Application Form Pre-Course for Prospective Refugee Students

Albert-Ludwigs-Universität Freiburg
Application Form
Pre-Course for Prospective Refugee Students
To:
Personal data
[email protected]
First name
Albert-Ludwigs-Universität Freiburg
Service Center Studium
Vorkurs Deutsch
Sedanstr. 6
79085 Freiburg
Last name
Gender
Nationality
Date of birth
Place of birth
E-mail address
Mailing address
1.
Language skills
1.1
Native language
1.2
Do you speak German?
1.3
Where did you learn German?
1.4
Do you speak English?
1.5
Other foreign language skills
2.
Education
2.1
Do you have a certificate qualifying you to study in your native country?

 no
 yes
level:  A1,  A2,  B1,  B2,  C1
 no
 yes
level:  A1,  A2,  B1,  B2,  C1
yes
Name of your school-leaving certificate
Date of your school-leaving certificate
Name of the school
Location of the school

no
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2.2
Have you studied in your native country?

2
yes
University/location
Field of study
Period of study

2.3
no
Have you earned a university degree?

yes
Type of degree
Location
Date
Result/grade

no
3.
Studies at the University of Freiburg
3.1
Have you been granted admission or provisional admission to a German higher education institution?

yes
Institution
Semester in which you were admitted
 Winter 2016/2017
 Summer 2017
Degree program/field of study

3.2
no
What natural sciences or engineering field would you like
to study at the University of Freiburg?
Please note:
In order to receive admission to a course of study in
your desired field, you must submit a separate
application in the proper form and before the
application deadline during the pre-course or after
completing it. Course participants
are
not
matriculated as students.
Upon successful completion of the pre-course with
level C1 German language skills and a passing score
on the DSH (DSH 2) or TestDaF (level 4), you may only
take up a course of study in the 2016/17 winter
semester in a field of study with free admissions.
3.3
Which preparatory courses offered during the pre-course
are you interested in taking? Please check all that apply.
Bewerbungsformular für Geflüchtete • 03.03.2016 • Version 2016-02 • SCS
 Mathematics
 Physics
 Chemistry
 Computer Science
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3
4.
I attest that the information I have provided on this form is true and complete. I am aware that my
admission to the pre-course for prospective refugee students can be revoked if it is found that I have
provided untrue or incomplete information.
Place
Date
Signature
5.
Please submit the application documents listed below by (extended deadline!!) 10 March 2016.
by post:
Service Center Studium
Vorkurs Deutsch
Sedanstr. 6
79098 Freiburg
by Email
(with all documents in PDF or JPG format)
(please include your full name on the subject line)
[email protected]
All documents that are not in German or English must be translated into one of these languages.
1.
completed application form
2.
authorization as an asylum seeker (or confirmation of registration)
3.
certification of higher education entrance qualification (if available)
4.
evidence of German language skills (if available)
5.
evidence of English language skills (if available)
6.
Transcript of records (if available)
7.
university degree certificate (if available)
8.
curriculum vitae
9.
letter of motivation including your desired field of study
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