counselling form - Hochschule Emden/Leer

Gender

Mr.

Mrs./Ms.

Inter

University-e-mail address*

Matriculation number*

Faculty at the University of Applied Sciences Emden/Leer*

Planned stay abroad*

Desired country/area for stay abroad

BAföG recipient

yes

I have attended following information events of the International Office*

please choose...

study semester abroad

internship abroad

study semester and AND internship abroad

none

Additional languages (if applicable)

Time period of the planned semester abroad*

Confirmation*

By activating the check-box, I expressly agree that the data transmitted by me may be used and that I agree with the forwarding of my contact information and e-mail address to the International Office. These data are processed and used in accordance with Article 5 (1) GDPR. A transmission of my data takes place only if I confirmed my consent by activating the check box. I may revoke the consent granted in this respect at any time, with effect for the future.

Counselling form International Office Hülsen

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