DIRECT ENTRY APPLICATION FORM – September 2011 AP degree (= first 2 years of a Bachelor Degree) NON EU students It is very important that you fill in all spaces and that you enclose a copy of all relevant documents that may support your application. It is important that you make a great effort when filling in this form. Remember that we make a decision about your admission based on your application. Illegible or insufficient applications will not be dealt with!
Which programme do you want to apply for (in priority order if you have more than one)
Marketing Management
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Multimedia Design & Communication
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Service, Hospitality & Tourism Management
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Computer Science
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Personal data (please type) Family Name
First name(s)
Date of Birth/Civil reg. no.
Nationality
Sex:
Male
Female
Do you have the intention of applying for a Bachelor Top-up programme after having completed your AP degree?
Yes
_______
No
________
Trongaardsvej 44 DK-2800 Lyngby Tel +45 88 52 66 00 Fax +45 88 52 66 10
Personal data (please type) Address: (to which you want us to send your mail) Street
City
Postal code
Country
Country Code
City Code
Number
Telephone number: Mobile number: E-mail (in CAPITAL letters) IMPORTANT to fill!
Address of contact person in Denmark (if any): Name of contact person in Denmark: Street City
Postal code
Telephone number
Educational qualification (please type) A. Upper Secondary School/High School (age 15-19): Name of School: Address: Telephone number: Web page:
Trongaardsvej 44 DK-2800 Lyngby Tel +45 88 52 66 00 Fax +45 88 52 66 10
Name of headmaster/reference person: E-mail/telephone number of headmaster/reference person: From (month/year):
To (month/year):
Type of certificate/diploma:
B. University/College (previous studies – if any): Name of University/College: Address: Telephone number: Name of reference person: E-mail/telephone number of reference person: From (month/year): Programme/course:
Relevant subjects studied:
Total amount of lessons:
English skills: Date of test: TOEFL score: Date of test: IELTS score:
Trongaardsvej 44 DK-2800 Lyngby Tel +45 88 52 66 00 Fax +45 88 52 66 10
Please highlight your skills in Mathematics/Economics: level, number of lessons etc
Date of examination:
Date of examination:
Date of examination:
Job experience (if any) (please type): Job title
Employer and location
Period
(Copy of references enclosed) Interests (please type) List in order of importance to you, your main extra curricular interests/activities:
Information to support your application (please type): Please write here your reasons for applying, and any further information you wish to give in support of your application:
Reference from at least two academic references, as a minimum (please type): Title
Name
Address
List of copied documents enclosed (certificates, diplomas, job references, TOEFL/IELTS score slip etc) A. B. C. D. E. F.
Scholarship possibility: The Danish Ministry of Education has launched a scholarship programme for non EU citizens. There are only very few scholarships available for highly skilled students studying for an AP degree. Only applicants nominated by CPH North can get into consideration. The scholarship application form will be forwarded to qualified students by CPH North. To find more information about the scholarships please visit www.studyindenmark.dk/scholarships. Deadline for applying is April 1.
Date
Signature
Trongaardsvej 44 DK-2800 Lyngby Tel +45 88 52 66 00 Fax +45 88 52 66 10