Program Application for Students from Charles University or Czech Technical University Important! Please read: We strongly encourage participation in our program and courses for students of our partner institutions in Prague, Charles University and Czech Technical University. We think that this provides great opportunities for all students and faculty involved and promotes intercultural learning and exchange. We therefore provide this opportunity to students of our partner institutions at no cost (except applicable fees, entrance fees, and materials/books). If you are accepted into our program, you are expected to fully participate in the class(es), complete all assignments and take all tests and evaluations. You are responsible for getting any required books and other materials. If you want to receive credit for the course(s), you need to make all necessary arrangements with your International Office. Please note that no housing and insurance are included in this agreement. * I have read and agree to these terms. There are four steps to be fully admitted to the UNO Prague Summer Seminars: 1. Fill out the application below, and reserve your space in this program. 2. Email or send us a letter of good standing or a recommendation from your International Office or a faculty member. This does not have to be extensive; one or two paragraphs are sufficient. Email: prague@uno.edu 3. Please send a picture of yourself (digital photos accepted). Email it to prague@uno.edu Prague Summer Seminars University of New Orleans 2000 Lakeshore Dr. ED 118 New Orleans, LA 70148 USA
Program Application for Students from
Charles University or Czech Technical University
Important! Please read: We strongly encourage participation in our program and courses for students of our partner institutions in Prague, Charles University and Czech Technical University. We think that this provides great opportunities for all students and faculty involved and promotes intercultural learning and exchange. We therefore provide this opportunity to students of our partner institutions at no cost (except applicable fees, entrance fees, and materials/books). If you are accepted into our program, you are expected to fully participate in the class(es), complete all assignments and take all tests and evaluations. You are responsible for getting any required books and other materials. If you want to receive credit for the course(s), you need to make all necessary arrangements with your International Office. Please note that no housing and insurance are included in this agreement.
* I have read and agree to these terms.
There are four steps to be fully admitted to the UNO Prague Summer Seminars:
1. Fill out the application below, and reserve your space in this program.
2. Email or send us a letter of good standing or a recommendation from your International Office or a faculty member. This does not have to be extensive; one or two paragraphs are sufficient. Email: prague@uno.edu
3. Please send a picture of yourself (digital photos accepted). Email it to prague@uno.edu
Prague Summer Seminars University of New Orleans 2000 Lakeshore Dr. ED 118 New Orleans, LA 70148 USA
4. After you have received confirmation of your application, be sure to keep up with information on the web site, as it is updated frequently. Also, please plan to attend the program orientation and opening reception on July 12, 2009. Information on time and location will be emailed to you. If you do not receive our emails, please be sure to notify us.
Application Form
*Last Name: *First Name: Middle Initial: *Mailing Address: *City: State: *Postal Code: *Country:
*Last Name: *First Name: Middle Initial:
*Mailing Address: *City: State: *Postal Code: *Country:
Birthdate: Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month January February March April May June July August September October November December Year 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 Gender: Gender Male Female *Primary Phone: Other Phone: Cell: *E-mail: Alternate E-mail: * = a required field
Birthdate: Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month January February March April May June July August September October November December Year 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 Gender: Gender Male Female *Primary Phone: Other Phone: Cell: *E-mail: Alternate E-mail:
* = a required field
Contact in case of emergency:
Name: Relationship:
Emergency contact's address, phone, email:
Academic Information
Please check one of the following categories: Student of Czech Technical University Student of the Faculty of Social Sciences, Charles University Student of the Faculty of Philosophy, Charles University
Classification as of the summer semester 2009: Freshman Sophomore Junior Senior Graduate Student (5th or 6th year student)
Major course of study: Highest degree earned: Course Selection Please select the course you wish to take. These courses are offered to students of UNO's partner institutions in Prague for little or no cost, and enrollment is limited to 1-3 Czech students per class. If your course choice is no longer available, you will be notified by email. Please note that for some courses, special fees may apply and that you are responsible for paying those fees. You are expected to fully participate in the class(es), complete all assignments and take all tests and evaluations. You are responsible for getting any required books and other materials. If you want to receive credit for the course(s), you need to make all necessary arrangements with your International Office. Please indicate your alternative choice in case one of your first choices is not available. If you have any questions about your course selection, please email the program coordinator at prague@uno.edu For course descriptions, requirements, teachers' bios, etc. go to the Courses page. Preferred Course Choice: Please select: Masterpieces of Music in the Czech Lands Prague 1900: Art and Architecture ($45 for entrance fees) The Literature of Central Europe Travel Writing (Non-fiction Writing) Europe Between the Wars The History of Central European Film Alternative Choice: Please select: Masterpieces of Music in the Czech Lands Prague 1900: Art and Architecture ($45 for entrance fees) The Literature of Central Europe Travel Writing (Non-fiction Writing) Europe Between the Wars The History of Central European Film
Major course of study:
Highest degree earned:
Course Selection
Please select the course you wish to take. These courses are offered to students of UNO's partner institutions in Prague for little or no cost, and enrollment is limited to 1-3 Czech students per class. If your course choice is no longer available, you will be notified by email. Please note that for some courses, special fees may apply and that you are responsible for paying those fees.
You are expected to fully participate in the class(es), complete all assignments and take all tests and evaluations. You are responsible for getting any required books and other materials. If you want to receive credit for the course(s), you need to make all necessary arrangements with your International Office.
Please indicate your alternative choice in case one of your first choices is not available. If you have any questions about your course selection, please email the program coordinator at prague@uno.edu For course descriptions, requirements, teachers' bios, etc. go to the Courses page. Preferred Course Choice: Please select: Masterpieces of Music in the Czech Lands Prague 1900: Art and Architecture ($45 for entrance fees) The Literature of Central Europe Travel Writing (Non-fiction Writing) Europe Between the Wars The History of Central European Film Alternative Choice: Please select: Masterpieces of Music in the Czech Lands Prague 1900: Art and Architecture ($45 for entrance fees) The Literature of Central Europe Travel Writing (Non-fiction Writing) Europe Between the Wars The History of Central European Film
Comments
If you need to pay for any extra course fees, the program coordinator will email you a link to a secure web site where you can pay with your credit card.
Clicking the "Submit Form" button indicates acceptance of our terms as stated in the Responsibility Statement. I certify that I have read all these terms and am familiar and in agreement with them. I certify that all information in this application is correct, and I realize that false or incomplete information will result in dismissal from the program.
Click below to send the form:
