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Fill out digitally or in BLOCK CAPITAL LETTERS. Please note that all fields aremandatory. Unfortunately, incomplete application cannot be taken into account.

APPLICATION FORM

INTERNATIONAL SUMMER SCHOOL 2014

Personal Information

Sex

Female Male

Last name First name

Date of Birth (YYYY/MM/DD)

Phone E-Mail

Permanent Address City and Zip Code

Country

Street and Number

State

Passport Information CitizenshipPlace of Birth

Expiry DatePassport No.

Education City and Country

Semester

School or University

Course Major

Expected Graduation

Other Experiences Time Abroad

Company or Programm

City and Country

Dates and Position

Work

Company or Programm

City and Country

Dates and Position

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Contact in Case of Emergency Last Name First name

Phone

Adress

E-Mail

City and Zip Code

Programme Fee Includes:

Accommodation: Shared accommodation with other international students in a hostel

nearby the campus

Meals: Breakfast and lunch during the days at BTK

Excursions:guest speaker event, entrance fees, two-week public transport ticket,

working material

Early Bird until April 1st2014

Package I

(accommodation

in shared room)Regular: 1400 Euro

Early Bird*: 1250 Euro

Package II

(accommodation in two

bed room)Regular: slight surcharge,

on request

Package III

(without accommodation)

Regular: 1150 EuroEarly Bird*: 990 Euro

Design Culture Berlin

Course Selection

Which of the four courses do you wish to apply for?

Architecture

Digital Filmmaking

Digital Illustration

Documentary Photography

Special Needs If you have any special medical needs or

physical limitations that could influence

your choice of accommodation please let

us know:

If you have any special dietary needs please

explain here:

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Contact For further queries, please do not hesitate to contact us.

Berliner Technische Kunsthochschule (BTK)

University of Art and DesignInternational Office

Bernburger Str. 24-25

D-10963 Berlin, Germany

Telephone: +49 (0)30 338 539 530

Email: international@btk-fh.de

www.btk-fh.de/summerschool

Signature Todays Date

Signature

Place

How did you hear about BTK International Summer School?

Friends

Exhibition

School

Internet

Other

Additional Information Language Requirements

Students are expected to have a level of English language competence that enables

them to deal with academic contents. No additional language test will be conducted.

Visa and Health insurance

International students are responsible for their visa, travel documents and health

insurance.

Required documents

In order to be able to process your application, please attach a certificate of enrol-

ment of your home university, a copy of your passport and health insurance certificate

to your application and send it to the International Office.

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