Bring ideas to life VIA University College BA top-up Application Form Summer intake 2015 Photo Date of birth, Date: Month: Year: First name: Family name: Address: Post code: Mobile: City: Country code: + Mobile number: E-mail.: Country of citizenship: Non- Danish Upper secondary education/Entry qualification (official transcript must be included or sent after graduation) Year of completion: Name of school/institution: I already hold a graduate degree (e.g. AP, BA or MA degree) (official transcript must be included) Year of completion: Name of school/institution: Choice of BA Degree Programme Following programs are offered at VIA Design, Birk Centerpark 5, Herning: International Fashion Design International Pattern Design International Purchasing Management International Branding & Marketing Management International Retail Design International Retail Management International Communication and Media Strategy Fashion Fashion Fashion & Furniture Fashion & Furniture Fashion & Furniture Fashion & Furniture Fashion & Furniture Following programs are offered at VIA Design, Campus C, Aarhus International Entrepreneurship Fashion & Furniture If you have more than one wish regarding specialty, please mark 1 and 2, where 1 is your first priority. Order of priority – if you have applied to other universities/colleges Priority Admission area no. Name of programme Name of institution 1 2 3 4 Postsecondary education (e.g. AP, BA or MA education - Official transcripts must be included) Name of degree Name of institution Start (date) End (date) 1 2 3 4 Examinations passed supplementary to the upper secondary education/entry qualification Name of course Name of institution Start (date) End (date) 1 2 3 4 Work experience Employer Nature of work Start (date) End (date) Hours weekly Nature of activity Start (date) End (date) Hours weekly 1 2 3 4 Extra-Curricular activities Institution/Organization 1 2 3 4 Enclosures which must be forwarded Admission requirements (copy of certificate/diploma) English Language Certificate – if required Date Signature