APPLICATION FORM ENTRANCE EXAMINATION FOR ADMISSION
COLLOQUIUM DOCTUM
Tilburg School of Humanities
for starting on a program in the academic year 2016-2017
Name: ______________________________________________________________
Address: ____________________________________________________________
Post code and Place of residence: _____________________________________ __
Telephone: ____________________
E-mail address: _____________________
Diplomas / Certificates obtained: ____________ ____________________________
__________________________________________________
__________________________________________________
requests permission to take a Colloquium Doctum test (university entrance exam) for
the program: (Please tick the appropriate program)

Bachelor’s program Communication and Information Sciences

Bachelor’s program Culture Studies

Bachelor’s program Liberal Arts and Sciences

Bachelor’s program Philosophy
I am enclosing the following documents:
 copy of birth certificate or certificate of residence;
 photocopy of valid passport or identification card;
 photocopies of diplomas/certificates obtained, together with the corresponding lists of final
marks;
 up-to-date curriculum vitae/résumé;
 short motivation specifying why you are attracted to the program.
 copy passport
 English language proficiency test (please submit the certificate on 15 May 2016 at the
latest)
___________________ (place)
___________________ (date)
____________________________ (signature)
To be submitted before 1 May 2016!
June 2015
Education Support Office TSH (room D302)
Additional Information:
For more information please see the document ‘Rules and Regulations for Colloquium
Doctum’.
Please send this form - fully filled out and enclosing the documents specified – to
the following address before 1 May 2016:
Executive Board of Tilburg University
Attn Mrs. O. Zweekhorst MA,
Vice-Director School of Humanities
Education Support Office, room no. D302
P.O. Box 90153
5000 LE Tilburg
You have to submit the results of an English proficiency tests on 15 May 2016 at the
latest.
If for some reason you should decide not to take the entrance exam
– after you have registered for it –
then please let us know in time.
By telephone: 013 - 466 2615
By e-mail: to TSH.ExCie@tilburguniversity.edu
In writing: to be sent to the above address
June 2015
Education Support Office TSH (room D302)