personal data _________________________________________________________
family name*
first name*
gender* gender* female male
date of birth*
place of birth*
nationality*
address _________________________________________________________
c/o:
street, house no.*
postal code, city*
country*
phone:
mobile phone:
e-mail*
study _________________________________________________________
my home university*
my study course*
I'm going to study during summer term 2012 at Hochschule Osnabrück* I'm going to study during summer term 2012 at Hochschule Osnabrück* yes no
working group _________________________________________________________
notice: Your choice is not binding, you may change your decision at the beginning of the course.
I choose the following working group: I choose the following working group: society and culture (training in general German) economy (training in economic German) technology (training in technical German)
level of German proficiency _________________________________________________________
I learned German ...
at school
years:
at university
years:
at a language school
years:
I took the following exam:
I've been to Germany before
for:
weeks months years
accommodation _________________________________________________________
attention! Please complete only if you do NOT continue your stay as a (guest) student! If you study at Hochschule Osnabrück as a (guest) student after the language course, our housing officer will arrange accommodation for you.
notice: Hochschule Osnabrück will try to but cannot guarantee to consider your wishes.
I'd like to ... I'd like to ... live in the International Guest House of the university live in a flat shared with other students arrange accommodation by myself
I accept accommodation in a double room in the International Guest House I accept accommodation in a double room in the International Guest House yes no
I'm a ... I'm a ... non-smoker smoker
payment method _________________________________________________________
notice: Hochschule Osnabrück will confirm your registration. The payment is due within 10 days after receipt of this confirmation. Please choose the method of payment you prefer.
I'll pay by ...* I'll pay by ...* cheque postal money order bank transfer
remarks _________________________________________________________
I'd like to remark the following:
general conditions _________________________________________________________
· The fees for international students of Hochschule Osnabrück and for students of our partner universities are 350.00 €. If you cancel your registration after December 31, the fee will be reimbursed apart from a registration fee of 50.00 €.
· Registrations are accepted in order of receipt. Therefore, early registration is recommended.
· Participants are not insured against illness, accidents etc. by Hochschule Osnabrück. We strongly recommend to take out relevant insurances (health insurance, liability insurance, accident insurance).
send form _________________________________________________________
important! I've read the general conditions. By clicking the send button I declare my consent.
