Name applicant: __________________________ Country: _________________________________ Application Form (5 pages!) (Please type or write in block letters and in black) I wish to be registered for the following course (Indicate course AND fellowship/sponsor): International Business from a value based perspective 2 September 2013 – 20 December 2013 (for EU/EEA, NFP and other), Deadlines for application: 1 June 2013 (for EU/EEA and other); NFP deadline closed 0 Erasmus 0 My employer 0 Other: ………………………………………………… 1 September 2014 – 19 December 2014 (for EU/EEA, NFP and other), Deadlines for application: 1 June 2014 (for EU/EEA and other); 25 January 2014 (for NFP in 2014) 0 NFP 0 Erasmus 0 My employer 0 Other: ………………………………………………… Business administration and HRM 2 September 2013 - 31 January 2014 (for EU/EEA and other), Deadline for application: 1 June 2013 0 Erasmus 0 My employer 0 Other: ………………………………………………… 1 September 2014 – 30 January 2015 (for EU/EEA, NFP and other), Deadlines for application: 1 June 2014 (for EU/EEA and other); 25 January 2014 (for NFP in 2014, with reservation) 0 NFP 0 Erasmus 0 My employer 0 Other: ………………………………………………… International communication, journalism specialization 31 March 2014 – 27 June 2014 (for EU/EEA, NFP and other), Deadlines for application: 1 February 2014; 23 September 2013 (for NFP in 2014) 0 NFP 0 Erasmus 0 My employer 0 Other: ………………………………………………… 30 March 2015– 26 June 2015 (for EU/EEA, NFP and other), Deadline for application: 1 February 2015 and 23 September 2014 (for NFP in 2015) 0 NFP 0 Erasmus 0 My employer 0 Other: ………………………………………………… International corporate communication 31 March – 27 June 2014 (for EU/EEA and other), Deadline for application: 1 February 2014; 0 Erasmus 0 My employer 0 Other: ………………………………………………… 30 March – 26 June 2015 (for EU/EEA, NFP and other), Deadlines for application: 1 February 2015; 23 September 2014 (for NFP in 2015, with reservation) 0 NFP 0 Erasmus 0 My employer 0 Other: ………………………………………………… Language learning in primary education (first and second language acquisition) 3 February – 25 April 2014 (for EU/EEA, NFP and other), Deadlines for application 1 November 2013; 23 April 2013 (for NFP in 2014) 2 February – 24 April 2015 (for EU/EEA, NFP and other), Deadlines for application 1 November 2014; and 23 April 2014 (for NFP in 2015) 0 NFP 0 Erasmus 0 My employer 0 Other: ………………………………………………… Name applicant: ________________________ Country: _________________________________ Social Work in the Netherlands I: Innovating in Social Work 2 September - 29 November 2013 (for EU/EEA, NFP and other), Deadlines for application: 1 June 2013 (for EU/EEA and other); NFP deadline closed 0 NFP 0 Erasmus 0 My employer 0 Other: ………………………………………………… 1 September – 28 November 2014 (for EU/EEA, NFP and other), Deadlines for application: 1 June 2014 (for EU/EEA and other) 25 January 2014 (for NFP in 2014) 0 NFP 0 Erasmus 0 My employer 0 Other: ………………………………………………… Social Work in the Netherlands II: Innovating in Social Work & processes of legitimating and accounting of Social Work in the Netherlands 2 September 2013 - 31 January 2014 (for EU/EEA and other), Deadline for application: 1 June 2013 (for EU/EEA and other); 0 Erasmus 0 My employer 0 Other: ………………………………………………… 1 September – 30 January 2014 (for EU/EEA, NFP and other), Deadlines for application: 1 June 2014 (for EU/EEA and other); 25 January 2014 (for NFP in 2014, with reservation) 0 NFP 0 Erasmus 0 My employer 0 Other: ………………………………………………… Nursing: Orientation in research methods 2 September 2013 – 29 November 2013 (for EU/EEA, NFP and other), Deadlines for application: 1 June 2013 (for EU/EEA and other); NFP deadline closed 0 Erasmus 0 My employer 0 Other: ………………………………………………… 1 September 2014 – 28 November 2014 (for EU/EEA, NFP and other), Deadlines for application: 1 June 2014 (for EU/EEA and other); 25 January 2014 (for NFP in 2014, with reservation) 0 NFP 0 Erasmus 0 My employer 0 Other: ………………………………………………… Nursing: nursing research methods extended course 2 September 2013 – 31 January 2014 (for EU/EEA and other), Deadlines for application: 1 June 2013 (for EU/EEA and other) 0 Erasmus 0 My employer 0 Other: ………………………………………………… 1 September 2014 – 30 January 2015 (for EU/EEA, NFP and other), Deadlines for application: 1 June 2014 (for EU/EEA and other); 25 January 2014 (for NFP in 2014, with reservation) 0 NFP 0 Erasmus 0 My employer 0 Other: ………………………………………………… “with reservation” means: not yet approved for course list NFP 2014/15 Personal data Surname/Family name: ** ___________________________________________________________________________________ First name(s):** ___________________________________________________________________________________ Male Female Single Married Nationality: Date of birth _________________________________ Religion: _________________________ (day/month/year):**____________________ Place of birth:** ___________________ Country of birth: ___________________ Correspondence address (street/city/province/country): ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ E-mail (a working e-mail address avoids a delay in the application process!): ___________________________________________________________________________________ Telephone: ____________________ _____Your mobile / cell phone: _________________________ ** please give names and information exactly as they appear in your passport Educational data Name of school/university (Diploma and/or Degree) – Year of graduation: ___________________________________________________________________________________ ___________________________________________________________________________________ Level of knowledge and experience in proposed field of study: ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ Name applicant: ________________________ Level of English: ____________________________________________________________________ IELTS test – score: _______ TOEFL test – score: _______ Other: _______ score:______ Language used in higher education: ____________________________________________________ Working experience Name of employer:___________________________________________________________________ ___________________________________________________________________________________ Position held________________________________________________________________________ Description of your present work: ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ From (years): ______________________to _______________________________________________ How did you get to know about CHE? Through CHE website Embassy/consulate in _____________________________________ A student/alumni of CHE Other __________________________________________________ IMPORTANT! On a separate sheet of paper: Motivation Explain your motivation to attend the chosen course Goals of your proposed study Involvement in the Christian basis of our institution Name applicant: ________________________ Further enclosures Copies of relevant diplomas A recommendation letter from your employer (in case of NFP application) A certificate of proficiency in English (for applicants from non-English speaking countries only) Copy of your (valid) passport (only the pages containing your personal data and expiry date) I certify that I am well posted in the nature and contents of the course for which I apply. I certify that the answers are true and complete. Place: _______________________________________________________________________ Date: _______________________________________________________________________ Signature: _______________________________________________________________________ Please return to: Christian University of Applied Sciences (CHE) Preferably by e-mail: internationaloffice@che.nl P.O. Box 80 6710 BB EDE The Netherlands More information by telephone? +31 318 696 300 or +31 318 696 445 www.che.nl/en More information about SOL (Scholarship On Line) through www.studyinholland.nl, topic “scholarships” version 10-04-2013/s2h