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7/29/2019 ERG Stip 13 Anmeldeformular En
1/4
ErnstReuterGesellschafte.V.
Scholarship
Application
Form
ScholarshipsforStudentsfromLatinAmerica
FUBiSWinterTermI2014
TheErnstReuterGesellschaftderFreunde,FrdererundEhemaligenderFreienUniversittBerline.V.offersforthe
FreieUniversittBerlinInternationalSummerandWinterUniversity(FUBiS)tenfullandtenpartialscholarshipsfor
qualifiedstudentsfromLatinAmerica.
FUBiSTermItakesplacefromJanuary4untilJanuary25,2014.
Dependingon
which
scholarship
you
receive
(full
or
partial)
the
following
costs
are
covered:
SERVICE FullScholarship PartialScholarship
ProgramFee 150.00 150.00
TuitionFee 900.00 900.00
Accommodation(lumpsum) 370.00 370.00
Excursions 49.00 49.00
FUBiSInsurancePackage 40.00 40.00
TravelExpenses(lumpsum) 1,200.00 500.00
LivingExpenses(lumpsum) 541.00 241.00
TOTAL 3,250.00 2,250.00
Theprogram
and
tuition
fees
as
well
as
all
other
incurred
costs
such
as
accommodation,
insurance,
and
excursion
costs will be subtracted directly from the awarded sum. The remaining scholarship that was awarded to the
participantwillbegivenoutonsiteinBerlin.Pleasenotethattheamountcannotbetransferredinadvance.
The completed application form accompanied by a Curriculum Vitae (CV), a letter of motivation (in English or
German),a letterofRecommendationfromafacultymemberwho isfamiliarwithyouracademicachievements(in
EnglishorGerman),acertifiedrecordofattendedcoursesandgradesfromthelasttwosemesters,confirmationof
currentenrolment inaUniversity (youcanuseacopyofyourstudentID)andproofofcitizenship (acopyofyour
passport)must bereceivedat theFUBiSOfficeby September 20,2013 (this is the date ofreceipt, it mustbe sent
beforethen) Forfurtherrequiredmaterials,pleaseseeitemJ.
Pleaseprintoutandfillintheapplicationformandsenditonlybypostalmailalongwithallrequiredmaterialsand
documentsin
one
single
shipment
to
the
FUBiSOffice:
FreieUniversittBerlin
InternationalSummerandWinterUniversity
(FUBiS)
vertretendurch/representedbyERGUniversittsservice GmbHScholarshipErnstReuterGesellschafte.V.OttovonSimsonStr.2614195BerlinGermany
Ifyou
choose
to
not
fill
in
the
form
on
your
computer,
please
write
clearly
and
in
capital
letters.
Please
note
that
incompleteapplicationsand/orpartialshipmentscannotbeconsideredandthatnoapplicationmaterialswillbe
returned.
Scholarship FUBiS Winter Term I 2014, application form, page 1 of 4
7/29/2019 ERG Stip 13 Anmeldeformular En
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A. Personal Information Ms. Mr.
_______________________________________________ _______________________________________________Family name First name
Postal Address
_______________________________________________ ___________________________ _______________Street State Zip / Postal Code
_______________________________________________ _______________________________________________Street 2 or Apt # City
_______________________________________________ _______________________________________________Country E-mail
_______________________________________________ _______________________________________________Telephone Fax number
______ ________________ _____________ (Day/Month/Year) _______________________________________________Date of Birth e.g.: 23 February 1986 Citizenship
_______________________________________________Passport Number
Emergency Contact Information
_______________________________________________ _______________________________________________Name E-mail
_______________________________________________Telephone Number
Relation: Parents Siblings Friends Others
B. Academic Information
_______________________________________________ ______________________________________________Complete (!) name of current Home College / University City of Home College / Universitye.g.:Universidade Federal do Rio de Janeiro e.g.: Rio de Janeiro
_______________________________________________ ______________________________________________Major Minor
C. How did you learn about the scholarship?
Internet Email Professor Study Abroad Office other, please specify ___________________________
D. Program Fee
The program fee includes the following services:
Official FUBiS transcript Guided Tour through the Reichstag Building and the Federal Parliament Weekly Movie time FUBiS student ID (reduced prices for meals at the dining hall of the Freie Universitt, student tickets for sights, museums etc.) Access to libraries and computing (incl. Internet) and printing facilities on the campus Welcome and farewell buffet
Program Fee Total: 150
Scholarship FUBiS Winter Term I 2014, application form, page 2 of 4
7/29/2019 ERG Stip 13 Anmeldeformular En
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E. Course Selection
Please select either one German course or one subject course with a cross in the left-hand column. A combination of courses is notpossible. The maximum enrolment is 18 students for subject courses and 15 students for German language courses. If your choicecannot be accommodated because the course is already fully booked, FUBiS will contact you to discuss alternative options.
Applicants must have successfully completed at least one year of study at a university to qualify for the scholarship. Subject courses aretaught in English or in Spanish. For the subject classes we expect language proficiency on an intermediate level as a prerequisite.
FUBiS Term I 2014 Course Listings
PleaseSelect
Tuition 900 - Class times: Monday, Tuesday, Wednesday, Thursday
No. Title Language Hours ECTS
1.01 Semi-Intensive German Language Beginner A1*
German 72 4
1.02 Semi-Intensive German Language Beginner A2
1.03 Semi-Intensive German Language Intermediate B1
1.04 Semi-Intensive German Language Intermediate B2
1.05 Semi-Intensive German Language Advanced C1
Tuition 900 - Class times (please see course schedule in the corresponding syllabus)
1.06 European Studies English 48 4
1.07 The Cold War English 48 4
1.08Entre el orden y la represin: discursos y prcticas policiales en Europa y suexportacin a Amrica Latina
Spanish 48 4
* For A1 German language beginner students only:
I have absolutely no knowledge of the German language: Correct No, I DO have some knowledge of German already
Tuition fee total 900
F. Accommodation (optional)
Freie Universitt Berlin like most German universities does not own any student dorms or housing facilities. FUBiS arrangesappropriate off-campus accommodation for the duration of the program as an optional service at the students request (accommodationis subject to availability). FUBiS housing is limited and will be assigned in order of request. Accommodation is available from January 4to January 25, 2014.For more details, please refer to the FUBiS General Terms and Conditions at www.fubis.org.Please select:
I would like to reserve a single room with shared facilities at a student dorm(Studentendorf Berlin-Schlachtensee).Bathroom and fully equipped kitchen are shared.Rent 340 +Dorm service fee 30 370 _____________
I would like to reserve a furnished single occupancy apartment(Arwobau or House of Nations) incl. kitchen, TV, balcony, coffee maker, radio etc. 500 _____________
I wish to apply for a homestay arrangement with a Berlin host family.Private bedroom incl. daily breakfast & one additional meal 520 _____________
I hereby authorize FUBiS to arrange accommodation for the duration of the program. I am aware that FUBiS only serves as anintermediary. FUBiS is not liable for any agreement between the two parties of renter and landlord.
____________________ __________________________________________________Date Participants signature
I will find my own accommodation in Berlin.
Scholarship FUBiS Winter Term I 2014, application form, page 3 of 4
http://www.fubis.org/http://www.fubis.org/7/29/2019 ERG Stip 13 Anmeldeformular En
4/4Scholarship FUBiS Winter Term I 2014, application form, page 4 of 4
G. Excursions*
Video Bus Tour (January 11, 2014) 19
Includes a 2-hour bus tour that combines sightseeing and multimedia
Daytrip to Potsdam & Sanssouci Castle (January 18, 2014) 30
Includes guided city tour, visit of Sanssouci Castle,extension ticket for public transportation
* Please note that the listed excursions are part of your scholarship and cannot be paid out in cash.
H. Insurance The scholarship includes an insurance package. 40
The package covers international health insurance, liability insurance**, and accident insurance
** Liability insurance: Please note that damage to immovable property is subject to a deductible of 250 per claim.
Total Amount in __________(Please add program & tuition fee, accommodation, excursions, and insurance costs.)
I. Registration
All scholarship recipients will be contacted by email by October 18, 2013 at the latest. Attached will be a Scholarship Award Letter and aScholarship Response Form. Students will be given 7 days to complete and return the Scholarship Response Form to the FUBiS Office.Failure to do so may result in forfeiture of the award.
J. Required documents
Curriculum Vitae (CV for the requirements please see *)
letter of motivation (approx. 600 words [1 page], Arial, 11 pt, in English or German - including a brief statement on your
social and financial situation)
one letter of recommendation from a faculty member who is familiar with your academic achievements (in English or
German)
certified record of attended courses and grades from the last two semesters
confirmation of current enrolment in a University (Copy of student ID)
proof of citizenship (copy of passport)
*) Your CV must include: List of universities attended until now; List of transcripts/ academic attainment; List of extracurricular activities detailinginvolvement in campus and community service (e.g. voluntary work); List of any work experience (e.g. internships)
Herewith, I declare that I have read, understand, and accept the General Terms and Conditions and the Academic and Program Policies- at www.fubis.org - of the Freie Universitt Berlin. The Freie Universitt offers no liability in the case that I am unable to complete theprogram due to an emergency.
____________________ __________________________________________________Date Participants signature
Please note that scholarship awardees are obliged:
not to fail the classes his/her scholarship applies to;not to miss a single day of class without good reason (i.e. sickness);to write a final report of one page on their FUBiS experience (due February 9, 2014)
I, the undersigned, hereby confirm that the given information is truthful. I have read and I understand the rules and regulations of theFUBiS program. I understand that in case I violate or fail to meet any of the obligations outlined above, the scholarship will be withdrawnimmediately and funds already given out must be returned to FUBiS/Ernst-Reuter-Gesellschaft e.V..I am aware that the scholarship requirements and criteria are subject to change without prior notification.I am aware that partial and/or incomplete shipments as well as illegible application documents will not be considered.
____________________ __________________________________________________Date Participants signature (First and Last Name)