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Thank you for your interest in Jacobs University. If you fill out the form below, we will include you in our weekly mailing. Please note that it may take a few days or weeks for our materials to reach your home, depending on the efficiency of the postal service. If after a longer period of time you still have not received information, it may be that the provided address was not accepted by the post. Simply contact us again and we will investigate the situation.

Gender: *

First Name: *

Last Name: *

Street Address: *

Street Address (2nd):

City: *

State:

Zip Code:

Country: *

E-mail Address: *

Telephone:

Interested in Jacobs as a: : *

This will help us get the right information to you.

Interested in Undergraduate/Graduate Programs:

Choose a Undergraduate Program Nr 1:

Choose a Undergraduate Program Nr 2:

(For a Bachelor's Degree)

Choose a Graduate Program:

(For a Master's/Doctorate Degree)

Desired Date to Enter University:

1st Nationality:

2nd Nationality:

School or University Name: *

City of School: *

State of School:

Country of School: *

Country of your current school (or university)

How did you hear about us?: *

Please tell us the ways in which you learned about Jacobs University. Did you receive a mailing, postcard, attend a college fair, heard about us on the news, on an online/print guide etc..

Additional comments to help us improve our outreach programs?:

Please contact us by E-mail admission@jacobs-university.de if you have any further questions!

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