2012-2013 Academic Year application for admission (usp) icon

2012-2013 Academic Year application for admission (usp)




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2012-2013 Academic Year

APPLICATION FOR ADMISSION (USP)

(This application and supporting documents become the property of IFNU)


Cancellations: All cancellations must be made in writing to the university. For cancellations received less than two weeks before the commencement of the course no fees are refundable except at the IFNU President discretion in the case of illness or emergencies.

Liability:

A student is liable to pay any damage to the university's property, whether intentional or not. The Dean reserves the right to exclude from class any student who is restricting the class's progress because of poor attendance or bad behaviour. The same conditions are valid for students lodging in a hostel.

Please, type or write clearly

PERSONAL INFORMATION AND MAILING ADDRESS

Last name


...............................................................


Please attach a recent photo



First and middle names


..............................................................................................




Date of birth (da/mo/yr)


..........................................

Sex:

Male  Female 




Nationality

..................................................................

Passport No.

...........................




Permanent Home Address:

Street

.......................................

City

..................................

Zip/Country

...............................................

Telephone

Fax

E-mail



...................


.......................




Name and address of a person to be contacted in emergency


.............................................................................................................................................


..............................................................................................................................................

Telephone

Fax

E-mail



.....................


........................





Family Status: Single  Married 




^ SELECTION OF COURSES

The USP-course of Ukrainian

^ Specific purpose

 private  business  research  theses prep.  other

Your level of Ukrainian language proficiency


Beginner



Intermediate


Advanced

 Private individual tutorials (PIT)

Enrollment

Desired number of month to study __________________________________

Desired Enrollment Date
(year, month)


............................................................................

^ Foreign language proficiency

Indicate the foreign language proficiency level

Language

Beginner

Intermediate

Advanced


.................................








.................................








.................................








NOTE: Application must be signed and dated below in order to be valid.

I certify that the information in this application is true and complete to the best of my knowledge. I understand that inaccurate information may affect my enrollment. Further, I will abide by its rules and regulations.


14. Documents enclosed:

1. Certificate of education/Academic transcript



2. Certificate of health



3. Birth Certificate










NOTE: All the documents must be translated into the Ukrainian and notarized by the Ukrainian Embassy in your country











Applicant’s Signature




Date






The IFNU of Lviv, Preparatory School for International Students

Universytetska Str. 1, Lviv, 79000 UKRAINE,

Tel: (380 32) 239-47-09, Fax:(380 32) 261-60-48,

E-mail: psis.lnu@gmail.com


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