application for a place
Transcrição
application for a place
ÖJAB Head office, Postfach 19, Mittelgasse 16, A–1062 Wien (+43 1) 597 97 35-0 z Fax: (+43 1) 597 97 35-889 E-Mail: [email protected] z www.oejab.at For hostels in Vienna please send this application to the address above. For hostels not in Vienna please send this application to the hostel directly. APPLICATION FOR A PLACE IN AN ÖJAB STUDENT HOSTEL X Family name: First name: Sex: female male Photo Nationality: Telephone number: Home address: If in Austria, federal state or province: E-mail: Date and place of birth: Voluntary information: Religion; family status; children: Y Z [ Requested move-in date: Name and place of the school you will take/took your A-levels/high school diploma: University or College, you attend or will be attending: Field of studies: Enrolled semesters up to now: \ Name of parents: Address of parents: Telephone number of parents: ] Occupation of parents: Net yearly income of parents: Net yearly income of applicant: Number of brothers and sisters not employed so far: ^ Name of my preferred room mate: Please turn over! Please choose the preferred ÖJAB hostel: Information about all ÖJAB hostels can be found on the internet: www.oejab.at In some hostels you may choose your preferred room type by ticking the box. In the * marked hostels single rooms will only be provided in accordance with the management and the elected student representatives of the hostel. Normally, there are no single rooms available for students moving in for the first time. Due to contracts with Austrian provinces, some hostels give priority to students from these provinces. However, you are welcome to apply for every hostel listed below. IN My choice IN In the column „my choice“ please mark your preferred hostel with the number „1“ and your preferred alternatives with the numbers „2“ and „3“! VIENNA Priority given to students from ... Student hostel Address and telephone of the student hostel ÖJAB-Europahaus Dr. Bruno Buchwieser * single-room single-room flat double-room double-room flat - Linzer Straße 429, A–1140 Wien +43 1 / 57 666 / 75 ÖJAB-Haus Meidling single-room double-room Upper Austria Eichenstraße 46, A–1120 Wien +43 1 / 810 80 10 / 70 ÖJAB-Haus Liesing * - Elisenstraße 1, 1230 Wien +43 1 / 869 10 43 / 33 ÖJAB-Haus Burgenland 1 * Burgenland Wilhelm Exner-G. 4, A–1090 Wien +43 1 / 403 91 22 / 607 ÖJAB-Haus Burgenland 2 * Burgenland Mittelgasse 18, A–1060 Wien +43 1 / 599 79 / 801 ÖJAB-Haus Burgenland 3 * Burgenland Bürgerspitalgasse 19, A–1060 Wien +43 1 / 597 93 47 / 800 ÖJAB-Haus Donaufeld single-room single-room flat double-room double-room flat - Donaufelder Straße 54 A–1210 Wien +43 1 / 250 78 ÖJAB-Haus Niederösterreich 1 * Lower Austria Untere Augartenstr. 31, A–1020 Wien. +43 1 / 331 14 / 88 ÖJAB-Haus Dr. Rudolf Kirchschläger * - Schelleingasse 36, A–1040 Wien +43 1 / 501 52 / 705 ÖJAB-Haus Salzburg * (in Wien) Salzburg Mollardgasse 16, A–1060 Wien +43 1 / 597 65 25 / 340 ÖJAB-Haus Sandwirtgasse * - Sandwirtgasse 5, A–1060 Wien +43 1 / 597 25 76 AUSTRIA My choice Priority given to students from ... Student hostel Address and telephone of the student hostel In Krems: ÖJAB-Europazentrum Krems * - Arbeitergasse 5, A–3500 Krems +43 2732 / 851 06 / 88 In Eisenstadt: ÖJAB-Haus Eisenstadt single-room single-room flat double-room double-room flat - Campus 2, A–7000 Eisenstadt +43 5 / 9010 / 598 In Graz: ÖJAB-Haus Steiermark * Burgenland, Carinthia, Upper Austria Liebiggasse 4, A–8010 Graz +43 316 / 38 15 03 / 51 In Graz: ÖJAB-Haus Graz (from Oct. 2010) Einzelzimmer Doppelzimmer - Glacisstraße 39-41, 8010 Graz +43 1 / 5979735-0 (Head office) In Bad Gleichenberg: ÖJAB-Haus Bad Gleichenberg single-room double-room - Albrechtstraße 8 A–8344 Bad Gleichenberg +43 1 / 597 97 35-0 In Salzburg city: ÖJAB-Haus Salzburg * Upper Austria, Carinthia, Salzburg, Vorarlberg Strubergasse 1, A–5020 Salzburg +43 662 / 43 96 39 / 60 Two ÖJAB youth residences in Vienna and one in Mödling (close to Vienna in Lower Austria) provide simple and cheap living facilities for pupils, apprentices, young workers and also for students, all from approx. 15 to 30 years. Information in ÖJAB Head office, +43 1 / 597 97 35-0 or in the internet: www.oejab.at I declare to have given the above information to the best of my knowledge. I am liable to provide proof of the above information on request and to report any changes of the above information immediately in written form. I agree upon electronic data processing and passing on of the above information. _______________ Place _______ Date _______________________________ Signature of the applicant For minors: signature of an authorized person