International Office - University of Vienna CENTRAL COLLEGE Language Teaching Assistantship Application Form Please attach passport sized Photograph (Please print and write in black ink) Field of Study: .................................................................................................. Students Personal Data (to be completed by the student) Family name: ............................................................ First name: .................................................... Date of birth: ............................... Gender: ..................... Nationality: ............................................................... Place of birth: ............................................... Mailing address: ................................................................................... Permanent address: ....................................................................... ................................................................................... ................................................................................... ................................................................................... Phone: ....................................................................... ....................................................................... ....................................................................... ....................................................................... Phone: ........................................................... Email: ........................................................................ Have you passed the TOEFL test? If yes, please indicate date and score: If no, for which date did you register? ..................... Date: ........................ Score: .............. Other language skills: .............................................................................................................................. .................................................................................................................................................................. Education abroad: .................................................................................................................................... .................................................................................................................................................................. .................................................................................................................................................................. Occupational experience abroad: ............................................................................................................ .................................................................................................................................................................. .................................................................................................................................................................. Occupational experience in Austria: ........................................................................................................ ................................................................................................................................................................... ................................................................................................................................................................... Hobbies: .................................................................................................................................................... ................................................................................................................................................................... Declaration I have read the information on the Central College Language Assistantship. I wish to apply for this program. I certify that the statements I have made on this application are true and correct. I understand that the application process may include supplementary materials which I agree to complete promptly. I understand that in case of nomination I will be studying on a non-fee/nondegree-status. I hereby authorize my application to be distributed to other participants in the program. I further agree that neither the University of Vienna nor a Partner University will be held responsible for any liability whatsoever; furthermore, neither the University of Vienna nor a Partner University shall be required to purchase any insurance against loss or damage to any personal property to which this application relates. Applicant's signature: ........................................... Date: ......................... Application checklist: o Application form (2 copies) with a photograph each o Curriculum vitae (2 copies) o Statement of purpose (2 copies): Please write a 1 page essay stating your reasons why you want to study and work as a language assistant at Central College. Be specific in relating those reasons to your past and current academic and extra-curricular experience and your goals in the future. o Two letters of recommendation by professors of the University of Vienna o Transcript = “Sammelzeugnis” o Study plan (2 copies): List 1 to 3 courses (per semester) you would like to study at Central college (just the code and the title of the courses). o 2 copies of TOEFL test score (Please apply for the next possible test date: nearest TOEFL test center http://www.ciu.at/ Submit your application to: Elisabeth Marlovits International Office Universitätsring 1 1010 Wien phone: 4277-18206 email: elisabeth.marlovits@univie.ac.at UNIVERSITY OF VIENNA LETTER OF RECOMMENDATION CENTRAL COLLEGE Language Assistantship International Office Elisabeth Marlovits Universitätsring 1, A-1010 Wien (For any inquiries please call + 43-1-4277–18206) STUDENT’S NAME: ............................................................................................. 1. How well do you know the applicant? ..................................................................................................................................................................................... ..................................................................................................................................................................................... ..................................................................................................................................................................................... 2. Evaluation of the applicant’s academic record to date and special areas of interest: ..................................................................................................................................................................................... .......................................................................................................................................................................... ........... ..................................................................................................................................................................................... 3. Evaluation of the applicant’s attached study proposal: ..................................................................................................................................................................................... ..................................................................................................................................................................................... ................................................................................................................................................. .................................... 4. Overall impression (academic and personal impression): ............................................................................................................................................................. ........................ ..................................................................................................................................................................................... ..................................................................................................................................................................................... 5. Recommendation (with reservations, without reservations, highly) ..................................................................................................................................................................................... ..................................................................................................................................................................................... ..................................................................................................................................................................................... Name and Department of Instructor: Date: ...........................................Signature: .............................................................................