Completed Application Form

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Summer Academy on

Intercultural Experience

Scholarship Application Form 2015

Application Form PART I – Personal Data

Please register on http://summeracademy-karlsruhe.org/registration

You can hold back your payment until you have notice on your scholarship application. If you are selected for a scholarship you will receive further information about payment procedures. If you are not selected, we still hope for your participation but you are free to withdraw from your registration.

I apply for a:

Online Reg. #

Partial tuition scholarship 450 Euro (Special scholarship for applicants from Egypt, Jordan, Libya, Morocco, Tunisia, and

Yemen)

First Name:

Last Name:

Nationality:

Full home address:

City and Country of Residence:

City and Country of birth:

E-Mail:

Gender:

Current employment status:

male

female

I am a high school student

I am a college/university student

I am employed

I am unemployed/doing a gap year/or similar

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Field of study and university:

at (university)

current semester

I finished my studies in (year)

I have not visited a university/college (yet)

Application Form PART II – Information

1. How would you describe your cultural identity (key words)?

2. Have you spent time abroad (school exchange, semester abroad, internship abroad,…; please list only stays over one month duration, the type of stay and exact period of time and country)

3. What are your other experiences, background and expertise related to intercultural learning? (about 100 characters)

4. Do you have concrete work experiences (e.g. internships) which led to your choice of courses at the summer Academy? If yes, please name them. (about 100 characters)

5. Are you a volunteer or involved in a youth exchange organization?

No.

Yes, with the following youth exchange organization:

→ If yes, please describe your active involvement (type, period of time) with about 100 characters

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6. Please describe your active involvement within the civil society (e.g. community service programs, volunteer work, school/class representative

→ type, period of time, organisation/field).

(about 100 characters)

7. For participation we highly recommend English proficiency level C1

(CEFR) or higher. How would you describe your English proficiency level according to CEFR/ TOEFL / IELTS?

Please provide certificates etc. in attachment to this application form

Type of the certificate:

Grade/points in an English certificate:

8. What is the average of your academic records in the last two years

(please also indicate highest and lowest possible grade in your university grading system)?

Please provide transcripts of records in attachment to this application

9. Academic Qualification

Please select the qualifications which apply to you.

If you are currently pursuing another academic degree, kindly fill in both sections

I have obtained the following academic degree(s)

Undergraduate /Bachelor

Name of Degree (with major) Year :

Institution :

Diploma /Master

Name of Degree (with major) Year :

Institution :

Postgraduate

Name of Degree (with major) Year :

Institution :

I am currently pursuing my academic degree

Name of Degree (with major) Year of study

Institution:

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10.

Do you receive any financial support (educational assistance (BAföG), sponsorships, public assistance etc.)

Yes

No

If yes, please provide confirmation in attachment of this application. Please note that financial support of any kind does not reduce your chances of being awarded a scholarship.

Application Form - PART III – Letter of motivation

Please provide us with a letter of motivation for your participation (approx. 1 page).

Please include the following topics in your letter of motivation:

Why do you want to participate in the Summer Academy?

 What are you hoping to gain from your participation?

 How are you intending to use the experiences from the Summer Academy in the future?

 Why should you be awarded a scholarship?

Please attach transcripts of your records of the past 2 years of your academic career, proof of English language ability and further relevant certificates (e.g. letter of recommendation) to this application.

I have attached:

Letter of motivation

Transcript of records (of two years)

English certificate

Other:

Confirmation of financial support

Please return the application form and the attachments by May 31 to contact@summeracademy-karlsruhe.org

.

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