Hochschule Bielefeld University of Applied Sciences and Arts
Photo: Felix Hüffelmann / HSBI
Please fill out this form so that we can support you in planning and conducting your stay at HSBI. Fields marked with * are mandatory. Upon successful submission, you and your host at HSBI will receive a confirmation via email.
Personal details
*First name(s)
*Last name(s)
*Gender Female Male Non-binary no answer
*Nationality
*Date of birth (DD.MM.YYYY)
*Address (street and number, post/ZIP code, city, country)
*Place of birth
*Home institution
*Status at the home institution Professor Post doc Doctoral candidate Administrative staff Other
*E-mail address
Details on the planned stay
*Estimated arrival (DD.MM.YYYY)
*Estimated departure (DD.MM.YYYY)
*Purpose of stay Teaching Research Maintain/build a university partnership Other
*Description of purpose of stay
*Financing of your stay Financing by scholarship Employment contract with HSBI Financing by home institution Self-financing
In case of scholarship: Which scholarship?
*Contact person / host at HSBI
*Contact person's / host's e-mail address
*Have you been at HSBI before? No Yes
Family details
*Will your partner travel with you? Yes No Not known yet
*Will any children under 18 travel with you? None 1 2 3 4 5 more than 5
Additional comments
Data protection
I hereby agree to the processing, storage and use of my personal data for the purpose of consulting and support by the Welcome Center as described in the Data Protection Declaration. I can revoke my consent at any time without giving reasons with effect for the future.
*Confirm consent
