M.Sc. of Polymer Science Program Freie Universität Berlin Humboldt-Universität zu Berlin Technische Universität Universität Potsdam Mrs. Maria Buelth M.Sc. in Polymer Science Program Technische Universität Berlin Institut für Chemie Stranski-Laboratorium f. Physik. und Theoretische Chemie Sekretariat TC 9 Straße des 17. Juni 124 10623 Berlin GERMANY APPLICATION FORM (Please fill out completely) Winter semester of October __ __ __ Personal data 1 Mr. / Ms. 2 surname 3 first name(s) 4 date of birth / place of birth 5 nationality 6 e-mail address 7 current mailing address 8 current phone/fax 9 permanent address 10 permanent phone/fax Summer semester of April __ __ __ Scientific/work/language background 11 universities attended (names and dates) 12 degree(s) (title, area of study, date awarded) 13 final grade average(s) (GPA and / or %) 14 explanation of grading system (full scale, etc.) 15 date and duration of thesis 16 topic and grade of thesis 17 present occupation 18 other relevant work/study experience 19 future area(s) of scientific interest 20 information on scholarships received / applied for 21 English level and proof (TOEFL, IELTS, etc.) 22 other language skills For a complete application please include or have directly sent to us with this form 1) 2) 3) 4) your curriculum vitae and short letter of intent three recommendation letters on official letterhead undergraduate and / or graduate school transcripts copies of final degrees: the originals must be shown at enrollment! date ……………………… applicant’s signature
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