Application for Recognition of foreign educational credentials for academic degree programs at the Universities of Applied Sciences (UAS) in the State of Baden-Württemberg Postal address: Hochschule Konstanz, Studienkolleg Alfred-Wachtel-Str. 8 78462 Konstanz (Deutschland) Website: www.studienkolleg.htwg-konstanz.de E-mail: [email protected] I am applying for Summer- / Wintersemester _____________. I am applying for… a) Studienkolleg b) direct acces at a UAS c) a study program held entirely in English d) I am not sure yet Bachelor Field of study _______________________________________ Master at the University of Applied Sciences ________________________________________ Personal data: ____________________________________ _____________________________ Surname First name ____________________________________ Sex: male female Birth name ____________________________________ _____________________________ Date of birth (day/month/year) Nationality _______________________________ _____________________________ E-mail (please write clearly in block letters) Telephone number Address: _______________________________ ___________________________ Street address Staying with (c/o) _______________________________ ________________________ Postal code and town Country Educational background (secondary school / university) _____________________________________________________________________ University entrance qualification with place and date (e.g. GCE, Baccalaureat, Matura, Attestat, university entrance examination, academic transcripts – please specific in your CV/Resume) Further questions: Have you already learned German? yes no Are you attending a German language course at the moment? yes no Which level have you attained? (please attach certificates) _________ Are you living in Germany? yes no; if yes, since when? ________ Have you … attended a Studienkolleg course? yes no; if yes, where? _________ passed the Feststellungsprüfung? yes no been granted political asylum/refugee status in Germany yes no I confirm that the given information is complete and true. All relevant certificates are enclosed. I have read the data privacy information. _____________________________________ ___________________________________ Place Date Signature To be filled in by Studienkolleg (03/20) _______________ Eingang des Antrags: _______________ Bew.-Nr. ______________ direkt / DSH direkt / FSP Zeugnis- anerkennung ______________ Studienkolleg T-Kurs W-Kurs a. F. _____ ______________ Sprachnachweis Sprachzeugnis B1 telc Deutsch C1 HS TestDaF _______ ______________ nachreichen ______________ Durchschnittsnote: Schule: HAP: FSP: Studium: gesamt: