DIRECT ENTRY APPLICATION FORM – September 2011

Bachelor Top-up

NON EU students – EU students

It is very important that you fill in all spaces and that you enclose a copy of all relevant documents that may support your application (see: Documents List below)

It is important that you make a great effort when filling in this form. Remember that CPH North makes a decision about your admission based on your application. Illegible or insufficient applications will not be dealt with!

Which programme do you want to apply for (in priority order if you have more than one):

International Sales and Marketing Management ______ Web Development ______

Sports Management ______

Software Development ______

Personal data (please type)Family Name First name(s)

Address: (to which you want us to send your mail)

Street

City Postal code

Country

Date of Birth/Civil reg. no. Nationality Refugee

___________________________________________________________________________Trongaardsvej 44 DK 2800 Lyngby Tel +45 88 52 66 00 Fax +45 88 52 66 10

Sex: Male Female

Telephone number:

Mobile number:

Country Code City Code Number

E-mail (in CAPITAL letters)

IMPORTANT to fill!

Address of contact person in Denmark (if any):

Name of contact person in Denmark:

Street

City Postal code

Telephone number

Educational qualification (please type)A. Upper Secondary School/High School (age 15-19):

Name of School:

Address:

Web page:

From (month/year): To (month/year):

Type of certificate:

Important: Copy of original certificate in national language must be enclosed!!!

___________________________________________________________________________Trongaardsvej 44 DK 2800 Lyngby Tel +45 88 52 66 00 Fax +45 88 52 66 10

B. University/College (previous studies):

Name of University/College:

Homepage:

Name of administrative reference person:

E-mail and telephone number of administrative reference person:

From (month/year): To (month/year):

Programme/course:

Important: Copy of original certificate in national language and certified translated (into English) copy must be enclosed!!!

Relevant subjects studied: Total amount of lessons:

Other relevant qualification/courses:Date/year

Date/year

English skills:

TOEFL score:Date of test:

IELTS score:Date of test:

___________________________________________________________________________Trongaardsvej 44 DK 2800 Lyngby Tel +45 88 52 66 00 Fax +45 88 52 66 10

Job experience (if any) (please type):Job title Employer and location Period

(Copy of references enclosed)

Interests (please type)List in order of importance to you, your main extra curricular interests/activities:

Reference from at least two academic references, as a minimum (please type):Title Name Address

__________________ Date Signature

___________________________________________________________________________Trongaardsvej 44 DK 2800 Lyngby Tel +45 88 52 66 00 Fax +45 88 52 66 10

Documents list

IMPORTANT

Documents that MUST be enclosed with your application for a Bachelor top-up programme

Tick off1. Fill in all spaces in the Direct Entry Application Form

clearly with capital letters.2. Enclose a picture of yourself3. Enclose the following documents:

Copy of original upper secondary school certificate Copy of original certificate(s) from your previous university studies Certified translation into English of certificate(s) from

previous university studies Certified translation into English of overview of

subjects studied each semester at the University including grades

Course Description of each subjects studied at the University (translated into English)

Description of your national grade-scale system (in English)

Motivation letter (½ - 1 page) including your reasons for applying and any further information you wish to give in support of your application (VERY IMPORTANT!!)

Proof of English level

___________________________________________________________________________Trongaardsvej 44 DK 2800 Lyngby Tel +45 88 52 66 00 Fax +45 88 52 66 10