Application for Research Master Candidacy

Date

1. Complete, sign and upload credentials by March 1 (non EU) / May 15 (EU) to the Online Application System specified under application on the website. (Please type)

Academic year(s) for which admission is sought:20- 20

Name

Last (Family) NameFirst nameMiddle Name Gender (m/f)

Date of birth Place of birth

Present Mailing Address

Permanent (Legal) address

Present Telephone Number Email

2. Area and field of intended concentrationCheck one area and one field within that area.

Area I Biblical Studies

Field:Old/New Testament

Other

* Indicate choice of specialization: Greek and Roman, Indian, Early Judaism, Christian, Islam, Other (circle one)

Area II Religious Studies

Field:History of Religions*

Anthropology of Religion*

Area IIIPhilosophy and Psychology

Field:Philosophy of Religion/Ethics

Psychology of Religion/ Pastoral Core & Counseling

3. TOEFL or IELTS Please give the score and date on which you took the Test of English as a Foreign Language (TOEFL) or the test of the International English Language Testing System (IELTS). Native speakers excluded.

TOEFL version (paper, computer, internet)score test date

IELTS score test date

4. All applicants not now citizens of the EU, Iceland, Liechtenstein, Norway, andSwitzerland

Name______

LastFirstMiddle Initial

AddressDate of Birth

Street AddressApartment Number

Phone

CityState/ProvidenceZip Code/Country

Citizenship/nationality E-mail Address

Country

Passport Number

Marital StatusMarriedSeparatedDivorcedDate

WidowedSingle

Spouse’s NameSpouse’s Employer______

Is spouse a student? Yes NoIf yes, what is his/her status: Full-timeHalf-timeLess than half-time

If yes, name of school

Number of children living in your care

If you are already in The Netherlands:

(a)When did you enter?______

(b)What is your present visa classification?______

(c)Have you applied to the Dutch immigration and naturalization service IND[1]for permanent resident status? YesNo

(d)Have you received permanent resident status?______Yes No

If yes, whatis your residence permitnumber?______

(e)In what country do you plan to work when your education is complete?______

5.UndergraduateCollege or University

Name and LocationPeriods of AttendanceDegreeDate Received

What is/was your major? Minor?

6. University, College orSeminary (previous and/or current)

Name and LocationPeriods of AttendanceDegreeDate Received

Field of concentration?

Have you previously submitted an application to any degree program ata DutchUniversity? Yes No

Which University?When?

For what program?

7. Academic honours
List academic or special honours you have received in college, seminary, or other schools of higher education.
8.Bachelor’s thesisRequired for the two year programme. Indicate title and date.
9. Master’s thesis Required for the one year programme. Indicate title and date.
10. Modern languages English and German normally are required of all candidates.

Please indicate how much study you have done in each of these languages:

English______

German______

What is your level of reading fluency in each of these languages?

EnglishGerman

Are you now prepared to pass a translation test in: English Yes NoGerman Yes No

List any other modern languages you read:

11. Ancient languages Hebrew and Greek are admission prerequisites for applicants in the area of Biblical Studies. Certain other ancient languages are obligatory for successful completion of various programs.

Please indicate any ancient languages you have studied, the courses you have had, and your level of reading fluency.

Hebrew Other

Greek

12. Language study contemplated Describe any language study you plan to take before matriculation.
13. References names

Academic Recommendations (two)

(1)Address

(2)Address

All applicants: signature required
I have carefully reviewed and completed each section of this application and certify that the information provided is correct to the best of my knowledge.
Signature______Date
(Please print form and sign here.)

Checklist

(To be enclosed with application)

Name

Last (Family) NameFirst nameMiddle Name

CredentialsEnclosedBeing Sent Separately

Four-page Application Form (signed)

A curriculum vitae

A letter outlining your interest in the programme

and a proposal for a study plan

Bachelor’s (or Master’s) thesis (printed copy)

(Send a self-addressed, postage-paid envelope

if you want these documents returned to you.)

Academic Recommendations

1

2

Certified Transcripts (List Schools)

1

2

3

TOEFL/IELTS Score Reports

Any documents that could assist in interpreting qualifications for

the Research Master’s programme study (if applicable)

This Checklist

[1]The IND (Immigration and Naturalization Service) is responsible for the implementation of immigration policies in the Netherlands. The IND assesses all applications submitted by foreign nationalswho wish to stay in the Netherlands.