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1 For office use only H 1. H 2. H BW Start date Course type E E/G G Ent. Pt. En In Ge Registration No. Application for Admission - 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) Male Female WS SS 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) 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 01/2008

2 Application for Admission, Hochschule Furtwangen University, MBA program 2 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

3 Application for Admission, Hochschule Furtwangen University, MBA program 3 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: DATE OF TEST e. g. TOEFL, IELTS, etc. 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

4 Application for Admission, Hochschule Furtwangen University, MBA program 4 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!

5 Application for Admission, Hochschule Furtwangen University, MBA program 5 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 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. Signature of applicant Place and Date

6 Application for Admission, Hochschule Furtwangen University, MBA program 6 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: 1 st Semester April 26 th July 15 th For applications from overseas and Europe (apart from Germany). For applications from Germany (all applicants). Submission of applications is possible until this date. 2 nd Semester January 15 th For applications from Germany (all applicants). Submission of applications is possible until this date. Any urgent questions? Contact us by fax: ++49 / phone: ++49 /

7 Application for Admission, Hochschule Furtwangen University, MBA program 7 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!

8 Application for Admission, Hochschule Furtwangen University, MBA program 8 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 D Furtwangen Germany Thank you very much

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