Application General information Preferred move-in period Prospective move-out date Have you lived in any student dorm in Hamburg before? Please consider student dorms provided by either the public student union or private institutions as relevant. YesNo If yes: from to from to Have you filed an application for admission before? YesNo | If yes, please provide the date: Did you file an application for a certificate of eligibility for public housing? YesNo Personal information Family name: First name: Date of Birth: in Citizenship: Gender: männlichweiblich Marital Status: Religion: Language Skills: We would be grateful if you provided a picture of you. Please click here to upload one: What is your current address? All correspondence is sent to this address. Address: Is the address stated above your home address? YesNo If no, what is your home address? Phone: Mobile: E-Mail: Education With moving in you have to submit a certificate of enrolment issued by one of the universities in Hamburg. If you already have a certificate of enrolment you can upload it here: Date and City/Country of qualification for university entrance (e.g. high school certificate): , Name of university you did enroll in /apply for: Beginning of your studies (01/month/year): Subject: Number of completed semesters? Which activities e.g. professional experience, studies, stay abroad, military or civilian service, internship etc. have you exercised since your qualification for university entrance (e.g. high school certificate) until now? Please provide year and occupation. Information regarding your financial situation How do you finance your livelihood during the course of your study? (Please provide all actual and expected amounts in euros.) Did you or do you plan on applying for funding according to the Bundesausbildungsförderungsgesetz (Federal Law on Support in Education – BAföG)? YesNo Amount of funding according to the Bundesausbildungsförderungsgesetz (BAföG) (monthly payment) Support from maintenance debtors (parents/spouse/relatives) (monthly payment) Pensions/payments according to the Bundesversorgungsgesetz (Federal Law on War Pensions - BVG) (monthly payment Scholarship/name of scholarship provider: Amount: Personal regular total income per month (netto)? Other income: Amount: Available total income per month: Proof of income has to be handed in on demand. General The applicant agrees to the digital storage and processing of all personal information given in this questionnaire. The applicant also agrees to the transfer of all personal information given in this questionnaire to persons responsible for the admission process. An application is only considered if all information is given completely and correctly. A lease agreement signed due to false assumptions can be terminated without notice. Any changes – especially regarding the address – have to be communicated immediately. If someone cannot be reached he or she will be removed from the waitlist. I agree Declaration I hereby assure, that all questions are answered completely and correctly.