Application for Admission

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1. H

Course type E E/G G En

2. H

In Ge Registration No. For offic e us e only

BW

- this form comprises 8 pages -

Hochschule Furtwangen University

Department Product Enginnering/

Wirtschaftsingenieurwesen

Master Program Sales & Service Engineering (MBA)

-P l e a s e t y p e o r hand-write clearly .

When do you wish to begin your studies?

FAMILY NAME

GIVEN NAMES (in full, underline main first name)

Please affix a recent photograph

of yourself here and enclose another one!

Write your name and address on the back of the photographs! DATE OF BIRTH

(dd/mm/yy)

PLACE OF BIRTH COUNTRY OF BIRTH NATIONALITY

ADDRESS FOR CORRESPONDENCE: FULL NAME, STREET, HOUSE/APT. NUMBER

CITY ZIP CODE COUNTRY/STATE

TELEPHONE (include country/city code) FAX (include country/city code) E-MAIL

HOME ADDRESS (if different from above): FULL NAME, STREET, HOUSE/APT. NUMBER

CITY ZIP CODE COUNTRY/STATE

TELEPHONE (include country/city code) FAX (include country/city code E-MAIL

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UNIVERSITY ENTRANCE QUALIFICATION

(Please enclose officially certified copies of original documents and certified translation into English or German*, please do not send originals)

TYPE OF CERTIFICATE (GCE-A-level, Baccalaureat, Matura etc.)

NAME OF INSTITUTION / CITY / COUNTRY

DATE GRADE POINT AVERAGE

*Translation is not necessary for certificates originally worded in German or English.

ACADEMIC RECORD

Please list all colleges and universities you have attended up to now:

(Enclose officially certified copy of the highest degree obtained and certified translation into English or German*, please do not send originals)

NAME OF INSTITUTION CITY / COUNTRY ATTENDED (month/year) FROM TO MAJOR / PROGRAM STUDIED DEGREE OBTAINED

*Translation is not necessary for certificates originally worded in German or English .

EMPLOYMENT / WORK EXPERIENCE / PROFESSIONAL TRAINING / INTERNSHIP(S) Please list

in chronological order and enclose copies.

EMPLOYER CITY / COUNTRY DATES POSITION MAIN RESPONSIBILITIES AND DUTIES

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NATIVE LANGUAGE

Please indicate your native language(s):

... ENGLISH LANGUAGE PROFICIENCY

If English is not your native language, please indicate institution, country and duration of your English learning. WHERE DID YOU LEARN ENGLISH ?

Name of institution, Country

HOW LONG ? From - to

HOURS OF ENGLISH INSTRUCTION PER WEEK

GRADE / LEVEL / SCORE REACHED

If you have taken an English language test, please give details.

DOCUMENT(S) STATING ENGLISH PROFICIENCY:

e. g. TOEFL, IELTS, etc.

DATE OF TEST LEVEL STATED / SCORE REACHED

GERMAN LANGUAGE PROFICIENCY

If German is not your native language, please indicate institution, country and duration of your German learning. WHERE DID YOU LEARN GERMAN ?

Name of institution, Country

HOW LONG ? From - to

HOURS OF GERMAN INSTRUCTION PER WEEK/

TOTAL HOURS

GRADE / LEVEL / SCORE REACHED

If you have taken a German language test, please give details.

DOCUMENT(S) STATING GERMAN PROFICIENCY: e. g. DSH, (PNDS), Tests conducted by the Goethe-Institut,

etc.

DATE OF TEST LEVEL STATED / SCORE REACHED

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OTHER LANGUAGE SKILLS Please tick relevant boxes.

Elementary Intermediate Advanced Near native speaker ... ? ? ? ?

... ? ? ? ?

_________________________________________________________________________________ LETTER OF MOTIVATION

For admission you need to submit a letter of motivation stating your study motives and objectives. Please write a minimum of 1 and maximum of 2 pages describing your reasons for wanting to study for an MBA in ‘Sales & Service Engineering’ at the University of Furtwangen.

Please print or use a typewriter or PC.

Put your full name and address on top of your letter of motivation, indicate place and date and sign it at the end. Make sure that you enclose your letter of motivation as an attachment to this application!

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REFERENCE(S)

You may submit references (in English or German) from persons knowing you and your qualifications. For this purpose you may use the attached reference form (see appendix) and hand it over to your reference person(s). Please give his/her/their name(s), address(es) and position(s) below and enclose the letter(s) of reference:

REFERENCE NAME POSITION ADDRESS TEL FAX E-MAIL SOURCE OF INFORMATION

Where did you find out about the opportunity for postgraduate studies at Furtwangen University? ... ...

Declaration:

I confirm that, to the best of my knowledge, the information given in this form is correct and complete. If admitted, I agree to conform to the Statutes, Ordinances and Regulations of the Hochschule Furtwangen University as they apply to my course of study.

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CHECKLIST

Before returning this application form, please check that you have:

enclosed two recent photos with your name/address on the back (one stapled onto application form)

enclosed your curriculum vitae / résumé enclosed your letter of motivation

enclosed certified copies and certified translations of your - university-entrance qualification,

- academic transcripts,

- academic and professional qualification certificates

enclosed copies of documents stating your proficiency in English and / or German references

signed and dated the form.

Deadlines for application:

April 26th For applications from overseas and Europe (apart from Germany).

1st Semester

July 15th For applications from Germany (all applicants). Submission of applications is possible until this date.

2nd Semester January 15th For applications from Germany (all applicants). Submission of applications is possible until this date.

Any urgent questions? Contact us by e-mail: [email protected]

fax: ++49 / 7723 920 1869

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APPENDIX: - for all applicants -

If the reference is written in any other language than English or German, please enclose certified English or German translation!

- strictly confidential - REFERENCE

FOR APPLICATION FOR ADMISSION TO POSTGRADUATE STUDY AT THE HOCHSCHULE FURTWANGEN UNIVERSITY

SECTION A (to be completed by applicant)

Reference concerning (applicant’s name, date of birth, place of birth)

... Name of reference (in capital letters please):

... Address: ... ... Position: ... _________________________________________________________________________________ SECTION B

CONFIDENTIAL STATEMENT BY REFERENCE

The above-named person is applying for admission to postgraduate studies at the Hochschule Furtwangen University, and has named you as a reference. We would be grateful to receive your opinion of the applicant’s ability to cope with, and benefit from, postgraduate-level study.

Please hand-write clearly or use typewriter or PC. Thank you!

_________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________

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REFERENCE FOR (name of applicant):

____________________________________________________________ STRICTLY CONFIDENTIAL SECTION B / Continued

_________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________

Signature of reference ... Date ...

Please return to the applicant to:

Hochschule Furtwangen University Admission Office (Zulassungsamt) Postfach 11 52

D-78113 Furtwangen