Allegato1
Alma Mater Studiorum - Università di Bologna
FACOLTÀ DI SCIENZE POLITICHE
The Paul Nitze School
Of Advanced International Studies /
Bologna Center
www.jhubc.it /
Application for admission for non – U.S. students for the academic Year:______- ______
(please type or print clearly)
NAME (as it appears on your passport):______
(Family/Last Name) (Given/First Name) (Middle name or Initial)
Permanent Address / Mailing Address (valid from ______until ______)______/ ______
______/ ______
______/ ______
______/ ______
Tel______
(++/country code/area code/number) / Tel______
(++/country code/area code/number)
E mail (please type or print clearly): ______
Date of birth: ______Place of Birth :______Citizen of:______
(month/day/Year) (city, country)
ACADEMIC BACKGROUND (indicate all universities at which you followed courses credited toward your degree):
Attended Degree pursued Date awarded
Name of institution Location From –To Main Field of Study (BA, Lic., Mag., etc.) or expected
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Course that you wish to take
Choice 1______Choice 2______
Choice 3______
ECONOMICS BACKGROUND (if you wish to take courses in economics)
* I have completed (or)
* I will complete an introductory level course in microeconomics covering the principles of supply, demand, equilibrium and marginal analysis
Name of Course: ______University or Institution: ______
Semester/Year:______If already completed, grade received:______
* I have completed (or)
* I will complete an introductory level course in macroeconomics covering the principles of supply, demand, equilibrium and marginal analysis
Name of Course: ______University or Institution: ______
Semester/Year:______If already completed, grade received:______
If you already completed the above courses, please make sure they are indicated on the transcript(s) you submit with your application.
Other quantitative course work:
If you have taken other quantitative course work (calculus, statistics, algebra, etc.) that you wish to bring to the attention of the Admissions Committee, please describe it briefly here (you do not need to list courses individually):
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LANGUAGE BACKGROUND: What is your NATIVE LANGUAGE?______
ENGLISH LANGUAGE KNOWLEDGE:
Use the following scale to indicate your knowledge: Excellent (near native); Very Good; Fair; Poor
Writing Speaking Understanding Reading How Obtained
______
I have taken/will take one of the following tests: Date Taken or Planned Result Obtained
TOEFL ______
Cambridge Proficiency ______
IELTS ______
Bologna Center Test ______
Date: ______Signature:______
Date ______Presidente Corso di Laurea ______
Materials submitted to the SAIS Bologna Center for your application become the property of the School, and cannot be returned.
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Ai sensi dell'art. 13 del D. Lgs. 196/2003, vi informiamo che –si procederà al trattamento dei dati forniti esclusivamente per fini istituzionali e nel rispetto della normativa in materia di protezione dei dati personali. In particolare tali dati saranno trattati, anche con l'ausilio di mezzi elettronici, da soggetti specificatamente incaricati dai soggetti istituzionali a cui viene rivolta la domanda.