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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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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.

PlaceDate (day/month/year)Signature