Online Application for INEX programs

Program Choice

Program Choice
Course Type
(check this box for Summer University and Elite Program)

Personal Information


First name
Middle name
Last name
Sex


Date of birth (dd/mm/yyyy)
Place of birth
Nationality
Passport number
Passport expiration date (dd/mm/yyyy)
Street address
ZIP code
City
Country
Phone (including all area codes)
Mobile (including all area codes)
Email address
(most communication will be held via email!)
Email (please confirm your address)
Secondary email address

Education

Name of UniversityField of studiesDate startedProjected graduation
TOEFL score (optional)
GMAT score (optional)
Other official certificates

Work Experience
Please describe the professional experience you regard as most relevant.

CompanyDuties and responsibilitiesStarting - Ending date

International Experience
Please describe your international experience (studies abroad, etc.).

CountryActivityStarting - Ending date

Language Skills
Please state the languages you speak and the levels you possess.
Important: You need to state at least two languages (e.g. English and your mother tongue, or if English is your mother tongue, at least Beginner level in any other language)

LanguageBeginnerIntermediateAdvancedMother tongue

Emergency Contact Information

NameRelationshipHome PhoneWork phone or mobile

Additional Information

Yes No Are you currently undergoing medical treatment for any reason?
Yes No Are you currently being treated by a psychologist or a physician for an emotional, nervous or mental disorder?
Yes No Are you currently taking prescription medication for an ongoing medical condition?
Yes No Do you have allergies, dietary restrictions or physical disabilities?
Yes No Do you have any documented learning disabilities?
Yes No Do you have any physical conditions that require special housing arrangements?
Yes No Have you ever been subject to disciplinary action that resulted in expulsion, suspension, probation or academic warning?
I have heard about the program from

Documents
allowed file size: max. 2MB per file

Curriculum Vitae (*.doc *.pdf)
Photo (*.jpg)
Letter of Motivation (*.doc *.pdf)
Grade Transcripts (*.jpg *.pdf)
Copy of your passport (*.jpg *.pdf)

Before hitting the "Submit" button, please check your data again - especially the correct spelling of your name and email address.

You will receive a confirmation of receipt from us via email immediately. We will also start processing your data right away and get back to you with more information regarding your nomination shortly.

Should you have any questions at this point please contact Mag. Fabienne Babinsky at [email protected] or contact us at [email protected].

By checking this box and submitting your information through this online application you agree to the INEX General Terms and Conditions (including the INEX Withdrawal or Deferral Refund policy) and start the application process for the INEX program of your choice.


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