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CRACOW UNIVERSITY OF ECONOMICS Summer Program
CRACOW UNIVERSITY OF ECONOMICS Summer Program Business and its Environment in Poland June 29 – July 26, 2003 Individual Application Form A. PERSONAL DATA First Name Family Name Date of Birth Day Month Year 19___ ___ Sex M F Nationality B. CONTACT INFORMATION Full home address with a post code Country code Area code /City code Number Phone Fax E-mail C. CHOICE OF MODULES Culture Module (Week 1) June 29 – July 5, 2003 Culture Module (Week 2) July 5 – July 12, 2003 Business Module (Week 3) July 12 – July 19, 2003 Business Module (Week 4) July 19 – July 26, 2003 D. EDUCATIONAL BACKGROUND Name of the Institution From (year) To (year) Degree Post-secondary (college/university/professional/ technical school) Studies in progress E. PROFESSIONAL BACKGROUND (if applicable) Function Employer From To F. GENERAL INFORMATION Level of Polish? Do you smoke? Beginner Elementary Intermediate YES Please mention any special request you may have Cracow University of Economics, International Programmes Office ul. Rakowicka 16, 31-510 Cracow, Poland tel. +48 12 293 5471, fax +48 12 293 50 96 [email protected] Advanced NO CRACOW UNIVERSITY OF ECONOMICS Summer Program Business and its Environment in Poland June 29 – July 26, 2003 Individual Application Form G. HEALTH & FOOD Please mention any – food allergies, medical information or disabilities Are you a vegetarian? YES Any special diet? H. SPORT & HOBBIES Favorite sport(s) Any other activities/hobbies Signed …………………….. dated ………………… Cracow University of Economics, International Programmes Office ul. Rakowicka 16, 31-510 Cracow, Poland tel. +48 12 293 5471, fax +48 12 293 50 96 [email protected] NO CRACOW UNIVERSITY OF ECONOMICS Summer Program Business and its Environment in Poland June 29 – July 26, 2003 Individual Application Form F. PAYMENT The cost of the two-week program is $1057 when you register before 15 May 2003. Later application price is $ 1321. The cost of the three-week program is $1472 when you register before 15 May 2003. Later application price is $ 1840. The cost of the four-week program is $1819 when you register before 15 May 2002. Later application price is $ 2274. The price includes all course fees and materials, use of the university facilities, accommodation in a double room, breakfast, two course lunches, a Cracow city transportation pass, cultural events and all organized trips. The receipt of $200 deposit will secure you a seat in the program. Deposit can be made in either of two ways: 1.Sending a travelers check payable to Akademia Ekonomiczna w Krakowie and mailing to: Cracow University of Economics International Programmes Office Ref: Summer School / ul. Rakowicka 16 31-510 Kraków, Poland 2. Bank Transfer Akademia Ekonomiczna w Krakowie Biuro Programów Zagranicznych, ul. Rakowicka 27 31-510 Kraków, Poland Kredit Bank S.A. I O/Krakow ul. Miodowa 11 31-055 Krakow, Poland US Dollar Account Number: 9615001142-121140030875-0000 SWIFT: KRDBPLPWKRA Cracow University of Economics, International Programmes Office ul. Rakowicka 16, 31-510 Cracow, Poland tel. +48 12 293 5471, fax +48 12 293 50 96 [email protected]
