Jean Monnet European Union Centre of Excellence (JMEUCE)

Form

1. Name (in preferred order with SURNAME in capitals)

2. Home university

3. Current degree programme and year of study

4. What background or prior experience - if any - do you have of relevance to the themes of the institute? (One paragraph max.)

5. Country of citizenship

6. E-mail address/es (please enter carefully or we won't be able to respond)

7. Are you applying as an exchange student from one of Dal's partner universities? (Yes/No) If yes, please note that proof of your nomination by your home university will be required.

8. Proficiency in English language (tick as many as apply in your case)

English is my native language

I am currently conducting some/all of my university studies in English

I have taken an IELTS/TOEFL test (indicate score in next question)

None of the above

9. IELTS/TOEFL score and date, if applicable (if not, indicate N/A)

10. Would you want to stay in a Dalhousie residence while attending the Summer Institute?

Yes

Maybe

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BEFORE you click "Submit", please check that your responses are complete and correct, and that you entered the right e-mail address so we can contact you! A "Thank You" page should appear after submission of this form. If you do not see the "Thank You" page after pressing "Submit," we did not get your form, so please try again. If you have further questions, contact: jmeuce@dal.ca. Thank you for your interest!

Dalhousie University

Jean Monnet European Union Centre of Excellence (JMEUCE)

Form

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