PRO-UNI Language School
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General German
Low budget course. NEW!
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University Placement
Questionnaire
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PERSONAL DETAILS
Title
Mr.
Ms.
Mrs.
Name
Surname
Date of birth
Place of birth
Nationality
Phone
Fax
Mobile
Street
House number
Post code
City
Country
E-Mail
Occupation
.......................................................................................................................................
HIGH-SCHOOL EDUCATION
Name of a school
in Country
City
Number of years
School certificate
Excellent grades (medal)
yes
no
.......................................................................................................................................
HIGHER EDUCATION
University (full name)
Country
City
Type of education
full-time
part-time
distant learning
Degree
Bachelor
Master
Diploma
PhD
MBA
Already graduate?
yes
no
Of NOT, then full semesters?
Number of passed exams
Number of credits
.......................................................................................................................................
GERMAN KNOWLEDGE
Level
A1 (Beginner)
A2 (Elementary)
B1 (Pre-Intermediata)
B2 (Intermediate)
C1 (Upper-Intermediate)
C2 (Advanced)
Certificate
no
TestDAF
DSH
ZOP
ZMP
KdSD
Other
If YES, notes
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ENGLISH KNOWLEDGE
Level
A1 (Beginner)
A2 (Elementary)
B1 (Pre-Intermediata)
B2 (Intermediate)
C1 (Upper-Intermediate)
C2 (Advanced)
Certificate
no
TOEFL
IELTS
others
Notes
.......................................................................................................................................
YOUR WISCHES
What do you want to study
Where do you want to study
Which degree do you want to get?
Study language?
German
English
German and English
Comments
.......................................................................................................................................
BUCHUNG UND ZAHLUNG
Booking confirmation
via Mail (PDF)
via Fax
via Post
via Expressmail (DHL+ 75 Euro)
Payment
Cash
Bank Transfer
Creditcard
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How did you find us?
I was by PRO-UNI
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Internet
Agency
Agency
Fair
Fair
-nothing of the choise
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