Student Registration Form

Family Name:*
First Name:*
Please upload a picture (optional)
Contact Info while in Germany:
Email:*
Phone:*
Cell:
Street & No.:*
Zip Code:*
Town:*
German university:
Exchange
Grant:
Fulbright Grant
DAAD Grant
Baden-Württemberg-STIPENDIUM
other grant:
Probably in Germany until:
U.S. University:*
Intented degree:
Major and minor(s):
Experience in volunteering:
Experiences in teaching (It is NOT required to have teaching experience to participate!):
What makes you special? (e.g. ethnic background, experiences, hobbies):
Interest(s)
What kind of topics would you like to speak about during your class room visit? Politics? Sports? Arts? Everday life? What other interests do you have?
Would you feel comfortable speaking German in the classroom? (Most of the visits will be conducted in English. However, there might be a class in politics or religious studies that is also interested in a visitor from America):
Do you have any special needs that should be adressed?
Further comments / orientation participation:
Anti-Spam Check:
Ten minus five equals
We will contact you soon!