The University of Reims Wine & Law Program

WINE & LAW IN THE EUROPEAN UNION

7th Summer School

Trademarks & Geographical Indications for Wines & Spirits

(European, International and Comparative Aspects)

June 19 – 28, 2017

Application Form

Available to download at

Please read these guidelines carefully. Failure to follow them may result in suspending your application from the selection process.

1.Type and provide allrequested information in English.

2.All sections of the application must be completed.

  1. Application Materials
  • Completed Application Form
  • Curriculum Vitae (CV) in English (with a recent passport-size photograph)

Please return the completed application form with full documentation to:

Mrs. Stéphanie OUHIBI,

Your application together with your CV must be received no later than May 5, 2017 (after this date a full registration fee applies).Applications received will only be considered if places are still available.

Pleasedo not send any documents (diplomas, certificates, etc.). Only successful applicants will be asked to send copies of such documents and will receive instructions on enrolment procedure and tuition-fee payment.

All documentation should clearly indicate the applicant’s name and contact address.

1. Name

family name first name middle initial

  1. Permanent Address

Street and number

City, Postcode Country

Telephone number:

Fax number:

E-mail:

  1. Education

Please list all post-secondary education (university or equivalent) in reverse chronological order:

Institution/Country / Degree obtained / Duration
from/until / Grade
  1. Employment

Please list all relevant work experience in reverse chronological order (internships and volunteer experience should be included):

Employer / Position / Country / Duration
from/until
  1. Language Proficiency

1. Which is your mother tongue?:

2. Please indicate your proficiency level in English and in any other language you use as “excellent”, “very good”, “good” or “satisfactory”.

Language / Reading / Speaking / Writing
English

For non-native English speakers, in case of acceptance to the Summer School, proof of their proficiency in English should be provided upon request (TOEFL scores, degrees from English-speaking establishments, publication records, working experience..).

  1. Motivation

Please answer the following question, within the space provided. DO NOT attachadditional sheets.

Why do you want to participate in Wine & Law in the European Union – Summer School ?

______

______

  1. General Information

You learnt about the TheUniversity of Reims Wine & Law in the European Union through:

  • the brochure
  • the Internet
  • Advertisement
  • Colleagues
  • Other______
  1. Personal Choices on the Program:

1. Do you want wish to pass the final examination in order to obtain the Diploma of Wine & Law in the EU of the University of Reims?

Yes No, I prefer obtain the Certificate of Attendance

2. If yes, do you have any disabilities requiring special treatment?

Non Yes

If Yes, please specify:

  1. Verification of Authenticity

By signing below I attest that, to the best of my knowledge, all information provided in this application and its supporting documentation is true and accurate. I understand that misrepresentation in these documents may cause the disqualification of my application.

______

Signature Date (dd/mm/yyyy)