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Application form

Please fill in this application form properly. Forms which are uncompleted (also those without photo) will not be accepted.

To
JOHN-MOTT-HAUS
Studentenwohnheim des CVJM München e.V.
Theo-Prosel-Weg 16
80797 München
Germany
Tele-Fax: +49 - 89 / 12 15 67-44

I apply for a room in the John-Mott-Haus. Desired day of moving in:______

1Information about yourself:

1.1family name:______first name: ______

1.2date of birth: ______place of birth:______No. of brothers / sisters in education: __

1.3nationality: ______denomination: ______

1.4graduation: high school
former professional training/ activity: ______

1.5father’s professional activity:______mother’s professional activity:______

1.6Address and phone number of your parents or closest relatives:

______

1.7in case of any difference: please send answer to my application to this address (do please include phone number):

______

1.8E-Mail: ______mobile:______

2If you come from a foreign country:

2.1my native language______I have been living in Germany since__

2.2:MyGerman language ability: well moderatelylittle

2.3I have attended a collegeI am just attending a collegeI will attend one

3Information about your university education:

3.1Which university do you want to study at/ are you studying at? ______

3.2.Which subject(s) do you want to study/ are you studying/ did you study before?

______

3.3I’ve been studying for______terms.

3.4For beginners of study: expected date of starting studying at university: ______

3.5Are you living in Munich at the moment? yes ( ) no ( ) if yes, since when? ______

4Personal background

Please add your curriculum vitae to this application, including your personal interests, hobbies, organisation of leisure time etc…

5Other information

5.1Have you lived in a students dormitory before ?______

5.2If yes, where did you live and for how long ? ______

5.3Do you know anybody in the John-Mott-Haus ? If yes, who? ______

5.4Are you a member of any organisation or society (student’s society, group, youth association, club or any other association)? If yes, of which one ?

______

6Information about your study finances

How much monthly income do you have available?

scholarship: ______,00 EUR kind of scholarship: ______

own effort: ______,00 EUR

parents sponsoring: ______,00 EUR

other income: ______,00 EUR

7Size of room

The rooms in the John-Mott-Haus have different sizes and prices.

I apply for one of the largest rooms in John-Mott-Haus (16/20m²)

I prefer one of the middle-sized rooms (12m²)

If possible I would like to stay in one of the smallest rooms (10m²)

The decission will be taken by the office.

8Questions to be answered voluntarily

The following questions are for the purpose of statistics and information about certain topics in which we are interested. It would be kind of you if you answered them also.

8.1How did you find out about the John-Mott-Haus?

______

______

8.2Why did you choose a hostel for students instead of a private room?

______

______

8.3.Was there a special reason for you to choose exactly the John-Mott-Haus?

______

______

ImportantI know that the timeofliving in John-Mott-Haus is limited to 3 years. I am male and informed about the other houseregulationsand apply for a room on those terms.

place, date / signature

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