Form – Dorm Auge Gottes

Personal details

Surname*

Please fill out this required field!

First name*

Please fill out this required field!

Middle name

Sex*

female male

Please make a selection!

Date of birth*

Please fill out this required field!

Please fill out the date in the correct format DD.MM.YYYY!

The minimum age for applying is 16!

Citizenship*

Please make a selection!

Nationality*

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Place of residence

Country*

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Region

Postcode*

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City*

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Street*

Please fill out this required field!

Home phone nr.*

Please select a prefix code and enter the rest of the phone number!

Place of study phone nr.

Please select a prefix code and enter the rest of the phone number!

Email address*

Please fill out this required field!

This is not a valid email address!

Alternative email address

This is not a valid email address!

Family

Name of mother

Name of father

Profession of parents

Number of dependent siblings Siblings under 18 or still undergoing studies

Emergency contact details

Do you receive governmental study assistance according to StudFG 1992?*

yes no

Please make a selection!

Guest resident Minimum 1 month, Maximum 6 months, No extension possible

Reason for staying as a guest*

Please fill out this required field!

Desired date to move in*

Please fill out this required field!

Please fill out the date in the correct format DD.MM.YYYY!

This date must be a minimum of two days into the future!

Desired date to move out*

Please fill out this required field!

Please fill out the date in the correct format DD.MM.YYYY!

This date must be after the moving-in date!

A guest resident can be used for a maximum of 6 months!

First room choice*

together with (name):

Please make a selection!

Second room choice

together with (name):

Third room choice

together with (name):

Fourth room choice

together with (name):

Fifth room choice

together with (name):

How did you find us?*

from the following website*

Please fill out this required field!

Degree

New student/freshman*

yes no

Please make a selection!

Planned degree subject*

Please fill out this required field!

I already study*

yes no

Please make a selection!

Current degree subject*

Please fill out this required field!

Have you already lived in another student halls of residence?*

yes no

Please make a selection!

Why did you move out?*

Please fill out this required field!

Are you a member of institutions, associations, clubs etc. that are social, recreational and volunteering in nature?

Smoker*

yes no

Please make a selection!

Personal message to the management of the halls of residence

I have read the data protection policy and agree.*

Please agree to our data protection policy!

Application form