Berlin Consortium for German Studies
Application for Admission


Please note: this form is NOT interactive. Please print out, complete, then return by regular mail to the following address:

Berlin Consortium for German Studies
Columbia University
Student Services Center
203 Lewisohn Hall
2970 Broadway, Mail Code 4119
New York, NY 10027-6902

Tel: (212) 854-2820
Fax: (212) 854-7400
E-mail: [email protected]

Important: select here for specific instructions and information on additional required application materials.

I am applying for:
_____ Fall 20_____
_____ Spring 20_____
_____ Academic Year 20_____-20_____

Please indicate your home school below.
_____ Barnard College
_____ Columbia College
_____ School of General Studies
_____ University of Chicago
_____ Cornell University
_____ The Johns Hopkins University
_____ University of Pennsylvania
_____ Princeton University
_____ Vassar College
_____ Yale University
_____ Visiting Student:
_________________________________________
Name of Home College/University

 

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Last Name / First / Middle / Previous Surname

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Social Security Number             Gender: _____Male _____ Female

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Date and Place of Birth

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Citizenship and Type of Visa (if not a U.S. citizen)

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Passport Number (if known)

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Permanent Street Address       [Use this address from _____/_____/20_____ to _____/_____/20_____]

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City / State / Zip / Area Code and Telephone / E-mail Address

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Current School Address       [Use this address from _____/_____/20_____ to _____/_____/20_____]

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City / State / Zip / Area Code and Telephone / E-mail Address

Ethnicity: the U.S. Department of Education requires that the University report on the racial composition of its student body. Self-identification by race is completely voluntary, and racial information on individual students is held in strictest confidence by the University and Continuing Education and Special Programs.

_____ Asian (nation of origin: ____________________________)
_____ Hispanic (nation of origin: __________________________)
_____ Black
_____ White
_____ Native American (Indian, Eskimo, Aleut)
_____ Other (please specify: ______________________________)

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Person to Contact in Case of Emergency / Relationship

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Street Address / City / State / Zip

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Area Code and Daytime Telephone / Area Code and Evening Telephone / E-mail Address

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Father's Name (First, Last) / Mother's Name (First, Maiden, Last)

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Major / Minor

Please list all the courses related to the program that you are taking this semester:

____________________________________________________________________________________

____________________________________________________________________________________

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Please provide your educational background.
Have you ever attended Columbia University before?
_____ Yes (If yes, give year(s) ___________)
_____ No

Name / Location / Dates of Attendance / Diploma / Date Received/Expected

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Current College/University

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Secondary School

____________________________________________________________________________________
College (1)

____________________________________________________________________________________
College (2)

Recommendations
I have asked the following persons to send recommendations to the BCGS New York office.

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Dean's Recommendation

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German Language Recommendation

I know of no health problems--physical or psychological--that could be expected to cause me difficulties while studying in Berlin. If there are such problems, I will write a separate letter to the Berlin Consortium Office in New York with the appropriate medical information, with the understanding that such a medical situation will have no bearing on my application.

____________________________________________________________________________________
Signature of Applicant / Date

Transcripts for Visiting Students
An official transcript will be sent to your home college when your grades have been received in New York. Please give the precise address to which that transcript should be sent below.

____________________________________________________________________________________
Name (if applicable)

____________________________________________________________________________________
Name of Institution

____________________________________________________________________________________
Address / City / State / Zip

How did you hear about the program?

____________________________________________________________________________________

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Application Checklist
Please submit these materials to the address listed above.

_____ Application for Admission

_____ Statement of purpose in German (200-300 words explaining why you wish to attend the BCGS)

_____ An official transcript

_____ Dean/Advisor letter of recommendation form [Name: __________________________]

_____ German Language recommendation form [Name: __________________________]

_____ Nonrefundable application fee of $35 in the form of check or money order made payable to Columbia University (visiting students only)

Please read and sign below.

Release and Certification

I realize that my name and home school will be shared with other program participants. (If you do not wish this to happen, please send a separate letter in writing to the Office of Overseas Programs, Columbia University, 303 Lewisohn Hall, Mail Code 4116, 2970 Broadway, New York, NY 10027-6902.)

I certify that the information given by me on this application is complete and accurate.

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Signature of Applicant / Date