Apply now :: INEX

Apply Now for the INEX Green.Building.Solutions. 2012

The deadline for application is the 15^th May 2012.

Title*
- Mr.
- Ms.
Salutation
Name*
FirstLast
Date of Birth*

(mm/dd/yyyy)
Place of Birth*
Nationality*
Address*
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Phone/Mobile (including all area codes)*
E-Mail address*
secondary E-Mail address
University/Company*
Field of Study/Expertise*
Motivation
Change Maker Statement*
Please describe your past experiences in the field and your motivation to participate in the program for delivering a positive impact to society.
I have heard about the program from*
Make sure to mention here if you are in touch with an INEX Ambassador.
Languages
Please state the languages you speak and the level 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)
Language 1*
State of Language 1*
- Beginner
- Intemediate
- Advanced
- Mother tongue
Language 2*
State of Language 2*
- Beginner
- Intemediate
- Advanced
- Mother tongue
Emergency Contact
Name*
FirstLast
Relationship*
Address*
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Work phone/mobile (including all area codes)*
Additional Information
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?*
- Yes
- No
If you check "yes" on any of the questions above, please describe.
Documents
allowed file size: max. 2MB per file
Curriculum Vitae (*.doc, *.pdf)*
Grade Transcript (*.pdf, *.jpg, *.jpeg)
In order to prove your student status please upload a recent grade transcript from your home university.
Photo (*.pdf, *.jpg, *.jpeg, *.gif)*
Note: The image will be used for your ID card, the participants page and list, etc. Please use the 3x4 format.
Passport number*
Passport expiration date*

(mm/dd/yyyy)
Copy of your passport (*.pdf, *.jpg, *.jpeg)*
Captcha
General Terms and Conditions *
- Accept
OeAD Wohnraumverwaltungs GmbH will be the contracting party for this program. By submitting your information through this online application form you start the application process for the program of your choice and agree to the INEX General Terms and Conditions (including the INEX Withdrawal or Deferral Refund policy). You also agree to have the photo uploaded through this form and the ones taken of you during the program used and published without restriction. Your personal data will be stored and processed.
Special Student Grant
we are in the process of contacting several firms and organizations to provide student grants for outstanding applicants in need of financial aid. If you feel entitled to this student grant, please check the box, we will contact you with further information.
- I would like to be considered for a student grant (fill out the motivation statement below).
- Please withdraw my application if I am not selected for the grant.
Motivation for special student grant
Please describe why you are eligible for a special student grant. Include details about your situation and your outstanding accomplishements.

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Apply Now for the INEX Green.Building.Solutions. 2012

The deadline for application is the 15th May 2012.

Motivation

Languages

Emergency Contact

Additional Information

Documents

Special Student Grant

The deadline for application is the 15^th May 2012.