Fill in the application form for admission. Write in block capitals. Put n/a if the information is not applicable.

Application Form

for admission as an undegraduate student

1. Personal information

Title__________________________________________________________Mr/Mrs/Miss

Surname__________________________________________________________________

First Name(s)______________________________________________________________

Date of birth (use figures only): date__________ month_____________ year___________

Place of birth____________________________Citizenship_________________________

Home address: street and house_______________________________________________ city____________________country______________________postcode______________

Telephone (country, area code/phone number)____________________________________

Email____________________________________________________________________

Mailing address (if different from home address)__________________________________

_________________________________________________________________________

3. Prefered field of study

• first choice__________________________________________________________

• second choice_______________________________________________________

4. University entrance qualifications:

Type (gymnasia, lyceum, comprehensive school, vocational school, technical school)____ _________________________________________________________________________

Date of completion_________________________________________________________

Average grade (not necessary for foreign certificates)______________________________

5. Professional training/practical training (please include references)

Professional qualification ____________________________________________________

Duration of training from_______________________until__________________________

6. Professional experience after training and/or other working experience (for more

than 8 weeks, include references)

• ___________________________________________________________________

• ___________________________________________________________________

7. University/college previously attended (if you have previously been registered as a

full-time student at a university/college, please supply all information)

Institution________________________________________________________________

Qualifications completed/being studied_________________________________________

Field of study _____________________________________________________________

Dates____________________________________________________________________

Date _____________________ Signature _________________________