HESSEN-WISCONSIN STUDENT EXCHANGE
Application for the Hessen International Summer Universities
(NOTE: This Application must be typed!)
Personal Information
Currently registered at (Name of institution):
Year in school (fr, soph, jr, sr, grad):
UW Name: (Family Name, First Name, Middle Name)
Gender:
Male
Place of birth:
Nationality:
Date of Birth:
City:
____ / ____ / ___
Country:
Month / Day / Year
Female
Passport Number:
Mailing Address for Correspondence
(valid until):
Street and number:
Phone:
Fax:
Postal Code, City:
Email:
Country:
Permanent Home Address
Phone:
Street and number:
Fax:
Email:
Postal Code, City:
Country:
Contact in case of Emergency
Phone:
Name:
Fax:
Street and number:
Email:
Postal Code, City:
Country:
Relationship:
Study in Hessen
Choose the Hessen ISUs at which you would like to study, the corresponding modules, and indicate your order of priority with 1,2,3.
Order of Priority
ISU
Module
Kassel
Giessen
Frankfurt
Fulda
Marburg
This application is for the Summer
20__
1
Academic Information
Number of Semesters studied prior to this Application:
Name and Address of your Study Abroad Advisor (After successful completion of the
program we will send your Academic Transcript to this contact):
Phone:
Fax:
Email:
Academic Advisor (Name and Campus Address):
Phone:
Fax:
Email:
Subject of Study (Major/Minor):
German Level (beginner/intermediate/advanced):
Miscellaneous
Do you suffer from any health problems?
Are you a vegetarian or do you have any dietary restrictions?
How did you find out about the Hessen:ISU (Internet, Flyer,
Friends, Professor, International Office, etc.)?
PLEASE ATTACH THE FOLLOWING WITH THIS APPLICATION:

A COPY OF YOUR MOST RECENT UNIVERSITY TRANSCRIPT

LETTER OF MOTIVATION (Reasons for applying to the program) – USE FORM ON NEXT PAGE

STUDENT RESUME OR CV (sample provided on www.wisconsin.hessen.de)

$ 100 EXCHANGE ADMINISTRATION FEE (Check payable to “UW-Oshkosh”) This nonrefundable fee is in addition to any application deposit required by your home school.
2
Letter of Motivation
Briefly state your reasons why you wish to study abroad (max. 750 words):
3
Specific ISU Information
In the following section, please provide data only for those ISUs which you selected on page 1. Find all information that you need to fill
in the blanks on the websites of your preferred ISUs: www.isu-hessen.de
ISU Kassel
Which module would you like to take?
Engineering Module
Culture Module
Please choose two seminars out of your
preferred module:
Please choose the level of the German
language course:
Beginners
Advanced Beginners
Advanced
Please choose one ISU workshop:
Will you join the optional trip to Berlin and pay
the additional trip fee?
yes
no
Terms and Conditions
The program stipend you receive as participant in the Hessen-Wisconsin Program includes two academic seminars (20 contact hours
each), a language course (40 contact hours), one workshop (8 contact hours), the cultural program, accommodation in host families
for the duration of the program, health, liability and accident insurance for the duration of the ISU, a ticket for public transportation in
Kassel and study material. Each additional seminar will cost an extra € 200.
Participants who join the optional trip to Berlin will have to pay an additional € 225. This extra fee covers the costs for transportation to
and from Berlin, a ticket for public transportation in Berlin, accommodation, breakfast and the cultural program offered.
In case there will not be a sufficient number of students enrolled, the International Summer University (ISU) Kassel may cancel
seminars or may cancel the whole ISU Kassel program. In the latter case, fees will be refunded.
ISU Giessen
If you apply for ISU Giessen you do not need to choose a module or seminars. There is just one class schedule that applies to all ISU
participants.
Please choose the level of the German
language course:
Beginners
Advanced Beginners
Advanced
Terms and Conditions
The program stipend you receive as participant in the Hessen-Wisconsin Program includes accommodation (student hall of residence)
for the duration of the program, the four-week study program including seminars, printed reading materials, all study tours, all leisure
field trips, a four-week German language course, meal subsidy of EUR 50, the cultural and leisure program, health, liability and
accident insurance for the duration of the ISU, and a four-week ticket for public transportation in Giessen.
ISU Frankfurt
Please specify in which seminar track you
would like to enroll.
Finance
European Studies
Please choose the level of the German
language course:
Beginners
Intermediate
Advanced
Terms and Conditions
The program stipend you receive as participant in the Hessen-Wisconsin Program includes accommodation and breakfast for the
duration of the program, four seminars and four weeks of language courses, the cultural program, health insurance and all study
material.
4
ISU Fulda
Which module(s) would you like to attend?
Please choose the level of the German
language course:
Beginners
Advanced Beginners
Advanced
Please choose two ISU workshops:
I would like to be accommodated in:
apartment-sharing community (bathroom and kitchen shared with flatmates)
single room apartment (for additional charge)
host family (limited space)
hotel (for additional charge)
I am:
smoker
non-smoker
Terms and Conditions
The program stipend you receive as participant in the Hessen-Wisconsin Program includes one 4-week seminar or two 2-week
seminars, language course, German conversation course, up to four workshops of your choice, field trip to Berlin, accommodation for
the duration of the program, health, accident and liability insurance.
ISU Marburg
Please indicate which two seminars you want
to attend:
Please choose the level of the German
language course:
Beginners
Advanced Beginners
Please choose at least two of the four
program components:
Evening Film Program (one film per week)
Advanced
Language Course Arabic
Culture Course Arab World
Language Course Hebrew
Terms and Conditions
The program stipend you receive as participant in the Hessen-Wisconsin Program includes two academic seminars (20 contact hours
each), a language course (36 contact hours), study material, accommodation in a single room in a student dormitory, meal subsidy of
EUR 50, evening events and cultural program.
Disclaimer
The Hessen International Summer University, its organizers, staff, lecturers and teachers shall not be held accountable for any damage to personal property or
for injuries suffered by participants during the Hessen ISU program, except where the damage or injuries suffered are caused by acts of willful intent or gross
negligence. The Hessen ISU shall not be held accountable for any damage to property or injury to people caused by participants.
Important
The minimum age for participation in the Hessen ISU program is 18 years.
In case of misbehavior, the organizers of the Hessen ISU reserve the right to dismiss a participant from the ISU program. Misbehavior constitutes e.g. attacks
and insults on other participants, staff, or other third parties, drug abuse, excessive alcohol abuse. A participant’s dismissal 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 ISU 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 the city of the Hessen ISU program.
By signing this contract, I certify that I wish to participate in the Hessen International Summer University and that I acknowledge and
accept to be legally bound by its terms and conditions stated above.
___________________________
_____________________________
5
__________________________
City
Date
Signature
6