IMPRS-SurMat      IMPRS
for Surface and Interface Engineering
in Advanced Materials		 IMPRS-SurMat
 

Registration for the PhD Programme in Surface and Interface Engineering starting in Spring 2010

  • This registration form has to be filled out in English according to the guidelines provided.
  • All fields marked with an are obligatory.
  • After you have entered your data, click the Check Entries button at the bottom of this page.
  • Wrong entries will be marked with a
  • Missing entries will be marked with an
  • Please correct both and check again.
  • If all data are entered correctly, confirm and click the Send Application button.
  • After successful online submission you will receive confirmation by e-mail to the address you gave.
  • This e-mail message contains your registration number required for your application.
  • Every "Check Entries" and "Send Application" step may take up to a minute of processing time, so please be a little patient...

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    1. Personal Information

    1.1 Personal Data

    Family Name:   Please fill in your personal data.
    Given Name:
    Middle Name(s):
    Gender:
    Date of Birth : ..   Date must be given as "day.month.year" (dd.mm.yyyy).
    City of Birth:   Please select "Country of birth" and "Nationality" (name of country) from the pull down menu.
    If your country is not listed, select "Other" and specify it in the text field on the right.
    Country of Birth:
    Nationality:
    Marital Status:   Your e-mail address must be valid and reachable during registration process or online registration will fail.
    No. of Children:
    E-Mail Address:
     

    1.2 Current Address

    Street:   Please indicate the address to be used for correspondence DURING the application and admission process.
    Postal Zip Code:
    City:
    State:   If applicable
    Country:   Please select "Country" from the pull down menu.
    If your country is not listed, select "Other" and specify it in the text field on the right.
    Telephone Number:
    Fax Number:   If applicable
     

    1.3 Permanent Address (if different from 1.2)

    Street:   Please indicate the address to be used for correspondence AFTER the application and admission process, e.g. home address, address of parents or relatives.
    Postal Zip Code:
    City:
    State:   If applicable
    Country:   Please select "Country" from the pull down menu.
    If your country is not listed, select "Other" and specify it in the text field on the right.
    Telephone Number:
    Fax Number:   If applicable
     

    1.4 How did you learn about the program?

    Poster, Flyer   Please indicate how you learned about the program
    (check all that apply).
    Internet Website
    Friends, Colleagues, Faculty Members, Other Students
    College or University Office
    Professor or Teacher
    Conference, Workshop, Science or Education Fair   Please specify.
    Other   Please specify.
     

    2. Education

    2.1 Colleges or universities attended (current/recent enrollment)

    College or University:   Please list current or most recent enrollment, degree awarded or expected (Affiliated College/University).
    City:
    State:   If applicable
    Country:   Please select "Country" from the pull down menu.
    If your country is not listed, select "Other" and specify it in the text field on the right.
    Date attended, from: .   Dates must be given as "month.year" (mm.yyyy).
    to: .
    Degree awarded/expected:   Please select degree from the pull down menu.
    If not listed, select "other" and specify it in the text field on the right.
    Date awarded/expected: .   Date must be given as "month.year" (mm.yyyy).
    Major Field(s) of Studies:
    Title of Thesis:
    Grade Point Average (GPA): out of possible   Please indicate your cumulative GPA if applicable, together with the maximum GPA which can be achieved at your college or university.
    Comment:   e.g. 1st Class, with Distinction, with Honor...
     

    2.2 Colleges or universities attended (earlier enrollment, if applicable)

    College or University:   Please list earlier enrollment, degree awarded if applicable (Affiliated College/University).
    City:
    State:   If applicable
    Country:   Please select "Country" from the pull down menu.
    If your country is not listed, select "Other" and specify it in the text field on the right.
    Date attended, from: .   Dates must be given as "month.year" (mm.yyyy).
    to: .
    Degree awarded:   Please select degree from the pull down menu.
    If not listed, select "other" and specify it in the text field on the right.
    Date awarded: .   Date must be given as "month.year" (mm.yyyy).
    Major Field(s) of Studies:
    Title of Thesis:
    Grade Point Average (GPA): out of possible   Please indicate your cumulative GPA if applicable, together with the maximum GPA which can be achieved at your college or university.
    Comment:   e.g. 1st Class, with Distinction, with Honor...
     

    2.3 Colleges or universities attended (earlier enrollment, if applicable)

    College or University:   Please list earlier enrollment, degree awarded if applicable (Affiliated College/University).
    City:
    State:   If applicable
    Country:   Please select "Country" from the pull down menu.
    If your country is not listed, select "Other" and specify it in the text field on the right.
    Date attended, from: .   Dates must be given as "month.year" (mm.yyyy).
    to: .
    Degree awarded:   Please select degree from the pull down menu.
    If not listed, select "other" and specify it in the text field on the right.
    Date awarded: .   Date must be given as "month.year" (mm.yyyy).
    Major Field(s) of Studies:
    Title of Thesis:
    Grade Point Average (GPA): out of possible   Please indicate your cumulative GPA if applicable, together with the maximum GPA which can be achieved at your college or university.
    Comment:   e.g. 1st Class, with Distinction, with Honor...
     

    2.4 Honors, Scholarships, Prizes and Awards

    Awards:   Please list any awards you have obtained (if relevant to this application) with dates and a short description.
     

    2.5 Self Evaluation

    Keyword 1:   Please select up to three subjects in which you are very experienced.
    Keyword 2:
    Keyword 3:
     

    2.6 Experimental Skills

    Experimental Skills:   Please describe your practical expertise in some detail (maximum of 250 characters).
     

    2.7 Language Tests

    Computer TOEFL Test   Have you taken or do you plan to take the computer based TOEFL test?
    Computer TOEFL Score:
    Computer TOEFL Date: .   Date must be given as "month.year" (mm.yyyy).
    Paper TOEFL Test   Have you taken or do you plan to take the paper based TOEFL test?
    Paper TOEFL Score:
    Paper TOEFL Date: .   Date must be given as "month.year" (mm.yyyy).
    IELTS Test   Have you taken or do you plan to take the IELTS test?
    IELTS Score:
    IELTS Date: .   Date must be given as "month.year" (mm.yyyy).
    Other English Language Test:   Please specify
    GRE General Test   Have you taken or do you plan to take the GRE general test?
    GRE General Score: --
     verbal - quantitative - analytical 
    GRE General Date: .   Date must be given as "month.year" (mm.yyyy).
    Other Language Skills:   Please specify
     

    3. Working Experience

    3.1 Employment at Company or business (current/recent employment, if applicable)

    Company or business:   Please list current or most recent employment.
    City:
    State:   If applicable
    Country:   Please select "Country" from the pull down menu.
    If your country is not listed, select "Other" and specify it in the text field to the right.
    Date attended, from: .   Dates must be given as "month.year" (mm.yyyy).
    to: .
    Position:    
    Major Activities:
     

    4. References

    4.1 Referee 1

    Name:   Please list the name and address of the first referee who will write a letter of recommendation on your behalf.
    Address:
    Institution:
    Telephone Number:
    Fax Number:
    E-Mail Address:   Please give www address of institution or referee.
    URL:
     

    4.2 Referee 2

    Name:   Please list the name and address of the second referee who will write a letter of recommendation on your behalf.
    Address:
    Institution:
    Telephone Number:
    Fax Number:
    E-Mail Address:   Please give www address of institution or referee.
    URL:
     

    5. Outside Interests

    Interests:   Please list your outside interests that are not related to your university degree (maximum of 250 characters).