ROMANIAN CULTURAL INSTITUTE - BUCHAREST

COURSES IN ROMANIAN LANGUAGE, CULTURE AND CIVLIZATION

23rd edition

July 4-29, 2017, Braşov

APPLICATION FORM[1]

Surname: ......

Forename(s):

Gender:

Date of birth:

Citizenship:

E-mail:

Mother tongue:

Passport No.:

Occupation:

Workplace:

Mailing address:

Phone:

·  Please indicate TWO of the following creative workshops you would like to be enrolled to:

1. Dancing q

2. Journalism and publicity q

3. Gastronomy q

4. Acting q

·  What kind of accommodation do you require?

q single room

q double room

Please indicate the person you would like to share the room with (if you know): ......

·  Date of your arrival in Braşov:

q 04th of July (the arrival of the participants) q Other: ......

·  Date of your departure from Braşov:

q 29th of July q Other: ......

·  Your knowledge of Romanian, based on your own judgement:

q beginner

q near beginner

q intermediate 1

q upper-intermediate

q advanced

q mother tongue: Romanian

·  Which intermediary language do you wish to use during the summer courses?

q English q Romanian q Other: ......

·  Have you already learnt Romanian? Where and for how long?

......

......

·  Have you ever participated in a Romanian language course or other similar Summer School? If so, where, when?

......

......

·  Where did you learn about the Summer School from Braşov?

·  Comments and special requests:

·  If you know people or institutions who would like to receive our prospectus, please give us their address:

……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….

I have read the general conditions for enrolment of the program Romanian Language, Culture and Civilization Courses – 2017 and I would like to take part in this edition of the program.

I would like to be enrolled to the program Romanian Language, Culture and Civilization Courses. I will pay the amount of 1300/1100 Euros, representing the entire fee for the program Romanian Language, Culture and Civilization until the application deadline.

DATE SIGNATURE

[1] The completed application form, accompanied by a curriculum vitae, a copy of the passport and a copy confirming the payment of the participation fee are to be sent to the Romanian Cultural Institute (Aleea Alexandru 38, 011824, Sector 1 Bucureşti, fax: 00.40.(0)31.71.00.607) by poste or by email (, )