QTEM Application Form

Application Deadline: 01 February 2018

Please rank your preferred QTEM partner universities. You HAVE to list

at least FIVE QTEM partner universities. Applications with less than five universities cannot be processed.

1.
2.
3.
4.
5.
6.
7.

Personal Data

Family Name: Name:
Date and Place of Birth: Nationality:
Mailing address during semester:
Phone no.:
Mailing address during semester break:
Phone no.:
Mobile phone no: E-mail:
Masterprogram: MIEEP MMF BWL/International Management
Beginning of Master studies (Winter/summer and year):
In Winter semester 2018/2019 I will be in my semester
Matriculation Number:
Previous stays abroad (country, duration, year, reason):
Bachelor degree (degree program, final grade, University and country):
Which QTEM track to you want to study (Track A, B, or C)?
Track:
Please note (Track A students only): In order to be nominated for the second QTEM semester Track A students have to submit a list of five universities to the QTEM coordinator by 01 June 2018!
Extracurricular and voluntary work with a social purpose:
Type:
From/To:
Amount of hours worked:
Language skills and if available certificates:
GMAT score (for GRE scores check the official conversion tool):
You need a minimum GMAT score of 600, otherwise the application cannot be processed!

I hereby allow Goethe University to forward my application to the QTEM Network. My contact details can be forward to academic and corporate partners and future exchange students. I will write a report about my semester abroad not later than four weeks after end of the semester abroad that can be published on the website.

I agree that the examination office may forward information about my grades to the Auslandsbüro of the Faculty of Economics and Business Administration and the academic partners and academic coordinators of the QTEM Network.

Place/date: / Signature

The Application Forms must not be filled out handwritten! Please use a computer!

Seite 2 von 2