SUMMER SCHOOL OF SLAVONIC STUDIES

APPLICATION FOR A SCHOLARSHIP PROVIDED BY THE MINISTRY OF EDUCATION, YOUTH AND SPORTS OF THE CZECH REPUBLIC

  1. INFORMATION ABOUT THE APPLICANT[1]

Photo
Academic Degree
First Name(s)
Surname(s)
Sex / ☐MALE ☐FEMALE
Date of birth
please use format dd.mm.yyyy only
Place of birth
Citizenship
Nationality
Permanent Residence Address
City and Postal code
Country
ContactAddress
City and Postal code
Country
E-mail
Telephone number
including country and city codes
Occupation
e.g. Student, employee
Present employer/institution
Passport number
  1. LEVEL OF APPLICANT’S CZECH LANGUAGE SKILLS

☐Elementary level / ☐Low-intermediate level
☐Intermediate level / ☐Advanced level

Describe your experience with the Czech language:

______

Where did you study the Czech language, for how long and what study programme? (if applicable)

______

______

What are your interests related to the Czech language or culture? (linguistics, literature, history...)

______

  1. ELECTION OF PREFERRED SUMMER SCHOOL

I would prefer to attendthe Summer School of Slavonic Studies at the following institution (choose one)[2]:

☐
Summer Czech Language Course for foreigners in Poděbrady
Institute for Language and Preparatory Studies of Charles University
03 July – 28 July 2017 / ☐
International Summer Language School
University of West Bohemia Pilsen
10 – 28 July2017 / ☐
Summer School of Slavonic (Czech) Studies
Department of Czech for Foreigners
Faculty of Arts, Masaryk University
Brno
15 July – 12 August 2017
☐
Summer School of Slavonic Languages
Faculty of Arts of Palacký University
Olomouc
22 July – 20 August 2017 / ☐
Summer School of Slavonic Studies
Faculty of Arts of Charles University
Prague
28 July - 25 August 2017 / ☐
Summer School of Slavonic Studies
Faculty of Philosophy of University of South Bohemia
ČeskéBudějovice
21 August 2017 – 8September 2017
  1. FURTHER INFORMATION

I am a vegetarian: ☐Yes ☐ No
I am a smoker: ☐Yes ☐ No / I requestaccommodation in hallof residence (student dorm).
☐Yes ☐ No
If so, I request a single room (extra fee)[3]
☐Yes ☐ No
Other requests:
  1. ANNEXES

☐Curriculum Vitae in Czech or English

In______Place Date Signature

IMPORTANT

The Summer Schools of Slavonic Studies offering Czech language courses are organised by several public universities in the Czech Republic: Charles University (Faculty of Arts, Prague),Charles University Institute for Language and Preparatory Studies inPoděbrady,Masaryk University (Faculty of Arts, Brno), Palacký University in Olomouc(Faculty of Arts,Olomouc),University of South Bohemia in ČeskéBudějovice (Faculty of Philosophy,ČeskéBudějovice) and the University of West Bohemia in Pilsen.The courses are held during the summer months (July – September), their length ranges from 2 to 4 weeks depending on the course content determined by each Summer School and are designed for foreign students, teachers, translators andinterpretersand other expertsactive in the field of Czech/Slavonic studies.Due to their broad scope they are, however, open to anyone else who is interested in the Czech language, literature, history and culture. The Summer Schools offer language courses at various levels of proficiency, seminars on the Czech literature, culture and history, free-time activities including theatrical, musical and dance performances, trips etc.

More information:

Date of arrival/departure – a scholarship holder will be provided with free board, lodgingand other services covered by the scholarshiponly during the period of course offered by the respective Summer School.

Health insurance is NOT provided to scholarship-holders, who are advised to arrange a medical insurance policy for the period of their stay in the Czech Republic. More information can be provided by the consular section of the Czech Embassy in your country; EU/EEA medical insurance system is described on the website of theHealth Insurance Bureau.

Visa – Information on the conditions of entry and residence of foreign nationals in the Czech Republic is available on the website of the Ministry of Foreign Affairs of the Czech Republic at:

A scholarship holder is obliged, once he/she obtains information on acceptance, to confirm his/her attendance at the Summer School by sending a message to the contact e-mail as well asto the relevant contactat the Summer School (see below). If an admitted scholarship-holder cannot attend the Summer School concerned, he/she is obliged to inform the relevant contact person at the Summer Schoolimmediately.

Contacts

  1. Institute for Language and Preparatory Studies (Summer School in Poděbrady)

Date of Summer School: 03 July – 28 July 2017

Vratislavova 10,

128 00 Praha 2

Tel.: +420 224 990 420 or +420 224 990 455

Info: Student Services Department

Web:

  1. University of West Bohemia inPilsen

Date of Summer School: 10 – 28 July2017

Univerzitni 8,

306 14 Pilsen

Tel: +420 377 635 210

E-mail:

Web:or

  1. Faculty of Arts ofMasaryk University, Brno

Date of Summer School: 15 July – 12 August 2017

Kabinetčeštiny pro cizince

Filozofickáfakulta MU

Arne Nováka 1

602 00 Brno

Tel.: +420 549 495970

E-mail: ,

Web:

  1. Faculty of Arts of Palacký University inOlomouc

Date of Summer School: 22 July – 20 August 2017

třídaSvobody 26

771 47 Olomouc

Tel.: +420 585 633156, +420 776 26 76 76

E-mail:

Web:

  1. Faculty of Arts of Charles University, Prague

Date of Summer School: 28 July - 25 August 2017

nám. Jana Palacha 2

116 38 Praha 1

Tel: +420 221619381

E-mail: ,

Web : or

  1. Faculty of Philosophy of the University of South Bohemia inČeskéBudějovice

Date of Summer School: 21 August 2017 - 08 September 2017

Studentská 15,

370 05 ČeskéBudějovice – ČtyřiDvory

Tel: +420 389 034 401 (manager), +420 389 034 400 (reception)

E-mail:

Web: or

[1]Pleasefill in thisformusingcapitalletters.

[2]The number of scholarships and their distribution among individual Summer Schools is established by the MEYS. Please, consult the Embassy of the Czech Republic or other institution receiving the applications which institution providing the course you may apply to. The MEYS reserves the right to change the requested term of scholarship and/or place any applicant onto a course different from the one indicated in his/her scholarship application form.

[3]Concerning the fee and whether there is a possibility to request a single room in the accommodation, please consult the preferred institution providing the Summer School course.