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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


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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



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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.

http://www.fubis.org/http://www.fubis.org/


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)

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