përgatit brezin e ri të liderëve

APPLICATION FORM

Instruction: Fill in the form with capital letters or electronically.

A. PERSONAL DATA

Surname:

Name:

Name of father:

Date of birth: (date)______(month) ______(year)

Place of birth (city/country):

Nationality: Gender:

Male Female

Passport number: Issuing date: (date)__ (month) (year)

Issuing place:

Permanent address:
Street: ______
No.: ______
City: ______
Country
Telephone:
E-mail:
Fax: / Temporary address(if any) for correspondence purposes
From date: ______until ______
Street:
No.:______
City/ Country:
Telephone:
E-mail:
Fax:

B. INFORMATION ON PREVIOUS STUDIES

a. Please insert chronologically, starting from the most recent year, all pre-university, university and post-graduate studies you have completed up to this academic year.

Institution / City/Country / Branch / Title obtained from the graduation and specialization / Average grade / Date of diploma issuing

C. EMPLOYMENT INFORMATION

Please insert chronologically, starting from the most recent year, all of your job experience up to this academic year.

Employment / Your position / City/Country / Years of work

D. FOREIGN LANGUAGES LEVEL

Insert your foreign languages level in the following scale (very good/ good/fair/ poor).

LANgUAGE / Reading / Speaking / Writing
English
French
German
Italian
Other:

E. LETTER OF MOTIVATION

Read carefully the following questions before answering.

  1. Which are the motives for which you wish to attend the Albanian School of Politics Studies (you may add additional paper):

b. How will you put into action the acquired skill by means of studying in this school:

F. INDICATE HOW YOU OBTAINED THE INFORMATION ON THE PROGRAM:

Website/InternetVisit to the CoE OfficeFriends

BrochurePosterColleagues

Press releaseOther (specify)

I the undersigned declare under my personal responsibility that the entire information submitted by me in this form and the documentation attached to it is authentic and complete. I am aware of the fact that false information is a sufficient reason to reject my right of admission in the school and the right of my status ‘winner’, if I win, as a postgraduate student as well, if the information submitted is revealed in the future to be false.

Forms that are not undersigned shall not be accepted.

Signature Date

G. CHECK LIST

Make sure that you have collected and submitted all the required documentation for your application by marking the following boxes.

The completed form of the application

Photocopy of the university diploma

2 Letters of recommendations

1 photo in passport format

Tirana, on______Signature of the Director of the School

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