Application for a Stadt Kiel Scholarship for the

Christian-Albrechts-Universitä t zu Kiel International Center

Application for a Stadt Kiel Scholarship for the

academic year 2021/2022

winter semester 2021/2022

or/and

summer semester 2022

Home University:

Period (please mark with a cross)

Academic Year 2021/2022

Winter Semester 2021/2022

Summer Semester 2022

Particulars

Surname / Family Name: First / Given Name:

Sex: male

female

Date of Birth: Place of Birth:

Nationality: Subject of Study at home University:

Intended Subject of Study at Kiel University:

(according to the list “Studienangebot” on the website:

www. studium. uni-kiel. de/de/studienangebot/studienfaecher/ueberblick)

Current Address (valid until: )

c/o

House Number and Street:

Postcode / Zip Code and Town:

Country:

Telephone: Fax:

E-Mail:

Permanent Address

House Number and Street:

Postcode / Zip Code and Town:

Country:

Telephone: Fax:

E-Mail:

Enclosures:

- Letter of Motivation

- Curriculum Vitae

- Two letters of Recommendation from the docents of the field of study at home university

- Academic Record with Officially Certified Credentials

- Evidence of Language Skills (TOEFL or IELTS; eventually German Certificate)

- Photo

_________________________________

Stamp and Signature of Home University

Place and Date: ________________________________

Signature of Applicant