Prof Dr Carmen Thiele

Faculty of Law
— Human Rights Summer Course —

APPLICATION TO PARTICIPATE for Viadrina Students

Summer Course 2022
‘The European System of Human Rights Protection’

Instructions:
a. Fill out the application form in MSWord and send it scanned as .JPEG or .PDF via E-mail with your
original signature to jursok@europa-uni.de.
b. All fields marked with a (*) must be filled in (incomplete applications will not be processed).

1. Personal Information
Family name* First name(s)*

Date of birth* Place of birth*

Gender* Male Female Country of residence*

Citizenship* Matr.-Nr.:

2. Contact Information
Note: Please give your postal-address in Germany.

Address

City/Town Postcode State

E-mail

Note: Please use your university e-mail address.

Phone

3. Present Academic Study

Give information here about academic study in which you are presently enrolled.

Title of study program

Undergraduate or Postgraduate When did you begin this program?

Faculty*

4. Competence of English Language

Please check the box applicable to you:

English is my mother tongue.

My English level is excellent very good good basic

Page 1 of 2
5. Other Remarks or Relevant Information
If there is further information relevant to support your application (e.g. membership of organisations, voluntary work, special activities, etc.)
please mention this briefly here.

6. Declaration and Signature

I declare that all information provided in this document is true to the best of my knowledge.

Date Signature

Page 2 of 2