APPLICATION FOR PARTICIPATION IN THE EXCHANGE PROGRAM OF HEIDELBERG UNIVERSITY Academic year and country of planned study abroad: Universities I wish to study at: First priority Second priority Third priority 1 Last / First name 2 Home Address Tel. no. / E-mail 3 Place and date of birth / citizenship 4 Marital status /children (if any) 5 (when and where received) “Abitur” 6 University: Major subject Minor subject 7 Please list all universities you have attended so far and the diplomas you have obtained, if any: Name and location Attended Degrees or Date Grade (Zensur) of institution (from - to) diplomas received 8 Number of incl. current “Hochschulsemester”, one: Number of incl. current one: “Fachsemester”, 9 Degree for which you are a candidate and date you expect to obtain it: 10 Have you ever received financial assistance through a German scholarship or fellowship program (BAFöG, Studienstiftung, etc.)? Please state dates and details:
APPLICATION FOR PARTICIPATION IN THE EXCHANGE PROGRAM OF HEIDELBERG UNIVERSITY Academic year and country of planned study abroad: Universities I wish to study at: First priority Second priority Third priority 1 Last / First name 2 Home Address Tel. no. / E-mail 3 Place and date of birth / citizenship 4 Marital status /children (if any) 5 “Abitur” (when and where received) 6 University: Major subject Minor subject 7 Please list all universities you have attended so far and the diplomas you have obtained, if any: Name and location of institution Attended (from - to) Degrees or diplomas received Date Grade (Zensur) 8 Number of “Hochschulsemester”, incl. current one: Number of “Fachsemester”, incl. current one: 9 Degree for which you are a candidate and date you expect to obtain it: 10 Have you ever received financial assistance through a German scholarship or fellowship program (BAFöG, Studienstiftung, etc.)? Please state dates and details:
bewerbungsformular_latam.docx