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 Bewerbungsformular für Geflüchtete • 03.03.2016 • Version 2016-02 • SCS Seite 1 von 3 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 Seite 2 von 3 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 Bewerbungsformular für Geflüchtete • 03.03.2016 • Version 2016-02 • SCS Seite 3 von 3
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