Application for the International Winter University (IWU) Fulda 2016 January 4-23, 2016

advertisement
INTERNATIONAL WINTER
UNIVERSITY
University of Applied Science Fulda,
Germany
January 4 – 23, 2016
Application for the
International Winter University (IWU) Fulda 2016
January 4-23, 2016
Wisconsin-Hessen IWU Fulda Application
I would like to enroll in the IWU Fulda 2016 program. The program includes one academic
seminar (45 contact hours), a language course (30 contact hours), workshops, a cultural
program, accommodation in a hotel from January 4 – 23, 2016 (with breakfast), health,
liability and accident insurance for the duration of the program and study material.
Please send the completed form to the International Office of your home university
(via mail or email). This information is for application purposes only and will not
be passed on to third parties.
Please TYPE
1
INTERNATIONAL WINTER
UNIVERSITY
University of Applied Science Fulda,
Germany
January 4 – 23, 2016
PLEASE TYPE!!!
Personal Information
Family name:
First name(s):
Date of birth (DD.MM.YY):
Place of birth:
Gender:
Nationality (as stated in your passport):
Passport number (if already available):
Do you need a visa to enter Germany?
Contact Information
Street:
City:
Zip code:
Country:
Phone:
E-Mail:
Emergency Contact
Name:
Email:
Phone:
Academic Information
Home institution:
Subject, year:
Level of English:
Have you studied German before?
Level of German:
City:
male
US Citizen
State:
female
No
USA
1 (country code) +
1 (country code) +
(area code) +
(area code) +
UW
Major:
First Yr/Soph/Jr/SR
Beginner
Intermediate
Advanced
Native Speaker
No
Yes, I studied it by myself
Yes, I studied it at the university / a language
institute / via online course. Please name the
institute and city:
and how long
(please mention in hours,
days, weeks or months)
Beginner
Intermediate
Advanced
Native Speaker
Miscellaneous
2
INTERNATIONAL WINTER
UNIVERSITY
University of Applied Science Fulda,
Germany
January 4 – 23, 2016
Do you suffer from any health problems
(chronic illness, allergies, etc.)?
Yes
No
If yes, please specify:
How did you find out about IWU 2016?
Internet
Advertising material (flyer, poster, etc.)
DAAD
Friends, family or former IWU/ISU participants
Faculty / Member of your home university
International Office / Study Abroad Advisor
Study Abroad Fair on my home campus
Other:
Please choose one IWU module (45 contact hours):
Business: International Management in an Intercultural Environment
German Cultural Studies
Please choose one IWU German language course level (30 hours):
Beginner
Intermediate
Advanced
Optional Frankfurt Tour (EXTRA Fee of 50€)
Yes (I understand this will incur an extra fee)
No, thank you
Please briefly state your motivation to participate in the International Winter University
(IWU) Fulda:
_____________________________________________________________________________
__
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
__________________________________________________
Please attach a CV (template provided by the home international office, specifically for
Hessen programs) and an academic transcript to your application (may be unofficial
transcript).
3
INTERNATIONAL WINTER
UNIVERSITY
University of Applied Science Fulda,
Germany
January 4 – 23, 2016
Terms and Conditions

Registration
Upon receipt of an application, the IWU Fulda will review the documents and confirm or reject
acceptance. In the event that there is not a sufficient number of students enrolled, the International
Winter University may cancel seminars or may cancel the entire IWU 2016 program.

Disclaimer
The IWU Fulda, its organizers, staff, lecturers, and teachers shall not be held accountable for any
damage to personal property or for any injuries suffered by participants during the Winter University
program, except where the damage or injuries suffered are caused by acts of willful intent or gross
negligence. The IWU Fulda shall not be held accountable for any damage to property or injury to
people caused by participants.

Important
Minimum age for participation in the IWU program is 18 years. In case of misbehavior, the organizers
of the IWU Fulda reserve the right to dismiss a participant from the IWU Kassel program. Misbehavior
constitutes e.g. attacks and insults on other participants, staff, or other third people, drug abuse,
excessive alcohol abuse. The dismissal of a participant from the course is solely at the discretion of the
organizers, i.e. the academic organizers and the program manager. Should a person be dismissed from
the International Winter University program, no fees will be refunded.

Governing Law, Jurisdiction
The laws of the Federal Republic of Germany shall govern this contract. The place of jurisdiction for all
disputes arising hereunder shall be the courts of ordinary jurisdiction in Fulda.
(initials) Herewith, I am registering for the International Winter University (IWU) Fulda 2016 at the
Fulda University of Applied Science with the components marked above. I carefully read the
information concerning registration and hereby accept the terms and conditions of IWU 2016.
City
Date (DD/MM/YYYY)
**Signature
**Please use your handwritten signature when signing the application form.
4
Download