Waterloo in Germany Application Form

Transkript

1 University of Waterloo Waterloo in Germany Application Form Germanic and Slavic Studies Student Name: UW ID: Faculty: City Applying For: Start Semester, Year: Finish Semester, Year: Today s Date: Application Deadline: Signature of Exchange Co-ordinator Upon Acceptance Comments from Exchange Co-ordinator

2 Waterloo in Germany Program Department of Germanic and Slavic Studies Application Form Last name Given name(s) Date of birth Place of birth Status in Canada Please list all countries of which you are a citizen UW Student ID Street City/Province Postal Code Telephone Emergency Contact Street City/Province Postal Code Telephone Cellular Phone Address Types of courses you plan on taking City Semester(s) Year (start finish) I. General Information Canadian citizen Permanent resident (landed immigrant) in Canada Other (please specify) II. Permanent Address III. Address as a Student IV. Proposed Course Selection V. Semesters Applying For Bamberg Mannheim Fall Winter Spring

3 Name of University Currently Attending Program Plan Level Projected Date of Completion VI. Academic Background VII. Name of University Degree Already Achieved Degree Name and Field Name of University VIII. All Post-Secondary Academic Training Name of Institution Dates (Start-Finish) Field(s) of Study Degree Received IX. Please describe your formal and informal training in the German Language. X. Please describe the nature and extent of any traveling you have done in Germany; and whether you have studied or lived in Germany. XI. Letter of Support Form Please Write Name of Faculty Member Filling out Form

4 XII. Statement of Study or Research Please attach a summary of your reasons for wanting to participate in the Program. Outline as concretely as possible your academic goals and interest for your time abroad. Your summary should be a maximum of one page in length and should bear the heading Statement of Study or Research. XIII. Curriculum Vitae Please attach one-page curriculum vitae (resumé) to this application. Include relevant information on where you have lived, your education, employment, volunteer work, hobbies and interests, relevant skills and qualifications. XIV. Transcripts Please submit a current official transcript from the university you are currently attending. Note: If you have declared German as your major or if you are a graduate student in the Department of Germanic and Slavic Studies at the University of Waterloo, you do not need to include the transcript. If you have questions about the Waterloo in Germany University Student Exchange Program or this application form, please contact the Waterloo in Germany Exchange Officer Assistant: Department of Germanic and Slavic Studies University of Waterloo Waterloo, ON, N2L 3G1 Tel: (519) Ext jvaughan@uwaterloo.ca Notice to applicants: The Waterloo in Germany Student Exchange Program is administered by the Department of Germanic and Slavic Studies at the University of Waterloo. The Program reserves the right to keep applications on file indefinitely. The Department of Germanic and Slavic Studies reserves the right to compile anonymized statistics relating to the gender, field and level of study of successful and unsuccessful applicants, and to use these statistics for legitimate academic and administrative purposes. In applying to the Program, you are accepting these conditions. I hereby certify that the information given on this application form is accurate to the best of my knowledge, and that I accept the conditions set forth above relating to the use of information contained in the application. Date: Signature:

5 XV. Assessment of German Language Competence Please have a professor of German at your university fill out this assessment of German language competence. Sprachzeugnis Kenntnisse der deutschen Sprache (Zutreffendes bitte ankreuzen). I. Verstehen III. Schreiben Versteht Unterhaltungen und Vorträge ohne Mühe Schreibt korrekt und flüssig Versteht fast alles, wenn man langsam und deutlich spricht Versteht mit Mühe; Wiederholungen und Übersetzungshilfen sind notwendig Kann Unterhaltungen und Vorträgen nicht folgen Schreibt langsam mit einzelnen Fehlern Schreibt mit Mühe und sehr fehlerhaft Kann sich nicht schriftlich verständlich machen II. Sprechen Spricht fließend, korrekt und gut verständlich Spricht verständlich, aber nicht ganz korrekt und fließen Spricht sehr gebrochen und fehlerhaft Kann sich nicht verständlich machen IV Lesen Liest flüssig und mit Verständnis Liest langsam, versteht aber den Textzusammenhang Hat Verständnisschwierigkeiten und muss viele Wörter nachschlagen Kann auch einfache Texte nicht verstehen Bermerkungen Name des Bewerbers Prüfer/in Berufliche Stellung Ort und Datum Unterschrift

6 XI. Letter of Supprt Use this form as a reference from a professor who is familiar with you and your academic work. Section I: To Be Filled Out by Applicant Applicant s Full Name: Name of university currently attending Program Plan Intended Discipline(s) of Study in Germany Industriousness Academic Achievement Oral and written skills Judgment Maturity Flexibility Ability to deal with ambiguity Section II: To Be Filled Out by Professor Excellent Very Good Good Average Below Average Inadequate Opportunity to Observe Section III: Please elaborate whether or not the candidate is prepared personally and academically to succeed in a different academic system and to adapt successfully to living in a different culture. You may choose to attach a separate page. Name, Title Department, University Known Student What Length of Time Date Signature Section IV Instructions to Professor: Please return this form to the applicant in a sealed envelope or to the exchange co-ordinator within one week of having received it.