Fillable Application at Heidelberg University (Heidelberg College)

Fill Online, Printable, Fillable, Blank Application at Heidelberg University (Heidelberg College) Form

Use Fill to complete blank online HEIDELBERG COLLEGE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Application at Heidelberg University (Heidelberg College)

On average this form takes 22 minutes to complete

The Application at Heidelberg University (Heidelberg College) form is 3 pages long and contains:

  • 3 signatures
  • 13 check-boxes
  • 69 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Heidelberg College

BROWSE HEIDELBERG COLLEGE FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
1
310 E Market Street
Tiffin OH 44883
419-448-2062
Fax: 419-448-2217
Email: ajy@heidelberg.edu
Application
Program Cancellation and Changes. I understand that Heidelberg University reserves the right to cancel the program and to make changes or
alterations in the program and/or program itineraries at any time as may be required because of emergency, changed conditions, or the University’s
determination that such cancellation, changes or alterations are in the best interest of the program or its participants. I further understand that the
University is not responsible for changes or alterations to or cancellation of programs by the host institution. Heidelberg University shall have no
liability to any participants, their parents or any other third party for the cancellation of the program or any changes or alterations to the program.
Please consider my application for the: Year/Semester of Study Application Deadlines:
Full Academic Year (September to July) 20_______-20_______ April 1
Fall Semester (September to December) 20_______ April 1
Extended Fall Semester (September to February) 20_______-20_______ April 1
Spring Semester (March to July) 20_______ October 1
General Background Information
Applicant Information:
Last Name First Name Middle Name
Home Address College Address
Cell Phone
Social Security Number
Citizenship
Ho
me Phone
School Email
Alternate Email
Date of birth (mm/dd/yy)
Place of Birth (City, State or Country)
Please check one item below:
Gender
Male
Female
Other
1. I
have/am applying for a U.S. passport.
2. I am a_____German citizen, or
an EU citizen from___________________________
3. I am not a US or EU citizen and will be applying for
a visa at the German embassy in
(list city)
Emergency Contact:
Name
Address
Phone
Cell
Email
American Junior Year
at Heidelberg University
-founded 1958-
2
Academic Information
College/University
Current Standing
Freshman
Sophomore
Junior
Senior
Cumulative GPA Equivalent Letter Grade:
Major(s) Minor(s)
Highest level of College German taken
Previous colleges/universities attended with dates of attendance
Occupational goals:
Other interests, hobbies, volunteer experiences
Honors or special recognition
Statement of Purpose
The AJY program at Heidelberg University seeks to promote academic, personal and cultural growth. Your essay is a significant
part of your application and a major factor in the selection process. In preparing to write the essay, you should think seriously
about why you have chosen this program, do some background reading, visit the internet, interview faculty and previous
participants, and visit a writing tutor if needed. If you use sources other than your own knowledge and experience, appropriate
documentation MUST be included within the essay document. (Your answers should be approximately 250-300 words for each
of the 4 sections below.)
1. How have your life experiences led you and helped you to prepare for this decision to go abroad? What makes you a good
candidate for the program?
2. Why have you chosen AJY and how does it help you accomplish your goals?
3. In what ways do you think the culture of the country will be the same as the culture of the United States? In what ways do you
expect the culture to be different?
4. How will you prepare yourself for the differences in culture, academics, and so on? How do you think you will be challenged
by these differences?
Billing Information
Please consult with your Study Abroad Office before completing the following information.
Tuition Billing: Housing Billing:
Name Name
Address Address
Phone Phone
Fax Fax
Email Email
Where did you hear about the American Junior Year at Heidelberg University Program ?
AJY Website Study Abroad Office Advisor Professor Internet
Campus visit by AJY Program representative Other
Signature Date
click to sign
signature
click to edit
3
310 E Market Street
Tiffin OH 44883
419-448-2062
Fax: 419-448-2217
Email: ajy@heidelberg.edu
Amer
ican Junior Year Program Information Waiver
Student’s Name
The Family Education Rights and Privacy Act of 1974 and its amendments guarantee students
access to their educational records. Students, however, are entitled to waive their rights of access
concerning recommendations. The following signed statement is the applicant’s wish regarding
these recommendations.
I waive my rights to inspect the I do not waive my rights to inspect the
contents of my references for the
American Junior Year Program
contents of my references for the
American Junior Year Program
signature date signature date
Please provide the name and email for your Academic/Personal Reference, which should be
completed by someone who can attest to your qualities, such as an advisor or a faculty member
(other than your German reference):
Name Email
Please provide the name and email for your German Language Reference, which should be
completed by your most recent German professor:
Name Email
click to sign
signature
click to edit
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Application at Heidelberg University (Heidelberg College)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 21 August 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document