Application form – Corona-Hilfsfonds

Contact

Last name

First name

E-Mail (s12345@htw)

Matriculation number

Certificate of study SoSe 2020

Street, number

Postcode, City

Nationality

Marital status

Number of children

Declaration

Why I got into financial difficulties (short explanation, attach supporting documents if necessary)

Documents

Is there anything else we can help you with? (e.g. job placement, etc.)

Job mediation of SHK jobs at the HTW and working student positions with companies. Mail address for the cover letter jobs.nothilfe@stura.htw-dresden.de

Currently I receive the following support

Amount of cash assets

Amount of the assets of all accounts

BaföG/monthly amount

Support/monthly amount

other income (activities)

Important! Please read the instructions carefully.

Needs

Student residence

yesno

rental rate

I need the following amount

Bank details

IBAN

Bank

I assure that all information provided is true and complete.

I assure that I have taken note of the instructions and read them completely.

I have read the privacy policy. I agree that my personal data may be processed for the purpose of implementing the donation programme from the "Corona Fund" - this also applies if and insofar as I provide special categories of personal data, such as information on my state of health.