APPLICATION FORM

PERSONAL DATA
Family name First name Date & place of birth Gender Nationality (as identified
in passport)

Citizenship Passport type and number Passport date of issue & expiration, place of issue
Do you require the visas for Slovakia? If yes, where will you apply for visas? * Do you require the visas for Ukraine? If yes, where will you apply for visas? *
* It is necessary that you submit your visa application personally at one of the Slovak and Ukrainian embassies: citizens of Bosnia and Herzegovina can submit their application at the embassies in Sarajevo or Zagreb, citizens of Albania at the embassies in Athens, Belgrade or Sofia and the citizens of Ukraine at the embassy in Kiev or consulate in Uzhorod.

PERMANENT ADDRESS
Permanent address Temporary address
different) (if

Tel/Fax/Mobile E-mail Skype name/email

EDUCATIONAL BACKGROUND
Name of the university attended (also
previous, if any)

Address Field of study Year of study Specialization

interest) (fields of

LANGUAGES
Mother language English (excellent, good or
sufficient)

Other language (s)

(excellent, good or sufficient)

Where did you learn about our summer school?

I declare that the above given information is true. I commit myself to immediately inform CENAA of any changes and amendments concerning the above statements.

City/Place

Date

Signature

PLEASE NOTE THAT ONLY COMPLETE APPLICATIONS WILL BE CONSIDERED!

Please submit the following documents not later than April the 30 th 2012 (Monday) :
Filled application form Curriculum vitae CV should include the recent photograph (if not included in your CV, please send your scanned photo in a separate file) Motivation letter

motivation letter should address your interest in the issues related to the topic of the summer school and should explain how do you intend to turn the knowledge and experiences gained at the summer school for your benefit. Motivation letter should be maximum 400 words. It will be taken into consideration that English is not your mother tongue; however a good command of English is required

Please submit the above mentioned documents with subject Application_surname to the following email address: school@cenaa.org.

Applications have to reach CENAA by April, 30 th 2012 (Monday)!