Implemented by Monnet USPEE Programme

Jean

APPLICATION FORM
SUMMER SCHOOL 2013
European Union as an Economic and Financial Union and its Neighbors

PART I. PERSONAL INFORMATION

Please fill in all the boxes. First Name: Cebotari Sur name: Victoria Date of birth: 26.03.1992 Place of birth1: R.Moldova Chiinu

Gender:

Female

Citizenship: moldoveanc Native Language: limba romn Other Spoken Languages LANGUAGE1 _l.francez__ ________________________ LANGUAGE 2 __l.spaniol__ ___________________________ LANGUAGE 3 ____l.rus____

LEVEL : mediu LEVEL: mediu LEVEL: mediu

Current Personal Address: R.Moldova Chiinu str.M.Sadoveanu 30/3 ap.53

Please insert both the name of city and also the name of the Country of birth. (For instance: Chisinau, Moldova).

Implemented by Monnet USPEE Programme Mobile Phone Number2: 068510931 Fixed Phone Number: 022481808 Email address3: cebotarivictorita@mail.ru Emergency contact4: 068510931

Jean

PART II. EDUCATION AND PROFESSIONAL EXPERIENCE

Current University affiliation5: Universitatea de stat din Moldova, Facultatea tiine Economice anul II

Current position at the university6: student Previous Universities attended: Liceul Teoretic: Constantin Negruzzi, profil real

Current professional Experience7

Previous Professional Experience Manager n serviciile informaii i reclam

Other Relevant Experiences

2 3

Please insert also the International precode. Please insert the address you usually consult. If you have more than one please insert all of them. 4 Please insert name and phone number of a person who can be contacted in case of urgent needs. 5 This can be filled in just by those who are still involved in a university environment. For. Example: Lse, 2nd year. Please write the complete full name of the University you are attending. 6 This can be filled in just by those who are still involved in a university environment. For example: student, researcher, assistant professor, professor..etc. 7 This can be filled in just by those who are working at the moment.

Implemented by Monnet

Jean

USPEE Programme Information about current research you are doing Elaborarea tezei de an la tema: Elaborarea programului promoional de ptrundere pe o nou pia geografic

PART III. INFORMATION FOR Jean Monnet SUMMERSCHOOL

Where did you get to know about Jean Monnet summer school? (please cross the correct information) Email sent by us Email sent by your university Conference announcement website Which website? From a friend Searching on the web de pe web Other

In your opinion, where should the Jean Monnet summer school be advertised? Could you provide some useful web addresses of pages / groups /forum where we can have the possibility to advertise the summer school? Ar trebui mprtite pliante cu informaii despre coala de var n universiti i prin site-urile de socializare. (facebook.com; odnoklassniki.ru; zumzi.md)

Did you already participate in any other summer school? If so, which one? Nu, nu am participat.

Implemented by Monnet USPEE Programme

Jean

Motivation to attend to the course

mi plac provocrile si lucrurile noi, mereu am dorit s cunosc o alt cultur din care s nv ceva. Vreau s obin experien iar coala de var Jean Monnet este soluia ideal pentru a cunoate oameni i emoii noi.

PLEASE READ CAREFULLY I, the undersigned, hereby declare that all information provided in this application form are truthful and accurate and that no relevant information has been left out. By signing this form the applicant allowes USPEE University to use all data provided in this form for cultural purposes. These data will always be used respecting the privacy of individual persons. OTHER DOCUMENT REQUIRED Please send this application form to the email address: jeanmonnetMD@gmail.com

Date: 25.05.13

Signature8. Cebotari

Both scanned and typed signatures are accepted.