Applied study semester - A2S application form

Fields marked with a * are required and must be completed.

BASIC INFORMATION

Please upload: (1) a passport or identity photo, (2) a copy of your national ID card or passport, and (3) the completed and signed Learning agreement, (4) the evidence of/ declaration about the effort toward a valid health insurance ((2), (3) and (4) as single PDF files)

(1) Passport or identity photo

Maximale Dateigröße: 100.0 MB

(2) Copy of your passport/ ID card

File size maximum: 100.0 MB

(3) Learning Agreement

File size maximum: 100.0 MB

(4) Evidence of / declaration about the effort toward a valid health insurance

File size maximum: 100.0 MB

Note to the valid health insurance

European students require the European Health Insurance Card, EHIC. Non european students are required to acquire a German health insurance upon arrival. If you do not have a valid EHIC please upload a signed letter with the following declaration: „I hereby declare that I do not have a European health insurance card (EHIC). I assure that I will have a valid German health insurance or confirmation about the exemption from public health insurance coverage from a German statutory health insurance provider by my arrival at the latest."

PERSON

Last name *

First name *

E-mail address *

Date of birth (dd/mm/yyyy) *

Place of birth *

Country of birth *

Country of permanent residence

Gender *

Nationality *

Home university, and state *

CONTACT INFORMATION

Please provide contact information that will be valid until the starting date of the internship you are applying for:

Address *

Additional address information

P.O.Box

Post/Zip Code *

City *

Province/State

Country *

Mobile phone *

Home phone (with area code)

Person to be notified in case of an emergency

Last name *

First name *

In which relationship does this person stand to you *

Mobile phone *

Home phone (with area code) *

Work phone *

E-mail address *

INTERNSHIP INFORMATION

Internship title *

Supervising professor

PREVIOUS AND CURRENT STUDIES

HIGHER EDUCATION ENTRANCE QUALIFICATION

Secondary school with location and state *

Type of final qualification *

Awarded on (mm/yyyy) *

CURRENT UNIVERSITY STUDIES

Studies initiated (mm/yyyy) *

Expected graduation (mm/yyyy) *

Major(s) *

Minor *

Current GPA *

Number of semesters *

Break semesters/ semesters of leave *

Practical/ internship semesters *

PREVIOUS UNIVERSITY STUDIES (COMPLETED AND UNCOMPLETED)

Did you study or begin to study another major before your current university studies? *

Yes

1.) Name of college or university with location and state

Degree title (i.e. Bachelor of Science)

GPA

Studies initiated (mm/yyyy)

Graduation (mm/yyyy)

Major(s)

Minor

Number of semesters

Break semesters/ semesters of leave

Practical/ internship semester

2.) Name of college or university with location and state

Degree title (i.e. Bachelor of Science)

GPA

Studies initiated (mm/yyyy)

Graduation (mm/yyyy)

Major(s)

Minor

Number of semesters

Break semesters/ semesters of leave of that

Practical/ internship semester of that

EXPERIENCES, SKILLS AND REFERENCES

WORKING EXPERIENCES BEFORE UNIVERSITY STUDIES

Did you complete a vocational training before your current university studies? *

Yes

Did you do internships or traineeships in connection with the current university studies? *

Yes

PREVIOUS EXPERIENCES ABROAD OF AT LEAST ONE MONTH

Purpose of stay

Place, country

From (mm/yyyy) to (mm/yyyyy)

Financed by

LIVING COSTS

Please outline how your living costs will be covered during the internship.

ACADEMIC REFEREE

Name the academic referee who submitted the report on eligibility for this application.

First and last name

E-mail address

FOREIGN LANGUAGE SKILLS

German language profiency *

German proficiency level

Beginner

Intermediate

Advanced

Native

Language profiency: Please list below further languages you know, including the language level (beginner, intermediate, advanced, native)

I agree that this application and accompanying documents sent to the International office of the Augsburg Technical University of Applied Sciences or a respective employee will be stored at the named institution and made accessible to the administrative offices and program related academic staff to provide a completed enrollment for the research internship. *

I certify that the information provided in this application is accurate to the best of my knowledge. Furthermore, I agree to immediately inform the International office of the Augsburg Technical University of Applied Sciences (international@hs-augsburg.de) of any changes and amendments. I accept responsibility for the completeness of my application. *

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