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Application Form for International Students 2011




Personal Information


Name (print large and clear): _________________________________________________
Mailing address: ___________________________________________________________
City: ______________________________________________________________________
State:_____________________________________________________________________
Postal Code: _______________________________________________________________
Country: __________________________________________________________________
Citizenship: ___________________________________ Sex: _____
Birth date: (DD/MM/YEAR) _____/_____/_____ Age: _____
Passport Number: __________________________________________________________
E-mail (Print large andclear. Make sure it is an e-mail you frequently check): __________________________________________________________________________

Home phone: ______________________________________________________________
Work phone: _______________________________________________________________
FAX: _____________________________________________________________________
Cell #:____________________________________________________________________

Person to contact in case of emergency: _______________________________________ Phone #: __________________________________________________________________



Father’s name: ____________________________________________________________
Father’s occupation: ________________________________________________________
Home phone:______________________________________________________________

Mother’s name: ____________________________________________________________
Mother’s occupation: _______________________________________________________
Home phone: ______________________________________________________________



Academic Information


What is your knowledge of Spanish?

____Very good _____Good_____ Fair _____ Poor _____None

Explain type of language education if any: ____________________________________________________________________________________________________________________________________________________

What is your current occupation?

_______High School ________College ________University ________Work

Name of the Institution in any case(Institution where you study or firm where you work):

__________________________________________________________________________

What is your major and minor? __________________________________________________________________________

What courses have been accepted at your University?__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________









UVM PROGRAMS: Semester Program Information


Our semester/Year Programs are on Southern-Hemisphere Calendar:What semester do you wish to attend?
______ Feb/March-June/July (Semester one)
______ July/Aug-Nov/Dec (Semester two)

How many semesters you plan to stay at the UVM?
______ One
______ Two

SPANISH PROGRAMS (Levels: Beginner, Intermediate, Advanced):
Mark with an X the Spanish courses you are planning to take according to your level. (During the Orientationyou will take a placement Spanish exam).
|X |Spanish Courses |Level |
|  |Comunication Strategies: Grammar & Composition |  |
|  |Comunicational Spanish & Chilean Culture...