Application to Uppsala International Summer Session 2010

Placement test

A placement test, provided by Folksuniversitetet, is used to determine your current level.
This is not necessary for absolute beginners.

If you are no beginner, please take the placement test before filling in this application form.
Click here to proceed to the placement test of Folksuniversitetet (you will leave this site).
I am a beginner
I am no beginner and I have taken the placement test

Placement test

My number of correct answers = in level Level A Level B Level C

Participation

I wish to attend the:

I wish to participate in the following morning course:

I wish to participate in the following afternoon course (June 20 - July 16):

I wish to participate in the following afternoon course (July 18 - August 13):

Name and address


Title	Family name	First name	Date of birth (YYYY-MM-DD)

Street		Zipcode (postal code)	City

Country		Nationality	State

E-mail

Telephone number (also country & area code)		Fax number (also country & area code)

Profession		University	Major department

Photo

Please upload a picture of yourself. This picture will be used for your student id card.

To start uploading please click on the area below.

WARNING: only proceed to the next page if you have uploaded and
can see your picture!

I wish to reside in a

single room

doublet (a small unit of two single rooms with kitchenette and bathroom, limited availability)

apartment, single occupancy ^*

apartment, shared with other student ^*

apartment, shared with friend ^*

apartment, shared with partner ^*

apartment with non participant partner ^*

with children

I will arrange my own accommodation, reduction in cost 3.000 SEK per 4-week period

^* extra costs

arrival with my car

Special wishes

I wish to attend the program 'tuition only' 13.000 SEK per 4 weeks, 6.700 SEK per 2 weeks

I would like to request vegetarian meels no fish with fish

Proficiency in languages

Language	Reading	Speaking	Writing
English
Swedish
German

Extra language one

Extra language two

Activities

The following activities, excursions or lodging involve extra costs. Please mark the ones you would like:

Finland trip, July 8 - July 12. Deposit 1.000 SEK. Total cost 2.400 SEK.
Lapland trip, July 16 - July 21. Deposit 1.500 SEK. Total cost 3.600 SEK.
Värmland trip, July 30 - August 1. Deposit 1.000 SEK. Total cost 2.300 SEK.
	rafting
	adventure experience
	hiking
apartment, single occupancy or with non-participant partner: 4.000 SEK per 4 weeks, 2.400 SEK per 2 weeks
apartment, shared with participating friend, partner or other student: 1.500 SEK per person per 4 weeks

The non-refundable deposit for the optional trips and the costs for the apartment should be paid together with the advance course payment of 5.000 SEK. The remaining costs should be paid with the final course fee payment.

How did you hear about the Uppsala program?

Have known about it for several years and have been waiting for the opportune time to apply
Internet, name of the website:
Heard about it from friend, teacher, etc: name
Poster on campus or at
Read about the program (newspaper etc)
Requested information from

Disclaimer and agreement

I understand that the UISS program arrangements, including the course offerings, may be subject to minor modifications

I have paid a non-refundable application fee of $50 or €30 to complete my application

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