Application Form 2010

Application Form 2010
Application deadline:
1/12/2009
Master in Problem Based Learning in Engineering and Science, MPBL
Apply for admission to:
Entire Master in Problem Based Learning in Engineering and Science
Module 2
Courses ECTS-
Period Application Start
points
deadline
Master in Problem Based Learning 60 ECTS 01.02.2010 – 31.01.2012 01.12.2009 01.02.2010
Module 2 15 ECTS 01.02.2010 – 31.01.2011 01.12.2009 01.02.2010
►Personal information
Other nationalities than Danish:
Date of birth: dd-mm-yy
Danish citizens only:
CPR number: -
Citizenship: Danish Other Country:
First name(s):
Private address:
Last name:
Postal code City:
Country:
Private phone:
E-mail address:
Work phone:
Occupation: Workplace name:
Work place address:
Postal code City:
Country:
►Invoice to employer. Payment information
If the invoice to the employer is to be sent to another address than the one you have stated under your
workplace address, you are requested to state where the invoice is to be sent:
Company name:
Company address:
Postal code City:
Country:
Send to:
Aalborg University
Secretariat for
Continuing Education
P.O. Box 159
9100 Aalborg
Denmark
Exemption: I apply for exemption from the educational admission requirements.
Application and documentation must be enclosed.

1. Qualifying admission exam certificate or diploma
(cf. admission requirements on the homepage of the programme: www.mpbl.aau.dk)
Degree:
Name of educational institution:
Year of graduation:
2. Other academic information
If you have additional concluded educations or other diplomas that you wish to be considered, please
enclose this information in a CV. The CV must provide: name of education /course, name of
institution and the period within which you have participated in the educational programme/ the
course.
3. Relevant work experience (cf. admission requirements on www.mpbl.aau.dk)
State here your three-year relevant work experience and enclose documentation. Enclose
documentation in the shape of a declaration from your employer, a copy of your employment contract
or the like. You are requested to include further relevant work experience in your CV.
Workplace:
Period: Number of hours per week:
Occupation/title:
Work assignments:
4. Enclosures
The applicant is responsible for enclosing the necessary documentation in copies provided with his/her
date of birth or CPR number (Danish citizens only).
The following documentation must be enclosed:
• Documentation for educational information in fields 1 and 2
• Documentation for relevant work experience in field 3
• Briefly state your motivation for applying
• Curriculum Vitae.
You are welcome to send your application by e-mail to this e-mail address: evu@aau.dk. You can attach
enclosures to your e-mail in the form of scanned documents converted into PDF format.
Date:
Signature: