APPLICATION OF ADMISSION TO DOCTORATE I hereby apply for admission to a doctorate at the Faculty of Humanities Surname: surname First name: first name. Date of birth: date of birth Place of birth: place of birth Gender: female ☐ Nationality: nationality male ☐ Enrolment no.: enrolment number. Street/Number: address Postcode: postcode Town/City: town/ city Telephone: phone E-mail: e-mail I. TOPIC AND SUPERVISOR Department (responsible examination office): department of faculty Subject of doctorate: subject (* = discontinued subjects/courses, i.e. currently without supervisors; the doctoral committee will decide on the possibility of a supervision/doctorate on an individual basis) Title sought: title Dissertation topic: thesis title I am a member of a post-graduate school. Yes ☐ No ☐ Supervisor/Supervisory Commission: name of supervisor/ commission II. DECLARATION ON CHURCH AFFILIATION Only to be filled in if the title sought is Dr. theol. I belong to a Christian church. Yes ☐ No ☐ 1 Application of admission to doctorate, status: 12.03.2012 III. DECLARATION ON PREVIOUS DOCTORAL PROCEDURES 1. I have successfully applied for admission to a doctorate 2. I am currently completing a doctorate at another university Yes ☐ Yes ☐ No ☐ No ☐ If yes, please provide the details on previous registrations or plans to study for a doctorate: Please enter text here IV. INFORMATION ON ADMISSION REQUIREMENTS (DOCTORATE REGULATIONS §3, 1-4) I apply for admission to the doctorate in accordance with ☐ § 3, paragraph 1 of the Doctorate Regulations, i.e. I have successfully completed a degree program in the subject of the doctorate or a degree program closely related to the doctorate at a university under the jurisdiction of the German Constitution (Grundgesetz). As proof, I have attached to this application: Master’s certificate in a research-oriented course worth a total of at least 300 credit points – incl. the previously completed course or Magister certificate in a course at a university or equivalent higher education institution or Diploma certificate in a course at a university or equivalent higher education institution or Certificate for the First Public Examination for the teaching profession at the upper level of general education schools or Certificate for the First State Law Examination or Certificate for the First Theological Examination ☐ § 3, paragraph 2 of the Doctorate Regulations, i.e. I have a different degree to those described in paragraph 1, but I qualify for the subject of the doctorate through the following: Master’s certificate in a course worth fewer than 300 credit points – incl. the previously completed course or Certificate for the First Public Examination for teaching at a different level to the upper level of general education schools or Master’s certificate in a non-research-oriented course or A completely different qualification, namely: qualification ☐ § 3, paragraph 3, i.e. I have a qualification equivalent to the degrees listed in § 3, paragraph 1 or 2 from a university that is not under the jurisdiction of the German Constitution (Grundgesetz). (Please attach certificate!) ☐ § 3, paragraph 4, i.e. I have a degree from a diploma course from a University of Applied Sciences or a University of Cooperative Education in a course that is relevant to the doctorate with the best possible overall grade according to the grades issued by the respective examination regulations. (Please attach certificate!) 2 Application of admission to doctorate, status: 12.03.2012 Grade in subject of doctorate: Grade of degree/ diploma 3 Application of admission to doctorate, status: 12.03.2012 V. LANGUAGE CERTIFICATES (DOCTORATE REGULATIONS § 3, paragraph 5) (1) I have a degree from a foreign university or equivalent institution, my mother tongue is not German and I want to complete my doctorate in German. ☐ Required certificate: A pass in the German language examination for university admission (DSH) or equivalent certification OR (2) I want to complete my doctorate in English. ☐ Required certificate: English language skills to the level of B1 in the Common European Framework of Reference for Languages (CEFR). OR (3) I hereby apply to complete my doctorate in a language other than German or English, namely in Language please specify ☐ Language certificates and a statement from the supervisor. The doctoral committee reserves the right to insist on presentation of certificates. AND (4) I have the language skills required for the subject of my doctorate.☐ VI. JOINT DOCTORATE WITH FOREIGN INSTITUTIONS The doctoral procedures should be completed together with a foreign university or equivalent institution of education or research. Yes ☐ No ☐ If yes, please state which Regulations are binding: Doctoral regulations of foreign institute Doctoral regulations of Faculty of Humanities, Hamburg ☐ ☐ VII. UNDERSTANDING THE DOCTORATE REGULATIONS I hereby declare that I understand the valid doctorate regulations at the Faculty of Humanities at the University of Hamburg, dated 7 July 2010. ☐ 4 Application of admission to doctorate, status: 12.03.2012 VIII. COMMENTS/AMENDMENTS General comments or amendments, or comments or amendments regarding specific sections of the application, e.g. application for exemption from language requirements (please state the relevant sections): Please enter text here IX. APPENDICES In accordance with § 4, paragraphs 1 and 2 of the Doctorate Regulations, I attach the following appendices to this application: The certificates required in Parts IV and V of this application, i.e. o a certified copy of the degree that entitles the holder to begin a doctorate. (If the certificate is in a language other than German or English, a certified translation in German or English must be provided. In this case, a copy of the degree certificate shall suffice); o if necessary, a certificate showing proof of the required language skills; o if admission is applied for according to § 3, paragraph 3, a document from the Anabin system for the recognition and evaluation of qualifications obtained at foreign universities shall be required, proving that the degree is of equal value to a degree obtained from a German university; the Anabin document is not required if the degree in question is a Bologna MA backed up by a Diploma Supplement. A CV and a list of publications, if available. An exposé: outline of the objectives and methods of the dissertation proposal, incl. work and time schedule. A supervision agreement from a professor or habilitated member of the Faculty of Humanities who represents the planned subject of the doctorate (if necessary, incl. a report on whether the course is “relevant” or that the “qualification guarantees ...”). An enrolment certificate can be retrospectively issued within a time period set by the doctoral committee. 5 Application of admission to doctorate, status: 12.03.2012 Place, date Signature of applicant 6 Application of admission to doctorate, status: 12.03.2012