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INTERNATOINAL LANGUAGE SUMMER SCHOOL
APPLICATION FORM FOR STUDENTS
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Personal details
Family Name
*
Your answer
Given Name (s)
*
Your answer
Sex:
*
Male
Female
Date of Birth (dd.mm.yy)
*
MM
/
DD
/
YYYY
Country of Birth:
*
Your answer
Country of Residence
*
Your answer
Nationality
*
Your answer
Passport No.:
*
Your answer
Native Language
*
Your answer
Current Address (inc Post Code):
*
Your answer
Mobile Phone No:
*
Your answer
E-mail:
*
Your answer
Emergency address and phone number in your country
*
Your answer
Course Preferences
Preferred shift:
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May 10 - May 31 (in the University, Belgorod)
July 11 - July 23
July 25 - August 6
Educational Background
Institution and Place,
Year (From-To),
Field of Study,
Degree Conferred
*
Your answer
Language Proficiency
Please provide any evidence of your ability in the use of Russian language and enclose photocopies of your certificates if available (E-mail:
vorobeva@bsu.edu.ru
).
Language you studied, Length of study,
Speaking, Writing, Reading
*
Your answer
Declaration
I declare that the information provided in this application is correct and true. I consent to the processing of personal data
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