SUMMER ACADEMY BUDAPEST 2013

Application form

Last name:

First name:

Gender:

Citizenship:

Date of birth:
Place of birth:

Contact information	Street, building number, floor, door:			
Postal code:
			City:
Country:
E-mail:
Telephone 1:
Telephone 2:

Please issue invoice of my payment to the following name and address:

Billing information:  	Name: 
			Street, building number, floor, door:			
Postal code:
			City:
Country:

Title of the selected course:		Course code:

In case the course is cancelled, please refund my payment to the following bank account:

			Account holder’s name:
			IBAN:
			SWIFT:
			Name and postal address of bank:

Additional questions
Please answer the following questions in accordance with the selected course, in the language specified by the course leader. The information you provide will aid the course leader in his or her work and decision.

Short CV (max. 1.500 characters, spaces included): 

What do you expect from your participation in the course: (max. 500 characters, spaces included):

Profession:

Languages spoken:

Where/how did you hear about Summer Academy Budapest? (e.g.: internet, newsletter, mailing list, personal contact, community webpage, etc.): 

Please save your application form and send it by email to summeracademy@mke.hu . In the subject line please write: Application 2013. The administrative coordinator will soon contact you by replying to your email.  

If you are a student of higher education and you have not yet reached the age of 25, don’t forget to attach a copy of your school enrolment certificate for the academic year 2012-13. to the printed and signed application form. In this case, the course fee is only 500 €.