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Athens: Heritage and Modernity Application Form 2017
Legal Last Name (as it appears on your passport) *
Your answer
Legal First Name (as it appears on your passport) *
Your answer
Preferred Nickname (if different from legal first name)
Your answer
Permanent Home Address: Street and Apartment Number
Your answer
Address Line 2: Town, City, Postcode and Country
Your answer
Phone (with country and area code)
Your answer
Email address *
Your answer
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Age at time of travel
Your answer
Place of Birth
Your answer
Do you have a valid passport?
Citizenship
Your answer
Country of Residence
Your answer
Name of friends or relatives joining you in this program
Your answer
Academic Information
This information is to inform our faculty about your level of experience and interest.
Home University
If you have an association with one
Your answer
Present Class Standing: Freshman, Sophomore, Junior, Senior, Graduate, Professor or Other (list)
Your answer
Major(s):
Your answer
Minor(s):
Your answer
Are you a member of restoration or culturally related societies? If so, please list.
Your answer
I plan to fund my participation in this program in Greece by:
Please list, for example through personal funds, parents, financial aid or other means
Your answer
Travel abilities: Are you capable and willing to travel alone in Europe if necessary?
Do you have any situations or conditions that could become a problem while participating in our program?
If yes, please explain.
Your answer
How did you hear about our program?
This is helpful information for our recruitment staff
Interest and Considerations: Please describe briefly why you want to participate in our program, how it relates to your academic or professional interest, and any qualifications we should consider while reviewing your application to the Athens 2017 program.
This information is to inform our faculty about your level of experience and interest.
Your answer
The information I have supplied in this application is true and accurate to the best of my knowledge. If accepted to the program, I agree to and accept the following: 1. I will purchase travel health insurance required by the IIRPS Athens Program. 2. I authorize the IIRPS staff to release any information deemed relevant to my health and/or safety. *
Required
Note: The IIRPS Athens Program may be cancelled if the minimum enrollments are not met. You will be informed of such a cancellation after May 1st, 2017. Please do not make travel arrangements until you have been accepted and received confirmation that the program will take place. IIRPS reserves the right to review the applicants and determine who will be accepted into the programs.
Refund Policy: On May 1st IIRPS Athens will establish if we have the enrollment required for the program to go ahead. Should the program be cancelled due to low enrollment, or any other IIRPS decision, applicants will be fully refunded. If an applicant withdraws their application before the May 1st deadline, they will be refunded the $450 deposit but not the $50 application fee. Those students that withdraw their application after May 1st will not receive a refund of either the application fee or the deposit.
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