Studienkolleg Konstanz • Center for International Students

Studienkolleg Konstanz • Center for International Students
Alfred-Wachtel-Str. 8, 78462 Konstanz, www.studienkolleg.htwg-konstanz.de
Tel. +49 7531 206-361, -362, -363, -414, -453, -519 • Fax: +49 7531 206-683
Application for Recognition
of foreign educational credentials for academic degree programmes
at the Universities of Applied Sciences (UAS) in the State of Baden-Württemberg
Summer / winter term _____________ (year)
I
am applying for
a) Studienkolleg b) direct access at a UAS
c) a study course held purely in English
(Please tick your choice if you are sure. We will specify when evaluating your educational credentials.)
Programme: _______________________________________________ Bachelor Master
University of Applied Sciences: ______________________________________________________ (town)
_________________________________________ ___________________________________________
surname first name
_________________________________________ sex: male female
birth name
_________________________________________ ___________________________________________
date of birth place of birth
_________________________________________ ___________________________________________
nationality e-mail (please write clearly in block letters)
Correspondence address in Germany (if applicable)
_________________________________________ ___________________________________________
street address postal code and town
_________________________________________ ___________________________________________
staying with (c/o) telephone number
Home address
_________________________________________ ___________________________________________
street address postal code, town and country
Educational background (secondary school / university)
___________________________________________________________________________________________
University entrance qualification with place and date (e.g. GCE, Baccalaureate, Bachelor, Matura, Attestat, university entrance examination, academic transcripts - please specify in your CV/Resume)
Have you already learned German? yes no
Are you attending a German language course at the moment? yes no
___________________________________________________________________________________________
Where are you learning German? Which level have you attained? (please attach certificates)
Are you living in Germany? yes no If yes, since when? _____________________________
Have you attended a Studienkolleg course? yes no If yes, where? ___________________________
Have you participated in the Feststellungsprüfung? yes no If yes, where? ______________
Have you passed the Feststellungsprüfung? yes no If yes, where? _____________________
Have you been granted political asylum / refugee status in Germany? yes (please underline which) no
I confirm that the given information is complete and true. All relevant certificates are enclosed.
___________________________________________ ___________________________________
place date signature
Filled in by Studienkolleg
(07/17)
______________________
Eingang des Antrags
______________________
Bew.-Nr.
______________________
direkt / DSH
direkt / FSP
Zeugnisanerkennung
______________________
Studienkolleg
T-Kurs
W-Kurs
a. F.
_____________
______________________
Sprachnachweis
Grundstufe, B1
DSH entsprechend
TestDaF _________
_________________
nachreichen
______________________
Durchschnittsnote:
Schule:
HAP:
Studium:
gesamt: