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APPLICATION FOR A BADEN-

WÜRTTEMBERG SCHOLARSHIP

Application for a Baden-Württemberg-Scholarship for a Study- or Research Period at the Pädagogische Hochschule Freiburg in the academic year

Host University Pädagogische Hochschule Freiburg/ University of Education

Home University

Program / Study or Research Proposal at PH Freiburg

Period (Month/Year – Month/Year) (Winter Semester: 1 October – 28 February Summer Semester: 1 April – 31 July)

Name:

Last Name First Name/s

Student Id. N°

Date of Birth

Citizenship

Academic Information Subject(s) at the Home University

Major Subject N° of Semester (over all)

N° of semester ( in actual subject)

Major Subject II or Minor Subject/s

Subject/s or Research Area at the PH Freiburg

Major Subject

Major Subject II or Minor Subject/s

Photo

Pädagogische Hochschule Freiburg Akademisches Auslandsamt / International Office

- 2 -

Semester Address at Home University Permanent- / Home Address:

Street Street

Zip Code / City/ Country Zip Code / City/ Country

Telephone Telephone

E-mail Mobile phone

Practical experience or employment (type & duration)

Extra-curricular interests, participation in community activities, etc.

German - or other language skills

Language Level Tests taken (e.g. German Dept., TestDAF / DSH, Goethe: ZMP, ZD etc.)

Language Level Test

Language Level Test

- 3 -Have you applied for another grant?

Germany NO YES: Home Country NO YES:

_____________________________ __________________________________ Date Signature

Important note:

Please scan all documents in the order indicated below and merge them into ONE pdf-file. The application has to be emailed to Mrs. Salzmann ([email protected]).

Only applications that contain the following documents and arrive by April 1st 2019 will be considered:

1 Application form with signature2 Form "Motivation"3 Copies of certificates (degrees awarded, transcript of courses)

4 Curriculum Vitae (academic resume)

5 Certificate of Matriculation (from home university)6

7

German Language TestLetter of Recommendation

After the board in charge has selected the future scholarship holders, the applicants will be informed accordingly.

Thereafter the applicants will have to register on the Baden-Wuerttemberg Foundation´s online portal and upload the required documents