Intercultural Theology • Application Form for Admission 2018

Please note: We recommend that you fill in this form directly on your computer and print it out.
If this is not possible, please write clearly in block capitals using black ink. Complete all sections;
incomplete forms may delay or nullify your application.

Personal Information

║ Family name ║ Given Name ║ Middle Name(s)

║ Title (Mr, Mrs, Miss, Dr, etc.) ║ Gender ║ Nationality

Female Male

║ Date of Birth (DD/MM/YYYY) ║ Place of Birth (City/Country)

Contact Information
║ Home Address ║ Correspondence Address (if different)

║ City ║ City

║ Postal Code ║ Postal Code

║ Country ║ Country

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║ Telephone (landline) ║ Mobile Phone ║ E-mail Address

Current and Previous Higher Education

║ Current Study
I am not currently studying
I am currently registered at another institution:

University / Institution Subject (include faculty / Degree Start year Year of Expected grade
department) completion

║ Previous Degree-Level Study (most recent first)

University / Institution Subject (include faculty / Degree Start year Year of Grade
department) completion

║ Scholarships, prizes and other distinctions obtained (if none, please leave these fields blank)

Name of award Reason for award Date Value (if any)

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English Language Proficiency

║ Is English your first language? ║ Was English the language of instruction for your degree?
Yes Yes
No No

║ Proof of Proficiency

Please note: If English is not your first language, you need to submit a proof of proficiency. Of the many
available formats, we accept the TOEFL and the IELTS (Academic). Applicants have to meet the
minimum score of 80 TOEFL iBT, resp. 6.0 IELTS. Please refer to our website for further information.

Which test did you take? Date taken (DD/MM/YYYY) Overall result
TOEFL
IELTS (Academic)

Employment History
Please indicate in the table below all paid or voluntary work which is relevant to the Intercultural Theology M.A.
programme. Begin with the most recent first. You may wish to describe your work and activities in more detail in your
letter of motivation.

║ From ║ To ║ Post held ║ Name and Address of Employer

Declaration and Signature

I hereby affirm that I have not previously passed or failed an examination in a programme of study similar or comparable
to Intercultural Theology, nor am I currently attending such an examination. I affirm that I have given all details
completely and correctly to the best of my knowledge. The required documents (see Checklist on page 4) are attached
to this apllication. I am aware that providing negligent or deliberately false information is in violation of regulations and
may result in exclusion from the admissions procedure or – if revealed later – to revocation of admission or enrollment.

║ Place ║ Date (DD/MM/YYYY) ║ Signature

______________________________________________

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Application Checklist
Together with this Application Form you must submit additional materials. Use this sheet to demonstrate and to check
that you have included all necessary documents. All materials must be completed in English. Please do not staple the
documents. The following materials are required:

║Item ║ Enclosed

● Application Form

● Bachelor's degree certificate or equivalent credentials

(copy and authorised translation in English)

● Curriculum vitae (in a tabular format)

● Photo (attached to page 1 of this form)

● Letter of motivation (max. 1000 words)

● Scan of your passport

● Proof of proficiency in English (TOEFL or IELTS Academic;

test scores will be forwarded by the test centres directly to the university)

If you wish to send additional documents in support of your application, please list these items here:

Please put all materials into a large envelope (do not fold) and send them by mail to:

Georg-August-Universität Göttingen
Theologische Fakultät
Intercultural Theology
Platz der Göttinger Sieben 2
37073 Göttingen
Germany

It is your responsibility to ensure that all materials arrive at the university before the deadline of 2018, April 1.
When we have received your application, we will send you a notice of receipt by e-mail.

If you have any questions concerning the application and admission process, please visit our website or
contact us personally.

www.uni-goettingen.de/intercultural-theology

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