A. PROFESSIONAL EXPERIENCE
Period
Employer
Type of work
Period
Employer
Type of work
Period
Employer
Type of work
B. LANGUAGE PROFICIENCY
Mother tongue:
Knowlegde of:
English □ Excellent □ good □ fair □ poor □ no ability
German □ Excellent □ good □ fair □ poor □ no ability
French □ Excellent □ good □ fair □ poor □ no ability
Other
C. FINANCE
□ By myself
□ Through my institute/employer
Please state name and contact details:
Name institute/company:
Address:
Zipp code + City:
Country:
□ I have obtained a scholarship
□ Bolashak
□ Huygens Scholarship Programme
□ Libertas Support Fund
□ The Netherland Fellowship Programme
□ Studed
□ Kosovo scholarship
□ Fulbright Program
□ other
□ yes □ no
Are you applying for a partial tuition fee waiver? (Only relevant for students
from East and Central Europe and developing countries)
□ yes □ no