Application Form for the Deutschlandstipendium at Freie Universität Berlin in the Funding

Application form for the Deutschlandstipendium at Freie Universität Berlin in the funding period from Oct 1, 2017, to Sep. 30, 2018

This is a translation of the German application form for the Deutschlandstipendium. In case of discrepancies the German wording is binding.

1Personal Data

Salutation* Mr. Ms.

Last name*

First name*

Street and house number*

Additional address line, if needed

Postal code*

City*

Country

Email address*

Age

Citizenship

2Educational Background (college and high school)

Status*applicant to a master's degreeapplicant (first semester)applicant (higher semester)currently enrolled student of FU Berlin

Department / Central Institute*

Subject*
(Main/core subject as indicated on your certificate of enrollment; if your subject is computer science, psychology, or business administration, please include your study focus.)

I am enrolled at another university for my main/core subject (multiple enrollments).
Separate modules/minor

Type of degree program you will be enrolled in during the upcoming fall/winter semester*

Number of university semesters (applicable for the upcoming fall/winter semester)*
(Number of university semesters (applicable for the upcoming fall/winter semester) as indicated on your certificate of enrollment. If the winter semester is your first semester of study, the correct answer is 1.)

Number of semesters you have been enrolled in your main subject (applicable for the upcoming fall/winter semester)*
(Number of semesters you have been enrolled in your main subject (applicable for the upcoming winter semester) as indicated on your certificate of enrollment. If the fall/winter semester is your first semester of study, the correct answer is 1. If you are starting a new program (e.g., a Master's program), the correct answer is 1.)

3Achievements So Far

Credit points, if applicable
(Credit points in the program which you will study in the upcoming winter term. If you are starting a new program (e.g., a Master's program) in which you haven't earned any credit points yet, the correct answer is 0.)

Grade point average (university)*
(Please indicate your grade with one decimal place and use a comma instead of a decimal point. Example: 1,3
For students currently enrolled: grade point average in the current program.
Applicants to undergraduate programs and students who will be enrolled in the first semester in the upcoming winter semester: Please enter an x in this box and enter the grade of your university entrance qualification in the next field.
Applicants to master's programs and students who will be enrolled in the first semester of a master's program during the winter semester: Please enter the grade of your most recent university degree in this and in the field "Final grade of first degree, if applicable".
Please enter a grade according to the German grading system, i.e. as indicated on your letter from Uni-Assist e.V. ("Uni-Assist Pr�fbericht"). If your grades are from a foreign educational system and have not been converted into the German grading system, please enter your foreign grade and add a corresponding note under item 6..)

Final grade of university entrance qualification*

Final grade of first degree (if applicable)

4. Other Selection Criteria

Subject-related awards, prizes, scholarships
Year and name of the award or scholarship. Certificates of these activities are required with your application. Example: 2007 First prize in the International Mathematical Olympiad. 2010 Prize for the best High School Diploma.

Awards, prizes, scholarships etc. not related to your field of study
Year and name of the award or scholarship. Certificates of these activities are required with your application. Example: 2007 First prize in the International Mathematical Olympiad. 2010 Prize for the best High School Diploma.

Subject-related work activities and internships
Indicate the dates and name of the institution. Internships: List only voluntary and additional internships that are not included in the curriculum and are not recognized as part of the requirements for your degree. Do not include any internships totaling less than 120 hours. Certificates of these activities are required with your application. Example: Jan. 25, 2010 - Aug. 28, 2010 Internship Robert Koch-Foundation Stuttgart

Work activities and internships not related to your field of study
Indicate the dates and name of the institution. Internships: List only voluntary and additional internships that are not included in the curriculum and are not recognized as part of the requirements for your degree. Do not include any internships totaling less than 120 hours. Certificates of these activities are required with your application. Example: Jan. 25, 2010 - Aug. 28, 2010 Internship Robert Koch-Foundation Stuttgart

Volunteer work and social or political commitment
Indicate the dates and name of the institution. Include activities and work without pay in the areas of social policy, political policy, school or university committees, social work, activities in communities, associations, clubs etc. Certificates of these activities are required with your application. Example: Since August 2012 volunteer for amnesty international

Work in a family business

Indicate dates and name of the business. Certificates are required with the application.

My parents are not college- or university-educated.
I have an immigrant family background. (According to the Immigrant Survey Regulations of Sept. 29, 2010, BGB (German Federal Law Gazette) I, Page 1372, 1373)

I have a chronic illness / disability.
I have children to care for.
I have other family members who require care and who I take care of.
I am currently receiving a performance-based scholarship of 30 euros or more per month.

If yes, from what institution?

I currently receive support through the German Federal Education and Training Assistance Act (BAföG).

5Application for a Scholarship in the Field of Setting up New Businesses

I am applying for a scholarship in the field of setting up new businesses.
Enclose the following with your application: documentation showing that you have set up a new business, attended classes dealing with starting businesses, and/or were successful in one or more competitions for business founders.

Please name your activities in the field of setting up new businesses

6Notes

I hereby certify the accuracy of my statements.

Date, Signature