duration of scholarship: ______
6.2 Other financial support:
______
6.3 Are you taking part in an exchange programme? yes no
Title of exchange programme: ______
Duration of the exchange programme: ______
7. Curriculum vitae
Please list your educational background in tabular form (if necessary additional page can be used)
from - to
8. Letter of Motivation
Please give a short description why you wish to apply for this master program (if necessary additional page can be used, maximum 2 pages)
I hereby declare that the information given above is correct and complete. The requested documents are enclosed. I know that incorrect information may result in refusal or revocation of the enrolment.
I attach legalized copy and official translation (English or German) of the following documents: Secondary education certificate Test for admission to universities or higher education institutions Curricula and grades obtained University degree Rechtsgrundlagen: Die einzelnen Daten werden zur Erfüllung der rechtmäßigen Aufgaben der Universität (einschließlich der Fakultäten, Zentrale Einrichtungen, Institute und Hochschulsekretariate) nach §§ 2, 32 bis 38, 58 bis 62 Landeshochschulgesetz (LHG) vom 1.1.2005 (GBl. Nr. 1, S. 1 ff) und nach Landesdatenschutzgesetz (LDSG) Baden-Württemberg erhoben, gespeichert und verarbeitet. Die nach § 12 LHG erlassene Verordnung des Wissenschaftsministeriums zur Erhebung und Verarbeitung personenbezogener Daten vom 1.1.2005 (GBl. Nr. 1, S. 1 ff) ermöglicht, dass diese Daten an Dritte, insbesondere an andere Universitäten, gesetzliche Krankenkassen, Kindergeldkassen der Arbeitsämter, Ämter für Ausbildungsförderung, Rentenversicherungsträger, Versorgungsämter, Wohlfahrtsverbände und Besoldungsstelle öffentlicher Arbeitgeber weitergegeben werden dürfen, wenn die Voraussetzungen der §§ 13 bis 16 LDSG erfüllt sind.
Legal Basis Individual data shall be collected, stored and processed in performance of the lawful functions of the university (including its faculties, central bodies, institutes and secretariats) pursuant to paragraphs 2, 32 to 38, and 58 to 62 of the University Act of the Land of Baden-Württemberg (Landeshochschulgesetz, hereinafter LHG) of 1 January 2005 (GBl. Nr. 1, S. 1 ff) and pursuant to the Data Protection Act of the Land of Baden-Württemberg (Landesdatenschutzgesetz, hereinafter LDSG). The regulation issued by the Ministry of Science pursuant to paragraph 12 of the LHG on the collection and processing of personal data of 1 January 2005 (GBl. Nr. 1, S. 1 ff) permits such data to be transmitted to third parties, in particular to other universities, statutory health insurance agencies, child benefit funds of government employment offices, agencies for the promotion of education and vocational training, social security insurance authorities, war pensions administration offices, public relief associations and the salary office of public employers, if the requirements in paragraphs 13 to 16 of the LDSG have been satisfied.
Place/ Date/ Signature For official use only (Vom Zulassungsbüro auszufüllen)
1. Vermerk des Akademischen Auslandsamtes zur Zulassung an der Universität Heidelberg im Rahmen eines Aufbaustudienganges
Frau/ Herr (Name, Vorname)
geb. am ______in ______Staatsangehörigkeit
beabsichtigt, an der Universität Heidelberg ein Masterstudium aufzunehmen. Die zulassungsrechtlich formalen Voraussetzungen für die Aufnahme des Studiums im gewünschten Studiengang sind erfüllt:
Hauptfach: Governance of Risks and Resources
Abschlussziel: Master of Science______
2. Zulassungs- / Ablehnungsentscheidung durch die Auswahlkommission des Aufbaustudienganges
Frau/ Herr (Name, Vorname)
geb. am ______in ______Staatsangehörigkeit
wurde am ______zum Wintersemester/ Sommersemester 20 ______zum u..g. Aufbaustudium zugelassen.
Die zulassungsrechtlichen Voraussetzungen gemäß Zulassungssatzung sind erfüllt.
Das Studium soll in folgendem/n Fach/Fächern durchgeführt werden:
1. Hauptfach Governance of Risks and Resources ______Fachsemester
Abschlussziel: M.Sc.
□ Der Antrag auf Zulassung zum Aufbaustudium wird abgelehnt (Grund): ______
Datum und Unterschrift: ______
Siegel - Seal
______Ort, Datum - Place, Date Unterschrift der/des Vorsitzenden der Auswahlkommission