Photo
To be filled in by WIST


Date of receipt:
Handed in personally
By mail

APPLICATION FORM
Applying for:
Single Room
Double Room
Studio
Dormitories
Graz *)

Leoben, Roseggerstra├če 10
Kapfenberg, Krottendorf 8
Applying for: Summer Term
Winter Term
In the Year: *) Preferences will be considered depending on vacancies.

Applicant

Surname
First Name
Birthday
Nationality

Address

Country
Postal Code
Street, House Number, Door Number
Town
E-Mail Address
Telephone Number

Studies

Beginner Yes If yes, prospective university & studies
If yes, scheduled start of studies
Not Yet If no, university & studies
If no, studying since

Diploma

High school Yes if Yes: Date of issue
If Yes: Grade Point Average
Not Yet If No: Scheduled date of completion
Name of School
Country/Town of School

Parents

Name of Father
Employee Yes If Yes: Income/Year
No If No: My father gets
Self-Employed Yes If Yes: Income/Year
No If No: My father gets

Name of Mother
Employee Yes If Yes: Income/Year
No If No: My mother gets
Self-Employed Yes If Yes: Income/Year
No If No: My mother gets

Siblings

Name
Age
School
Name
Age
School
Name
Age
School
Name
Age
School
Name
Age
School

The following documents compulsorily have to be attached to your application in German. Please do not attach any documents other than mentioned.

Declaration of

Final Declaration

  1. I am assuring having given full particulars to the best of my knowledge and that documents of other language than German have to be translated.
  2. I commit to immediately informing WIST Steiermark about any changes of data and to showing all respective documents.
  3. I note that I will only be informed in writing in case I am accepted.
  4. I note that applications can only be worked on when turned in completely. In case there are any details or documents missing, my application will be returned to me.
  5. Applications can eihter be sent by mail or can be delivered at the head office.
  6. I note the WIST data privacy statement (https://www.wist-steiermark.at/wordpress/datenschutz)
Place
Date
Applicant's Signature