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School 2

                                                                                                    

  

 

 

 

 

 

Institut National de Recherches en Génie Rural, Eaux et Forêts (INRGREF) Tunis,

Tunisia

  

 

Institute  for Natural Resource Conservation

Christian-Albrechts-Universität zu Kiel

  

 

Application for Admission to the Summer School 2016

“Integrated water resources management in rural areas”

at the Institut National de Recherches en Génie Rural, Eaux et Forêts (INRGREF) Tunis, Tunisia

 

Application deadline: Aug. 15th 2016

send a scanned or pdf  copy by email to:

Dr. Georg Hörmann

I.  for Natural Resource Conservation – Summer School

Department of Hydrology and Water Resources Management

Olshausenstraße 40, 24098 Kiel, Germany

Phone: +49 (431) 880-4030,  Fax: +49 (431) 880-4083

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Photo

  
           

 

1. PERSONAL INFORMATION (Please fill in using the keyboard and print thereafter!!!)

 

Family name:          
           
Given name:          
           
Nationality:          
           
Place of birth:     Country:    
           
Date of birth:     Native language:    
(day/month/year)          
             
Sex:       male         female      

 

Current address, valid until ............/.........../..........   (day/month/year)

  
 

Email address:

 
             
Telephone:                   Fax:    
           
             
Permanent address (address to which correspondence should be sent after the date given above):  
 

Email address:

 
             
Telephone:                     Fax:    
           
             

 

2. EDUCATIONAL BACKGROUND  
     
  Please attach certified copies of certificates to this application form. Do not send original certificates!
2.1

School Education

 

What is the highest level of your school education?

(G.C.E. (O + A-Level), B.Sc., M.Sc., Lise Diplomasi, Apolyterion, 2° Grau, High School Diploma, etc.)

    
       
       
  Place and date of graduation (day/month/year):    
       
       
       
2.2 Description of University Education    
  At which universities have you studied? Please include official transcripts listing all classes. For transcripts in languages other than German, English, French or Spanish, please attach an officially authenticated translation.    
         
  1. Name of University Department Language of instruction From/To  
             
    Degree obtained Grade Point Average Maximum Grade Lowest Passing Grade  
             
             
  2. Name of University Department Language of instruction From/To  
             
    Degree obtained Grade Point Average Maximum Grade Lowest Passing Grade  
             
             
2.3 Research Focus  
       
 

Bachelor/Master Thesis

 

    
 

Title:

   
  Period and Place of Completion:    
  Name and address of supervisor:    
       
 

Doctoral Thesis

 

    
 

Title:

   
  Period and Place of Completion:    
  Name and address of supervisor:    
       
       
  Other activities (international experiences, projects, special training etc.)    
       
       
  Title of your presentation:    
 

(Each participant has to present himself in a 15min presentation)

    
 
4. Motivation      
  Please indicate why and in which way you could profit from the participation of the summer school (0.5 page)      
         
         
         
         
         
6. References  
 

Please give name & address of two referees. A letter of introduction from each referee can be joined to the application

 

  
  Referee 1

Name, address, profession

 
  Referee 2

Name, address, profession
       
       
     
         

7 Signature

I ensure that all statements are complete and correct. The mentioned documents are appended. I am aware that careless or willful false statements are misdemeanor and will lead to an exclusion from the admission procedure or - when later detected - admission.

 

Place                                                     Date (day/month/year)                                    Signature

      
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