<?PHP
echo "
<html>
<head>
<meta name='GENERATOR' content='Microsoft FrontPage 6.0'>
<meta name='ProgId' content='FrontPage.Editor.Document'>
<meta http-equiv='Content-Type' content='text/html; charset=windows-1252'>
<title>Fragebogen zum Auslandspraktikum</title>
<style>
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</head>
<body>
<h2>Fragebogen zum Auslandspraktikum</h2>
<p align='center'>
<img border='0' src='images/aespa_logo.jpg' width='493' height='132' align='center'></p>
<p align='center'> </p>
<form method='POST' action='--WEBBOT-SELF--'>
<div align='center'>
<table border='0' width='80%' id='table1' style='border-collapse: collapse' bgcolor='#EAEAEA'>
<tr>
<td colspan='4' style='border-left-style: solid; border-left-width: 2px; border-right-style: solid; border-right-width: 2px; border-top-style: solid; border-top-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<b><font face='Arial'>Pers�nliche Angaben<br>
</font></b><font face='Arial' size='1'>Deine pers�nlichen Daten
werden streng vertraulich behandelt und dienen in erster Linie nur
uns, um dir eventuelle R�ckfragen zu stellen!</font>
</td>
</tr>
<tr>
<td width='17%' style='border-left-style: solid; border-left-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<br>
<span style='font-size: 10.0pt; font-family: Arial'>Vorname</span>
</td>
<td width='82%' colspan='3' style='border-right-style: solid; border-right-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<br>
<input type='text' name='vorname' size='80'></p>
</td>
</tr>
<tr>
<td width='17%' style='border-left-style: solid; border-left-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<span style='font-size: 10.0pt; font-family: Arial'>Nachname</span>
</td>
<td width='82%' colspan='3' style='border-right-style: solid; border-right-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<input type='text' name='nachname' size='80'></p>
</td>
</tr>
<tr>
<td width='17%' style='border-left-style: solid; border-left-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<span style='font-size: 10.0pt; font-family: Arial'>AG</span>
</td>
<td width='82%' colspan='3' style='border-right-style: solid; border-right-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<input type='text' name='ag' size='2'> / <input type='text' name='agjahr' size='2'>
</p>
</td>
</tr>
<tr>
<td width='17%' style='border-left-style: solid; border-left-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<span style='font-size: 10.0pt; font-family: Arial'>Geburtsdatum</span>
</td>
<td width='82%' colspan='3' style='border-right-style: solid; border-right-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<input type='text' name='tag' size='2'>.<input type='text' name='monat' size='2'>.<input type='text' name='jahr' size='4'></p>
</td>
</tr>
<tr>
<td width='17%' style='border-left-style: solid; border-left-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<span style='font-size: 10.0pt; font-family: Arial'>Strasse, Nr.</span></td>
<td width='82%' colspan='3' style='border-right-style: solid; border-right-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<input type='text' name='strasse' size='80'></td>
</tr>
<tr>
<td width='17%' style='border-left-style: solid; border-left-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<span style='font-size: 10.0pt; font-family: Arial'>PLZ, Ort</span></td>
<td width='82%' colspan='3' style='border-right-style: solid; border-right-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<input type='text' name='plz' size='5'>,
<input type='text' name='ort' size='70'></td>
</tr>
<tr>
<td width='17%' style='border-left-style: solid; border-left-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<span style='font-size: 10.0pt; font-family: Arial'>Emailadresse</span></td>
<td width='82%' colspan='3' style='border-right-style: solid; border-right-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<input type='text' name='mail' size='80'>
</td>
</tr>
<tr>
<td width='17%' style='border-left-style: solid; border-left-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<span style='font-size: 10.0pt; font-family: Arial'></span></td>
<td width='82%' colspan='3' style='border-right-style: solid; border-right-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<input type='checkbox' name='eiver_rueckfr' value='ON'>
<span style='font-size: 8.0pt; font-family: Arial'>Ich bin damit einverstanden, dass meine <u>Emailadresse</u> f�r eventuelle Nachfragen ver�ffentlicht wird.</span>
</td>
</tr>
<tr>
<td width='17%' style='border-left-style: solid; border-left-width: 2px; border-bottom-style: solid; border-bottom-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'> </td>
<td width='82%' style='border-bottom-style: solid; border-bottom-width: 2px; border-right-style:solid; border-right-width:2px'>
<p style='margin-left: 3px; margin-right: 3px'>
</td>
</tr>
</table>
<p style='margin-left: 3px; margin-right: 3px'> </div>
<div align='center'>
<table border='0' width='80%' id='table2' style='border-collapse: collapse' bgcolor='#EAEAEA'>
<tr>
<td colspan='2' style='border-left-style: solid; border-left-width: 2px; border-right-style: solid; border-right-width: 2px; border-top-style: solid; border-top-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<font face='Arial'><b>Allgemeines zum Praktikum<br>
</b><span style='font-size: 8pt'>Bitte f�lle die Kontaktfelder
so genau wie m�glich aus, damit man sp�ter die richtigen
Personen erreichen kann! Wenn Du die Kontaktadresse nicht
auswendig parat hast (wahrscheinlich ist das so), dann schicke
sie uns bitte an
<a href='mailto:AESPAeV@gmail.com'>
AESPAeV@gmail.com</a> ! Dankesch�n!</span></font></td>
</tr>
<tr>
<td width='17%' style='border-left-style: solid; border-left-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<br>
<font size='2'><span style='font-family: Arial'>Zeitraum</span></font></td>
<td width='82%' style='border-right-style: solid; border-right-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<br>
<input type='text' name='von_tag' size='2'>.<input type='text' name='von_monat' size='2'>.<input type='text' name='von_jahr' size='4'> <font size='2'><span style='font-family: Arial'>bis</font> <input type='text' name='bis_tag' size='2'>.<input type='text' name='bis_monat' size='2'>.<input type='text' name='bis_jahr' size='4'>
</p>
</td>
</tr>
<tr>
<td width='17%' style='border-left-style: solid; border-left-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<font size='2'><span style='font-family: Arial'>Land</span></font></td>
<td width='82%' style='border-right-style: solid; border-right-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<input type='text' name='land' size='90'></p>
</td>
</tr>
<tr>
<td width='17%' style='border-left-style: solid; border-left-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<font size='2'><span style='font-family: Arial'>Stadt</span></font></td>
<td width='82%' style='border-right-style: solid; border-right-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<input type='text' name='stadt' size='90'></p>
</td>
</tr>
<tr>
<td width='17%' style='border-left-style: solid; border-left-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<font size='2'><span style='font-family: Arial'>Kontaktadresse</span></font></td>
<td width='82%' style='border-right-style: solid; border-right-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<input type='text' name='zeitraum0' size='90'></p>
</td>
</tr>
<tr>
<td width='17%' style='border-left-style: solid; border-left-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<font size='2'><span style='font-family: Arial'>Ansprechpartner</span></font></td>
<td width='82%' style='border-right-style: solid; border-right-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<input type='text' name='zeitraum1' size='90'></p>
</td>
</tr>
<tr>
<td width='99%' style='border-left-style: solid; border-left-width: 2px; border-right-style:solid; border-right-width:2px' height='27' colspan='2'>
<p style='margin-left: 3px; margin-right: 3px'><br>
<font size='2'><span style='font-family: Arial'>Wie hast du Deinen Praktikumsplatz gefunden?</span></font></td>
</tr>
<tr>
<td width='99%' style='border-left-style: solid; border-left-width: 2px; border-right-style:solid; border-right-width:2px' colspan='2'>
<p style='margin-left: 3px; margin-right: 3px'>
<input type='text' name='praktikum_find' size='118'></td>
</tr>
<tr>
<td width='99%' style='border-left-style: solid; border-left-width: 2px; border-right-style:solid; border-right-width:2px' height='27' colspan='2'>
<p style='margin-left: 3px; margin-right: 3px'><br>
<span style='font-size: 10.0pt; font-family: Arial'>Wie hast du
die Reise organisiert und wie teuer war diese etwa?</span></td>
</tr>
<tr>
<td width='17%' style='border-left-style: solid; border-left-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<font size='2'><span style='font-family: Arial'>- Visum</span></font><span style='font-size: 10.0pt; font-family: Arial'>.</span></td>
<td width='82%' style='border-right-style: solid; border-right-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<input type='text' name='visum' size='90'></td>
</tr>
<tr>
<td width='17%' style='border-left-style: solid; border-left-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'><font size='2'>
<span style='font-family: Arial'>- Transport</span></font></td>
<td width='82%' style='border-right-style: solid; border-right-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<input type='text' name='transport0' size='90'></td>
</tr>
<tr>
<td width='17%' style='border-left-style: solid; border-left-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'><font size='2'>
<span style='font-family: Arial'>- Unterkunft</span></font></td>
<td width='82%' style='border-right-style: solid; border-right-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<input type='text' name='unterkunft' size='90'></td>
</tr>
<tr>
<td width='99%' style='border-left-style: solid; border-left-width: 2px; border-right-style:solid; border-right-width:2px' height='27' colspan='2'>
<p style='margin-left: 3px; margin-right: 3px'><br>
<span style='font-size: 10.0pt; font-family: Arial'>Wann hast du
mit den Vorbereitungen f�r das Praktikum begonnen?</span></td>
</tr>
<tr>
<td width='99%' style='border-left-style: solid; border-left-width: 2px; border-right-style:solid; border-right-width:2px' colspan='2'>
<p style='margin-left: 3px; margin-right: 3px'>
<input type='text' name='vorbereitungsbeginn' size='118'></td>
</tr>
<tr>
<td width='99%' style='border-left-style: solid; border-left-width: 2px; border-right-style:solid; border-right-width:2px' height='27' colspan='2'>
<p style='margin-left: 3px; margin-right: 3px'>
<font face='Arial' size='2'><br>
Hast du einen Auslandskostenzuschlag beantragt und wie hoch war
dieser?</font></td>
</tr>
<tr>
<td width='99%' style='border-left-style: solid; border-left-width: 2px; border-right-style:solid; border-right-width:2px' colspan='2'>
<p style='margin-left: 3px; margin-right: 3px'>
<input type='text' name='auslandszuschlag' size='118'></td>
</tr>
<tr>
<td width='99%' style='border-left-style: solid; border-left-width: 2px; border-right-style:solid; border-right-width:2px' height='27' colspan='2'>
<p style='margin-left: 3px; margin-right: 3px'>
<font face='Arial' size='2'><br>
</font><span style='font-size: 10.0pt; font-family: Arial'>In
welchen Bereich kann man deinen Praktikumsplatz einordnen?</span></td>
</tr>
<tr>
<td width='99%' style='border-left-style: solid; border-left-width: 2px; border-right-style:solid; border-right-width:2px' colspan='2'>
<p style='margin-left: 3px; margin-right: 3px' align='left'>
<font face='Arial'><input type='radio' value='V1' name='R1'><font size='2'>�ffentliche
Verwaltung<br>
</font>
<input type='radio' value='V2' name='R1'><font size='2'>Freie
Wirtschaft<br>
</font>
<input type='radio' value='V3' name='R1'><font size='2'>Sonstiges</font></font></td>
</tr>
<tr>
<td width='99%' style='border-left-style: solid; border-left-width: 2px; border-right-style:solid; border-right-width:2px' height='27' colspan='2'>
<p style='margin-left: 3px; margin-right: 3px'><br>
<span style='font-size: 10.0pt; font-family: Arial'>Bitte
beschreibe die Stelle kurz:</span></td>
</tr>
<tr>
<td width='99%' style='border-left-style: solid; border-left-width: 2px; border-right-style:solid; border-right-width:2px' colspan='2'>
<p style='margin-left: 3px; margin-right: 3px'>
<textarea rows='3' name='stellenbeschreibung' cols='118'></textarea></td>
</tr>
<tr>
<td width='99%' style='border-left-style: solid; border-left-width: 2px; border-right-style:solid; border-right-width:2px' height='27' colspan='2'>
<p style='margin-left: 3px; margin-right: 3px'><br>
<span style='font-size: 10.0pt; font-family: Arial'>Deine
Aufgaben bei dieser Stelle waren:</span></td>
</tr>
<tr>
<td width='99%' style='border-left-style: solid; border-left-width: 2px; border-right-style:solid; border-right-width:2px' colspan='2'>
<p style='margin-left: 3px; margin-right: 3px'>
<input type='text' name='aufgaben' size='118'></td>
</tr>
<tr>
<td width='17%' style='border-left-style: solid; border-left-width: 2px; border-bottom-style: solid; border-bottom-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'> </td>
<td width='82%' style='border-bottom-style: solid; border-bottom-width: 2px; border-right-style:solid; border-right-width:2px'>
<p style='margin-left: 3px; margin-right: 3px'>
</td>
</tr>
</table>
</div>
<div align='center'>
<p style='margin-left: 3px; margin-right: 3px'> </div>
<div align='center'>
<table border='0' width='80%' id='table3' style='border-collapse: collapse' bgcolor='#EAEAEA'>
<tr>
<td colspan='2' style='border-left-style: solid; border-left-width: 2px; border-right-style: solid; border-right-width: 2px; border-top-style: solid; border-top-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<b><font face='Arial'>Zur Unterkunft</font></b></td>
</tr>
<tr>
<td width='99%' style='border-left-style: solid; border-left-width: 2px; border-right-style:solid; border-right-width:2px' height='27' colspan='2'>
<p style='margin-left: 3px; margin-right: 3px'><br>
<span style='font-size: 10.0pt; font-family: Arial'>Wo hast du
gewohnt und wie hast du die Wohnung gefunden? </span></td>
</tr>
<tr>
<td width='99%' style='border-left-style: solid; border-left-width: 2px; border-right-style:solid; border-right-width:2px' colspan='2'>
<p style='margin-left: 3px; margin-right: 3px'>
<textarea rows='2' name='wohnung_find' cols='118'></textarea></td>
</tr>
<tr>
<td width='99%' style='border-left-style: solid; border-left-width: 2px; border-right-style:solid; border-right-width:2px' height='27' colspan='2'>
<p style='margin-left: 3px; margin-right: 3px'>
<font face='Arial' size='2'><br>
</font><span style='font-size: 10.0pt; font-family: Arial'>Wurde
dir von Arbeitgeberseite bei der Suche geholfen oder gar eine
Unterkunft zur Verf�gung gestellt?</span></td>
</tr>
<tr>
<td width='99%' style='border-left-style: solid; border-left-width: 2px; border-right-style:solid; border-right-width:2px' colspan='2'>
<p style='margin-left: 3px; margin-right: 3px'>
<input type='text' name='auslandszuschlag0' size='118'></td>
</tr>
<tr>
<td width='99%' style='border-left-style: solid; border-left-width: 2px; border-right-style:solid; border-right-width:2px' height='27' colspan='2'>
<p style='margin-left: 3px; margin-right: 3px'><br>
<font face='Arial' size='2'>Was hat dich deine Wohnung gekostet?</font></td>
</tr>
<tr>
<td width='99%' style='border-left-style: solid; border-left-width: 2px; border-right-style:solid; border-right-width:2px' colspan='2'>
<p style='margin-left: 3px; margin-right: 3px'>
<input type='text' name='aufgaben0' size='118'></td>
</tr>
<tr>
<td width='17%' style='border-left-style: solid; border-left-width: 2px; border-bottom-style: solid; border-bottom-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'> </td>
<td width='82%' style='border-bottom-style: solid; border-bottom-width: 2px; border-right-style:solid; border-right-width:2px'>
<p style='margin-left: 3px; margin-right: 3px'>
</td>
</tr>
</table>
<div align='center'>
<p style='margin-left: 3px; margin-right: 3px'> </div>
<div align='center'>
<table border='0' width='80%' id='table4' style='border-collapse: collapse' bgcolor='#EAEAEA'>
<tr>
<td colspan='2' style='border-left-style: solid; border-left-width: 2px; border-right-style: solid; border-right-width: 2px; border-top-style: solid; border-top-width: 2px'>
<h1>Bewertung deiner Stelle<font face='Arial'><b><br>
</b></font>
<span lang='EN-GB' style='font-size: 8pt; font-weight: 400'>Gib
auf einer Skala von 1 bis 10 an wie sehr diese Aussage auf deine
Stelle zutrifft! 10 hei�t dabei, dass es genau so war, eine 1
bedeutet, dass es das Gegenteil der Aussage war. Bleib objektiv
;)<br>
</span></h1>
</td>
</tr>
<tr>
<td width='43%' style='border-left-style: solid; border-left-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<span style='font-size: 10.0pt; font-family: Arial'>Ich wurde
sehr gut in die t�gliche Arbeit mit eingebunden</span></td>
<td width='56%' style='border-right-style: solid; border-right-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<font face='Arial'><input type='radio' name='R1' value='V7'><font size='2'>1
</font><input type='radio' name='R1' value='V8'><font size='2'>2
</font><input type='radio' name='R1' value='V9'><font size='2'>3
</font><input type='radio' name='R1' value='V10'><font size='2'>4
</font><input type='radio' name='R1' value='V11'><font size='2'>5
</font><input type='radio' name='R1' value='V12'><font size='2'>6
</font><input type='radio' name='R1' value='V13'><font size='2'>7
</font><input type='radio' name='R1' value='V14'><font size='2'>8
</font><input type='radio' name='R1' value='V15'><font size='2'>9
</font><input type='radio' name='R1' value='V16'><font size='2'>10</font></font></p>
</td>
</tr>
<tr>
<td width='43%' style='border-left-style: solid; border-left-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<span style='font-size: 10.0pt; font-family: Arial'>Ich f�hlte
mich auch unter den Kollegen gut aufgenommen</span></td>
<td width='56%' style='border-right-style: solid; border-right-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<font face='Arial'><input type='radio' name='R1' value='V17'><font size='2'>1
</font><input type='radio' name='R1' value='V18'><font size='2'>2
</font><input type='radio' name='R1' value='V19'><font size='2'>3
</font><input type='radio' name='R1' value='V20'><font size='2'>4
</font><input type='radio' name='R1' value='V21'><font size='2'>5
</font><input type='radio' name='R1' value='V22'><font size='2'>6
</font><input type='radio' name='R1' value='V23'><font size='2'>7
</font><input type='radio' name='R1' value='V24'><font size='2'>8
</font><input type='radio' name='R1' value='V25'><font size='2'>9
</font><input type='radio' name='R1' value='V26'><font size='2'>10</font></font></p>
</td>
</tr>
<tr>
<td width='43%' style='border-left-style: solid; border-left-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<span style='font-size: 10.0pt; font-family: Arial'>Die mir
gestellten Ausgaben waren interessant</span></td>
<td width='56%' style='border-right-style: solid; border-right-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<font face='Arial'><input type='radio' name='R1' value='V27'><font size='2'>1
</font><input type='radio' name='R1' value='V28'><font size='2'>2
</font><input type='radio' name='R1' value='V29'><font size='2'>3
</font><input type='radio' name='R1' value='V30'><font size='2'>4
</font><input type='radio' name='R1' value='V31'><font size='2'>5
</font><input type='radio' name='R1' value='V32'><font size='2'>6
</font><input type='radio' name='R1' value='V33'><font size='2'>7
</font><input type='radio' name='R1' value='V34'><font size='2'>8
</font><input type='radio' name='R1' value='V35'><font size='2'>9
</font><input type='radio' name='R1' value='V36'><font size='2'>10</font></font></p>
</td>
</tr>
<tr>
<td width='43%' style='border-left-style: solid; border-left-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<span style='font-size: 10.0pt; font-family: Arial'>Ich f�hlte
mich gefordert</span></td>
<td width='56%' style='border-right-style: solid; border-right-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<font face='Arial'><input type='radio' name='R1' value='V37'><font size='2'>1
</font><input type='radio' name='R1' value='V38'><font size='2'>2
</font><input type='radio' name='R1' value='V39'><font size='2'>3
</font><input type='radio' name='R1' value='V40'><font size='2'>4
</font><input type='radio' name='R1' value='V41'><font size='2'>5
</font><input type='radio' name='R1' value='V42'><font size='2'>6
</font><input type='radio' name='R1' value='V43'><font size='2'>7
</font><input type='radio' name='R1' value='V44'><font size='2'>8
</font><input type='radio' name='R1' value='V45'><font size='2'>9
</font><input type='radio' name='R1' value='V46'><font size='2'>10</font></font></p>
</td>
</tr>
<tr>
<td width='43%' style='border-left-style: solid; border-left-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<span style='font-size: 10.0pt; font-family: Arial'>Ich habe
etwas dazulernen k�nnen</span></td>
<td width='56%' style='border-right-style: solid; border-right-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<font face='Arial'><input type='radio' name='R1' value='V57'><font size='2'>1
</font><input type='radio' name='R1' value='V58'><font size='2'>2
</font><input type='radio' name='R1' value='V59'><font size='2'>3
</font><input type='radio' name='R1' value='V60'><font size='2'>4
</font><input type='radio' name='R1' value='V61'><font size='2'>5
</font><input type='radio' name='R1' value='V62'><font size='2'>6
</font><input type='radio' name='R1' value='V63'><font size='2'>7
</font><input type='radio' name='R1' value='V64'><font size='2'>8
</font><input type='radio' name='R1' value='V65'><font size='2'>9
</font><input type='radio' name='R1' value='V66'><font size='2'>10</font></font></p>
</td>
</tr>
<tr>
<td width='43%' style='border-left-style: solid; border-left-width: 2px' height='25'>
<p style='margin-left: 3px; margin-right: 3px'>
<span style='font-size: 10.0pt; font-family: Arial'>Ich hatte
keinerlei Probleme mit der Sprache</span></td>
<td width='56%' style='border-right-style: solid; border-right-width: 2px' height='25'>
<p style='margin-left: 3px; margin-right: 3px'>
<font face='Arial'><input type='radio' name='R1' value='V67'><font size='2'>1
</font><input type='radio' name='R1' value='V68'><font size='2'>2
</font><input type='radio' name='R1' value='V69'><font size='2'>3
</font><input type='radio' name='R1' value='V70'><font size='2'>4
</font><input type='radio' name='R1' value='V71'><font size='2'>5
</font><input type='radio' name='R1' value='V72'><font size='2'>6
</font><input type='radio' name='R1' value='V73'><font size='2'>7
</font><input type='radio' name='R1' value='V74'><font size='2'>8
</font><input type='radio' name='R1' value='V75'><font size='2'>9
</font><input type='radio' name='R1' value='V76'><font size='2'>10</font></font></p>
</td>
</tr>
<tr>
<td width='43%' style='border-left-style: solid; border-left-width: 2px' height='25'>
<p style='margin-left: 3px; margin-right: 3px'>
<span style='font-size: 10.0pt; font-family: Arial'>Ich konnte viele gute Erfahrungen sammeln</span></td>
<td width='56%' style='border-right-style: solid; border-right-width: 2px' height='25'>
<p style='margin-left: 3px; margin-right: 3px'>
<font face='Arial'><input type='radio' name='R1' value='V77'><font size='2'>1
</font><input type='radio' name='R1' value='V78'><font size='2'>2
</font><input type='radio' name='R1' value='V79'><font size='2'>3
</font><input type='radio' name='R1' value='V80'><font size='2'>4
</font><input type='radio' name='R1' value='V81'><font size='2'>5
</font><input type='radio' name='R1' value='V82'><font size='2'>6
</font><input type='radio' name='R1' value='V83'><font size='2'>7
</font><input type='radio' name='R1' value='V84'><font size='2'>8
</font><input type='radio' name='R1' value='V85'><font size='2'>9
</font><input type='radio' name='R1' value='V86'><font size='2'>10</font></font></p>
</td>
</tr>
<tr>
<td width='43%' style='border-left-style: solid; border-left-width: 2px' height='25'>
<p style='margin-left: 3px; margin-right: 3px'>
<br>
<font size='2'><span style='font-family: Arial'>Eventuelle
Schwierigkeiten</span></font></td>
<td width='56%' style='border-right-style: solid; border-right-width: 2px' height='25'>
<br>
<input type='text' name='schwierigkeiten' size='65'></td>
</tr>
<tr>
<td width='43%' style='border-left-style: solid; border-left-width: 2px; border-bottom-style: solid; border-bottom-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'> </td>
<td width='56%' style='border-bottom-style: solid; border-bottom-width: 2px; border-right-style:solid; border-right-width:2px'>
<p style='margin-left: 3px; margin-right: 3px'>
</td>
</tr>
</table>
</div>
<div align='center'>
<p style='margin-left: 3px; margin-right: 3px'> </div>
<div align='center'>
<table border='0' width='80%' id='table5' style='border-collapse: collapse' bgcolor='#EAEAEA'>
<tr>
<td colspan='2' style='border-left-style: solid; border-left-width: 2px; border-right-style: solid; border-right-width: 2px; border-top-style: solid; border-top-width: 2px'>
<h1><font face='Arial'><b>Freizeit<br>
</b></font></h1>
</td>
</tr>
<tr>
<td width='43%' style='border-left-style: solid; border-left-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<span style='font-size: 10.0pt; font-family: Arial'>
Lebensunterhaltskosten/Woche ca.</span></td>
<td width='56%' style='border-right-style: solid; border-right-width: 2px'>
<input type='text' name='lebenshaltungskosten' size='65'></td>
</tr>
<tr>
<td width='43%' style='border-left-style: solid; border-left-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'>
<span style='font-size: 10.0pt; font-family: Arial'>Was konnte
man unternehmen?<br>
(Tags�ber und Nachts)</span></td>
<td width='56%' style='border-right-style: solid; border-right-width: 2px'>
<textarea rows='2' name='unternehmen' cols='49'></textarea></td>
</tr>
<tr>
<td width='43%' style='border-left-style: solid; border-left-width: 2px'>
<span style='font-size: 10.0pt; font-family: Arial'>Konntest du
Kontakte kn�pfen?</span></td>
<td width='56%' style='border-right-style: solid; border-right-width: 2px'>
<input type='text' name='kontakte' size='65'></td>
</tr>
<tr>
<td width='43%' style='border-left-style: solid; border-left-width: 2px'>
<span style='font-size: 10.0pt; font-family: Arial'>War dies
eher leicht/schwer?</span></td>
<td width='56%' style='border-right-style: solid; border-right-width: 2px'>
<input type='text' name='kontakte_schwierigkeit' size='65'></td>
</tr>
<tr>
<td width='43%' style='border-left-style: solid; border-left-width: 2px; border-bottom-style: solid; border-bottom-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'> </td>
<td width='56%' style='border-bottom-style: solid; border-bottom-width: 2px; border-right-style:solid; border-right-width:2px'>
<p style='margin-left: 3px; margin-right: 3px'>
</td>
</tr>
</table>
<p style='margin-left: 3px; margin-right: 3px'> </div>
<div align='center'>
<div align='center'>
<table border='0' width='80%' id='table6' style='border-collapse: collapse' bgcolor='#EAEAEA'>
<tr>
<td colspan='2' style='border-left-style: solid; border-left-width: 2px; border-right-style: solid; border-right-width: 2px; border-top-style: solid; border-top-width: 2px'>
<h1>Deine abschlie�enden Worte<br>
<span style='font-weight: 400'><font size='2'>Was du einem
Studenten mit auf den langen Weg ins Ausland geben m�chtest! Ein
paar gute Tipps vielleicht?</font></span><br>
</h1>
</td>
</tr>
<tr>
<td width='99%' style='border-left-style: solid; border-left-width: 2px; border-right-style:solid; border-right-width:2px' colspan='2'>
<textarea rows='5' name='letzte_worte' cols='118'></textarea></td>
</tr>
<tr>
<td width='43%' style='border-left-style: solid; border-left-width: 2px; border-bottom-style: solid; border-bottom-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'> </td>
<td width='56%' style='border-bottom-style: solid; border-bottom-width: 2px; border-right-style:solid; border-right-width:2px'>
<p style='margin-left: 3px; margin-right: 3px'>
</td>
</tr>
</table>
</div>
<p style='margin-left: 3px; margin-right: 3px'> <div align='center'>
<table border='0' width='80%' id='table7' style='border-collapse: collapse' bgcolor='#EAEAEA'>
<tr>
<td colspan='2' style='border-left-style: solid; border-left-width: 2px; border-right-style: solid; border-right-width: 2px; border-top-style: solid; border-top-width: 2px'>
<h1>Unsere abschlie�enden Worte</h1>
<h1> </h1>
</td>
</tr>
<tr>
<td width='99%' style='border-left-style: solid; border-left-width: 2px; border-right-style:solid; border-right-width:2px' colspan='2'>
<p class='MsoBodyText2'><font face='Arial' size='2'>Wir m�chten
uns ganz herzlich bei Dir daf�r bedanken, dass Du die M�he auf
dich genommen hast, diesen Bogen auszuf�llen und somit allen
Studierenden nach dir einiges an Sorgen und �ngsten genommen
hast!</font><span style='font-size: 10.0pt; font-family: Arial'><br>
Wenn Du Lust hast, schau einfach mal rein auf die Seite des
Akademischen Auslandsamtes. Dort wird demn�chst neben allerlei
hilfreichen Dingen auch ein Forum und das Ergebnis dieses Bogens
zu finden sein! Wir w�nschen Dir noch viel Freude und auch viel
Erfolg auf Deinem weiteren Weg! </span>
<span lang='IT' style='font-size: 10.0pt; font-family: Arial'>
AESPA</span></td>
</tr>
<tr>
<td width='43%' style='border-left-style: solid; border-left-width: 2px; border-bottom-style: solid; border-bottom-width: 2px'>
<p style='margin-left: 3px; margin-right: 3px'> </td>
<td width='56%' style='border-bottom-style: solid; border-bottom-width: 2px; border-right-style:solid; border-right-width:2px'>
<p style='margin-left: 3px; margin-right: 3px'>
</td>
</tr>
</table>
</div>
<p style='margin-left: 3px; margin-right: 3px'> </div>
<p style='margin-left: 3px; margin-right: 3px'> </div>
<p> </p>
<p> </p>
<p> </p>
<p> </p>
</form>
</body>
</html>";
?>