Application Form
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APPLICATION FORM for admission to the University of Potsdam as a program student - without obtaining a degree Please fix one Please fill out in block letters or by computer and print. passport I apply to enrol in photo here Winter semester 20__ / 20__ and include Application deadline: July 15 another one Summer semester 20__ ( 3 x 4 cm ) Application deadline: January 15 PERSONAL DATA Family name(s) - as stated in your passport or identity card Given name(s) - as stated in your passport or identity card Date of birth (Day – Month – Year) Place of birth Country of birth Country of Citizenship - please specify all if more than one Sex male female PROGRAM DATA Please cross off. Erasmus DAAD InWEnt Fulbright DHF / UFA Free Mover EAP University Other - Please specify institution Partnership granting the stipend: HOW LONG DO YOU PLAN TO STAY AT THE UNIVERSITY OF POTSDAM? 1 Semester From _________________________ Till ______________________________ 2 Semesters (Day – Month – Year) (Day – Month – Year) BEARBEITUNGSVERMERKE To be filled out by the staff of the University of Potsdam. Matrikel-Nummer: Koordinator: Info-Brief: Photos: Nominierung: UPrepare: DK-Antrag: DK-Teilnahme: LA: LA zurück: HZB: Tandem: AE bis: KV bis: 1 CURRENT ADDRESS This address is valid until (Day – Month – Year) c/o Street, House number, Apartment number Postal code City State/ Country Telephone number (Country code – City code – Phone number) E-mail-address PERMANENT ADDRESS Please fill out only if different from current address c/o Street, House number, Apartment number Postal code City State/ Country Telephone number (Country code – City code – Phone number) E-mail-address HOME UNIVERSITY Name of your home university Contact person for exchange students at your home university E-mail-address of the contact person How many semesters did you study at your home university until date of application? 2 SUBJECTS PLANNED TO STUDY AT THE UNIVERSITY OF POTSDAM / FIELD OF RESEARCH Enrollment is possible in 2 subjects at maximum. List of subjects in which you can get enrolled Allgemeine Sprachwissenschaft (Linguistics) Allgemeine und vergleichende Literaturwissenschaft (Literary Science) Allgemeine Sprachwissenschaft (Patholinguistics) Anglistik und Amerikanistik (Anglistics and American Studies) Betriebswirtschaftslehre (Business Administration) Biochemie (Biochemistry) Biologie (Biology) Chemie (Chemistry) Ernährungswissenschaft (Nutrition science) Erziehungswissenschaft (Pedagogy) Europäische Medienwissenschaft (European Media Science) Geographie (Geography) Geophysik (Geophysics) Geowissenschaften (Geoscience) Germanistik (German language and literature studies) Geschichte (History) Informatik (Informatics) Jüdische Studien (Jewish studies) Mathematik (Mathmatics) Musik (Music) Philosophie (Philosophy) Physik (Physics) Politikwissenschaft (Political Science) Psychologie (Psycholgy) Rechtswissenschaft (Law) Religionswissenschaften (Religious studies) Romanistik (Romance language and literature studies) Slavistik (Slavic language and literature studies) Soziologie (Sociology) Sportwissenschaft (Sports Science) Verwaltungswissenschaft (Administration Science) Volkswirtschaftslehre (Economics) EDUCATIONAL BACKGROUND In which year did you finish secondary school qualifying for university admission? Bachelor (or equivalent) Main subject (planned) date of degree awarded Master (or equivalent) Main subject (planned) date of degree awarded PhD Main subject (planned) date of degree awarded Have you studied in Germany before? Yes No If yes, at which university? from till 3 KNOWLEDGE OF GERMAN LANGUAGE Do you have German language skills? Yes No Where did you study German? School University Language course in Germany (or Austria, Switzerland...) Rating of your German knowledge skills: Very good Good Satisfactory Basic skills only TANDEM Would you like us to find you a tandem partner? Yes No Tandem partners are students from the University of Potsdam who volunteer to assist you before and upon your arrival in Potsdam and at the university. For more information, please refer to the tandem project's website: http://www.uni-potsdam.de/aaa/tandem/tandem_en.html Place Date Signature Please send your application to the following address: Universität Potsdam Akademisches Auslandsamt Am Neuen Palais 10 14469 Potsdam Germany Please hand in with the application form: - Certificate of stipend or nomination from your home university or an invitation from a professor of the University of Potsdam - 2 passport-sized photos in colour (3 x 4 cm) for your student identity card When we have received your complete application, either after the beginning of August (for the coming winter semester) or after the beginning of February (for the coming summer semester), we will send you a confirmation of admission along with all necessary information pertaining to your arrival and enrolment at the University of Potsdam. Please do not make any inquires before. Make sure you give us a valid address so that our postal mail will reach you in August (for the coming winter semester)/ February (for the coming summer semester). 4 .