The Construction of the European Region

REGION EUROPE The Construction of the European Region and Its Role in the World 2016 Edition

Application form

Personal data

First Name:

Middle Name:

Surname:

Gender:

Date of birth:

Place of birth:

Country:

Citizenship:

Passport details: Passport Number:

Issuing Authority:

Date of Issue:

Expiring Date:

Permanent Address:

Phone:

Email: University education

I have completed my university education: YES NO

I am currently a postgraduate student: YES NO

I am currently an undergraduate student: YES NO

I am a UniTo Student: YES NO

Undergraduate or postgraduate course:

I am an Erasmus Student: YES NO

Partner University:

I am enrolled in a Bi-national degree course: YES NO

Partner University:

I am in Turin thank to other Student exchange programs:

Partner University:

Languages

Mother tongue:

Other (please specify fluent/good/fair/basic):

Visit to the European Parliament and NATO (3 days)

I am interested in the visit to the European Parliament and NATO in Brussels*:

YES NO

(*) Approximate costs: flight 70-120 Euros; shuttle Turin-Airport-Turin: 30-44 Euros; Br. Airport- Brussels-Br. Airport 12-28 Euros; accomodation in hostel 40-50 Euros.