Becas para estudiar en Croacia - Formulario de solicitud en inglés

REPUBLIC OF CROATIA

MINISTRY OF FOREIGN AFFAIRS AND EUROPEAN INTEGRATION 

APPLICATION FORM

for attending the Croatian language course in the academic year 2010/2011

1. Personal information:

1.1. First name………………………………………………………………………………………………..

1.2. Family name………..……………………………………………………………………………………

1.3. Date and place of birth.. …………………………………………………………………………………

1.4. State of birth …………………………………………… Citizenship……...……………………………

1.5. Gender     M   F 

1.6.       Passport No… ……………………………………………………………………………………………

1.7. Information about previous education (circle): a) Secondary school
                                          b) Junior college
                                          c) College

2. Permanent residence:

1. Street ………………………………………………………………………………………………………

2. House No.…………………….

3. Place ……………………………………..………………………………………………………………..

4. ZIP Code ………………………………………………………………………………………………….

5. State  ...…………………………………………………………………………………………………….

6. Telephone………………………………………………………………………………………………….

7. E-mail: …………………………………………………………………………………………………….

3. Reason for applying: …………………………………………………………………………………….. ……………………………………………………………………………………………………………...……………………………………………………………………………………………………………...

4. Number of semesters you want to attend (select one option)

1. one semester

1. winter semester (October 4, 2010 – January 28, 2011)

2. summer semester (February 28, 2011 - June 10, 2011)

2) two semesters (October 2010 — June 2011) 

5. Application for accommodation in a student dormitory* (only for attendants up to 30 years old)
5.1. I want to use an accommodation in a student dormitory
      1) YES

     (circle)

2. NO

*the monthly cost in the student dormitory is about HRK 300.00

5.2. Address in the Republic of Croatia for the attendants who ARE NOT STAYING in a student dormitory 

      ……………………………………………………………………………………………………………

6. Questions for the applicants who attended the course before

1.       How many semesters have you finished?

1 2 3 4       (circle)

2.        When did you attend the course?

…………………………………..

3.        Who paid the tuition fee?

…………………………………..  

Date……………………………………..    Signature………………………………

ENCLOSURES: (circle the appropriate number) 

1. Filled out application form
2. Photocopy of the passport
3. Proof of Croatian origin in writing (any official document showing the status of the candidate, or one of his parents or ancestors, in this regard)

4. Brief CV

_______________________________________________________________________________________

Important: Fill out the application form on a computer or typewriter. Incomplete, incorrect and late applications shall not be considered or admitted to the Public Invitation.

For additional information, please call +385 1 4896 320, 4896 304, workdays from 9.00 to 16.00, or send an e-mail to croaticum@mvpei.hr. 

MINISTRY OF FOREIGN AFFAIRS AND EUROPEAN INTEGRATION OF THE REPUBLIC OF CROATIA

Trg Nikole Šubića Zrinskog 7-8 ● 10000 Zagreb ● Republic of Croatia ● www.mvpei.hr

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