Statement of Support and Credit Eligibility

Note to the Study Abroad Office: This form must be filled out for each student applying for the DAAD Undergraduate Scholarship. Applicant. University.. VISA REQUIREMENTS

The applicant is a citizen of the United States or Canada and does not require a visa to enter the
Federal Republic of Germany. The applicant is a citizen of .. The applicant has received counseling from our office and understands that he/she must determine their own visa requirements and apply for a visa (if required) on their own behalf from the appropriate embassy or consulate of the Federal Republic of Germany. _________________________________________________________________________________________________ INSURANCE: Please note: The applicant is applying for a Scholarship and, if successful, DAAD will cover health insurance premiums for the Continentale Health Insurance Company minus a student contribution of 11. CREDIT ELIGIBILITY

The applicant will take part in an organized study abroad program or an exchange as part of an
agreement with a German partner institution and will automatically receive academic credit from our institution for all courses successfully completed while in Germany. The applicant has proposed their own study abroad program and the student may apply for credit upon return to our institution. The applicant will do senior thesis research or an internship in Germany. The proposed activity is in principle eligible for academic credit at our institution and the student may apply for credit upon successful completion and return to our institution

OtherPlease
explain.. .. CERTIFICATION
Title First Name Last Name Position E-mail

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Address Telephone

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Signature Date

STAMP OR SEAL