The statement of the birth date serves the sole function of unambiguously identifying the applicant. 2

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1 Fakultät Mathematik und Naturwissenschaften Fachrichtung Psychologie Application Form for Determination of Eligibility in the Master Study Program Psychology: Human Performance in Socio-Technical Systems (HPSTS) (M. Sc.) Surname: First Name: Birth Date 1 (format DD-MM-YYYY): - - Applicant Number 2 : Matriculation Number 3 : 1. Have you acquired a first university degree recognized in the Federal Republic of Germany in one of the following subjects or attained at least 80% of course credits required for graduation at a university? Psychology (minimum 6 semester), work sciences, computer sciences, engineering-, traffic-, economic sciences, business education, industrial engineering, teacher training, public health, occupational health, sociology. Yes, I have acquired a degree; a legally attested copy of the university degree is attached Yes, I have attained at least 80% of course credits required for graduation; a corresponding confirmation of the university in original or legally attested form is attached 2. Do you have a good command of the English language at least of level B2 of the European framework of reference for languages or is English your native language? Yes, a legally attested copy of written proof for sufficient language skills is attached 1 The statement of the birth date serves the sole function of unambiguously identifying the applicant. 2 You receive this number after application at the Online Applicant Portal of TU Dresden. 3 For applicants enrolled at TU Dresden.

2 3. Have you attained in at least 4 of the 12 thematic core areas of the master study program HPSTS course credits of at least 5 ECTS in total? Yes, legally attested copies of certificates and performance records as well as module descriptions 4 are attached (please fill out appendix 1) 4. Have you attained in at least 3 of the 7 fundamental subjects of psychology course credits of 20 ECTS in total? Yes, legally attested copies of certificates and performance records as well as module descriptions 3 are attached (please fill out appendix 2) If you have answered questions 1. to 4. with Yes, please submit this application form together with all transcripts and other documents required for matriculation in accordance with the following recipient information and deadlines: German and foreign applicants with a university entrance qualification (i.e., admission right to Master level studies) received in Germany have to submit their application to: Technische Universität Dresden Fachrichtung Psychologie Professur Arbeits- und Organisationspsychologie Studienbüro HPSTS, BZW Dresden Germany German and foreign applicants with a university entrance qualification (i.e., admission right to Master level studies) received outside of Germany have to submit their application to: Technische Universität Dresden c/o uni-assist e.v. Helmholtzstraße Berlin Germany German and foreign applicants (EU) with a university entrance qualification (i.e., admission right to Master level studies) received in Germany or outside of Germany have to submit their application until July 15 of the respective year. Foreign applicants (n-eu) with a university entrance qualification (i.e., admission right to Master level studies) received outside of Germany have to submit their application until May 31 of the respective year. 4 For evaluating the recognition of modules in the master program, meaningful module descriptions have to be enclosed, particularly regarding module contents and the qualifications acquired here-in. 2

3 Applications that are not received in complete and due form/due time will be excluded from the further application process. 5. Please indicate your preference for the supplemental area 5 : Cognitive-Affective Neuroscience (CANE) Clinical Psychology and Psychotherapy (KPP1, KPP2) I have no preference. Date, Place Signature 5 The indication of your preference is for informational purposes only and has no bearing on your application. 3

4 Appendix 1 I have attained the following course credits in the thematic core areas (please do not state course credits here that you list in the domain of the fundamental subjects of psychology, cf. appendix 2): (1) Cognitive Affective Science (2) Consumer Research (3) Human Factor Engineering / Ergonomics / Neuroergonomics (4) Human Resource Management (5) Learning & Instruction (6) Marketing (7) Organization & Work Science (8) Public Health; Occupational Health (9) Quality Management (10) Social Behavior Science (11) Statistical Methods (12) Traffic and Transportation Science Core area Performance record* ECTS** Module description enclosed? *Recognized are: a) modules, b) lectures / seminars, c) bachelor theses / diploma theses / state examinations. **If ECTS data is not available, please indicate an equivalent measure for the scope of the performance record, e.g. weekly hours per semester. 4

5 Appendix 2 I have attained the following course credits in the fundamental subjects of psychology (please do not state course credits here that you list in the domain of the thematic core areas, cf. appendix 1): (1) General psychology (2) Biological psychology (3) Differential and personality psychology (4) Developmental psychology (5) Methods of psychology (6) Psychological diagnostics (7) Social psychology Subject Performance record* ECTS** Module description enclosed? *Recognized are: a) modules, b) lectures / seminars, c) bachelor theses / diploma theses / state examinations. **If ECTS data is not available, please indicate an equivalent measure for the scope of the performance record, e.g. weekly hours per semester. 5