Title (required) MrMissMrsMsDr
Family/Last Name (required)
First Name(s) (required)
Gender (required) MaleFemale
Address for Correspondence (required)
Country (required)
Email address (We will email booking/payment confirmation and relevant information to this email address) (required)
Telephone number (required)
Date of birth (required)
Registration number INFOSTUD (required)
We do not discriminate against people with disabilities or medical requirements and will make all reasonable efforts to accommodate their requirements.
Do you have any special physical or medical requirements? NoYes
If yes, we will contact you for further details.
Dietary requirements
Please give details of your educational background, including current study and degrees achieved Studying for Bachelor’s DegreeBachelor’s DegreeStudying for Master’s DegreeMaster’s DegreeStudying for PhDPhDOther graduate programmeOther
Please give details of your status StudentEmployedRetiredAcademicOther
Profession
If you are currently a student, please state institution, course and year of study (e.g. Université de Lyon, Physics, 2nd Year)
Institution
Course
Year
If you are applying as part of a group from a college, university or other institution, please state which one
Mother tongue(s)
Other language(s)
ITALIAN
UNDERSTANDING
Listening NoneA1-2: Basic userB1-2: Independent userC1-2 Proficient user
Reading NoneA1-2: Basic userB1-2: Independent userC1-2 Proficient user
SPEAKING
Spoken interaction NoneA1-2: Basic userB1-2: Independent userC1-2 Proficient user
Spoken production NoneA1-2: Basic userB1-2: Independent userC1-2 Proficient user
Attache language certificate
ENGLISH
Please give details of someone we can contact in case of an emergency while you are in Rome
Name (required)
Contact address (required)
Email address (required)
Please note: subsistence expenditures are not included in the tuition fees.
Please attach to your application:
Copy of a valid photo ID, signed and legible (ID Card, Passport) (required)
High School Diploma (required)
University Proof of Enrolment / Degree Certificate (required)
I agree that I meet the requirements for admissions to the Summer School, that the information on this application form is true at the time of writing and I have read this form, and the accompanying Call for Admission and fully accept the terms and conditions (including cancellation and refund policies) as stated in the Call for Admission to the Sapienza Summer Schools.