International Human Rights Lawand Humanitarian Law Program
APPLICATION FORM /
Study Beginning∆ (year)in:Summer Semester (Apr.) Winter Semester (Oct.)
Instructions:—1All applications to attend the program must be made on this form.
2If possible, fill out the form electronically in MSWord and print on A4. To move from field to field, use Tab, PgUp/PgDn or the cursor.For help with some fields use F1 or see the Status Line. Each field has a limited size; do not enter more characters than are visible. If hand-written, please write clearly.If the form cannot be read, the application will NOT be processed.
3All fields marked with ∆ must be completed fully,where the information is available.Incomplete applications will NOTbe processed.
4Give a copy of the completed application and all supporting documents to each of the referees named in Section 9 below.
5All applicationsmust include the following additional documents.These may be faxed/emailed, but originals must also be sent by post. Do NOTsend original degrees/diplomas:— / University use only
Anmerkung / Datum / Unterschrift
a)curriculum vitae (CV) (in English; maximum 4 A4 pages) / a
b)two confidential recommendationletters(references).Use theConfidential Reference form (available for download from our website), signed personally by a professor or employer, in English, German, French, Spanish or Russian / b Ref 1
b Ref 2
c)evidence of relevant practical experience(one year minimum, or a letter requesting and justifying an exemption) / c
d)proof of competence in English (see admission information on our website for detailed requirements) / d
6Send the application form and all other documents to:—
Dr Carmen Thiele
— International Human Rights Law Program—
Europa-Universitaet Viadrina Frankfurt (Oder)
Postfach 1786
D–15207 FRANKFURT (Oder)
Federal Republic of Germany
Further contact data:
+49 335 5534―2363 (tel), ―2449 (fax), ―2412 (secr)
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Eingegangen
Qualikationen
Prüfung/Brückenkurs
Angebot
Annahme
Stipendium vorläufig
Stipendium endgültig
Gebühr
Kategorie
Intended Program of Study∆Master’s (LLM) (3 semesters) Diploma (2 semesters) Certificate (1 semester)
1.Personal information∆
1.1Family name∆
/1.2Firstname(s)∆
1.3Date of birth∆
/1.4Place of birth∆
1.5Gender∆MaleFemale
/1.6Country of permanent residence∆
1.7Citizenship 1∆
/1.8Citizenship 2(if any)∆
1.9If you belong to a national minority, which one? (question optional)
2.Passport/Travel Documents∆
Note: You must check concerning visa requirements for your stay in Germany(please check at the Germany embassy in your country before completing this form).
2.1Passport number∆
/2.2Issue date∆
/2.3Expiry date∆
2.4Country of issue∆
/2.5City of issue
2.6Do you require a visa for your stay in Germany?∆Yes No
/2.7Are you already residing legally in Germany?∆Yes No
International Human Rights Law and Humanitarian Law ProgramApplication Form /
Europa-Universität Viadrina Frankfurt (Oder)
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3.Contact information∆
Note: The address you give must be your usual postal-address where we can reach you. We will send all correspondence to this address.
Please give either house address or a post box.
3.1Address∆
3.2City/Town∆
/3.3Postcode∆
/3.4State
3.5Country∆
3.6E-mail∆ Note: Email will be the most convenient way to communicate with you; we will keep you informed via email; please check your email regularly.
3.7Home phone∆
/ country code/ prefix
/ your number
/
3.8Work phone∆
/ country code/ prefix
/ your number
3.9Mobile phone∆
/3.10Fax∆
3.11Emergency contact∆ Please give a contact (family member or friend ) whom we can reach in case of emergency during your stay in Frankfurt (Oder):– name: address: full phone nr(s):full fax nr: email:
4.Present Academic Study∆
Give information here about academic study in which you are presently enrolled. Note: You must have completed a university degree in law or equivalent to enrol in this program.
4.1Are you presently enrolled in study?∆Yes NoIf Yes, answer question 4.2–4.7; if No, go to 5.1
4.2Title of course/qualification/degree∆
4.3Undergraduate∆ or postgraduate∆ ?
/4.4When did you begin thisprogram?∆
/4.5In what year will you finish?∆
4.6University/college∆
/4.7Faculty∆
5.Academic qualifications held∆
Give information here about past academic/university study, that is, university degrees (diploma/bachelor/master/doctor/etc.) or other qualificationsalready completed. Give information only about full degrees, not about individual subjects studied. Note:You must have completed a university degree in law or equivalent to enrol in this program.
Degree/examination∆ / Field of study∆ / University, city; faculty∆ / Period (years)∆ / Year obtained∆ / Mark/Grade∆
5.1
/5.2
/5.3
/5.4
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5.7
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5.13
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5.19
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6.Language ability∆
Language∆ / Level of ability∆- mother tongue/excellent/good/basic; test result where available.Note: Where English is not your mother tongue, you must provide certified evidence of your ability in English (see detailed admission requirements). / Certificate,exam or other qualification
(give title)∆
6.1∆
/ Native language (mother tongue)6.2
6.3
6.4
7.Present Professional Employment∆
7.1Are you presently employed?∆Yes NoIf Yes, answer question 7.2–7.15; if No, go to 8.1
7.2Title of Position∆
/7.3Full-time orPart-time ?∆
7.4Nature of work activity∆
/7.5When did you start?∆
7.6Employer/organisation∆
/7.7Employer type∆
7.8Address of employer∆
7.9City∆
/7.10Postcode∆
/7.11State∆
7.12Country∆
/7.13Phone∆
/ country code/ prefix
/ number
7.14Email (employer)∆
/7.15Fax∆
8.Past Professional Employment/Occupational Activity∆
If you have never been employed. leave this section blank
Position held∆ (title, activity) / Employer∆(name/organisation, city) / Period∆8.1
/8.2
/8.3to
8.4
/8.5
/8.6 to
8.7
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/8.9 to
8.10
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/8.12 to
9.References∆
Note:We must receive 2 confidential written recommendations, each completed on the ‘Confidential Reference Form’, signed personally by the professor, other university teacher, ora past or present employer who supports your application, eachin a sealed envelope (also signed or stamped by the referee). The recommendation may be written in English, German, French, Spanish, or Russian.The original references in their sealed envelopes should be sent together with this application form by post.
9.1REFERENCE 1∆Give here the full name, position and address (including email and phone) of referee 1:∆ title, name, position: university, full address: full phone nr(s):full fax nr: email:
9.2REFERENCE 2∆Give here the full name, position and address (including email and phone) of referee 2:∆ title, name, position: university, full address: full phone nr(s):full fax nr: email:
10.Financial support∆
Financial aid and/or travel assistance to attend the program may be available to participants in special need. Acceptance into the program is independent of any need for financial aid. Note:No guarantee of financial aid can be given at the time of application. Applicants will be informed of the decision on financial aid later.
10.1Do you need a scholarship to attend this program?∆Yes No
10.2Would you also participate without a scholarship?∆Yes No
Note:If youare offered financial aid for travel, you must providefull and accurate receipts for all travel expenses claimed before you can receive any payment!
11.Other remarks or relevant information
If there is further information relevant to support your application (e.g. membership of organisations, voluntary work, special activities, etc.), please mention this briefly here. If you have worked voluntarily in e.g. an NGO or similar institution, please give the name of the organisation(s), location, description of your activities and the dates.
11.1
12.Statement of Motivation for Enrolment in the Program∆
State in your own words your reasons for applying for this postgraduate program. Please refer to career and personal reasons as appropriate. Indicate how you intend to manage your studies where you also have other commitments. Indicate how you will benefit from the program and how it fits into you career plans over the next 5 years.
12.1
13.Declaration and Signature∆
13.1∆I declare that all information provided in this document and any documents attached is true to the best of my knowledge. The University may verify this information and documents at its discretion.
13.2Date
/13.3Signature
International Human Rights Law and Humanitarian Law ProgramApplication Form /
Europa-Universität Viadrina Frankfurt (Oder)
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