STUDENT EXCHANGE PROGRAM



PhotoUER BACHELOR’S DEGREEAPPLICATION FORM1. PERSONAL INFORMATION Surname: ___________________ Name: __________________ Birth date: __/__/____ Place of birth: ______________Nationality: _____________________Current address in your home country: _____________________________________________Address in Rome (if any): _______________________________________________________Tel. (with international prefix): ____________________ E-mail:________________________Contact tel. number in case of emergency::__________________________________________ 2. REQUESTED DEGREEBacherlo's Degree in Economics and Business Administration Bachelor's Degree in Psychological Sciences and Techniques Bacherlo's Degree in Tourism and Local Development Integrated Master's Degree in Law Integrated Master's Degree in Sciences of Primary Education 3. ACADEMIC INFORMATION: Secondary school leaving qualification obtained at________________(Institution’s name) in ____________ (Institution’s location) Are you currently enrolled in a Bachelor’s Degree at other university? No, I am not currently enrolled in a Bachelor’s Degree at other university Yes, I am currently enrolled in a Bachelor’s Degree in ____________________ (Bachelor’s Degree’s name) at___________(Institution’s name) in ___________ (Institution’s location) If yes, would you like to require the recognition of some of the courses from your current Bachelor’s Degree? Yes/ No 4. ITALIAN LANGUAGE SKILLS I have attached to my application a B2 Italian language certificate. I have no Italian language certificate but I herewith request to take the B2 Italian language test delivered online by UER5. ADMISSION TEST I am available to take the admission test at the University (Via degli Aldobrandeschi, 190, 00163 Rome, Italy) I herewith request to take the admission test online since I am currently residing outside Italy.6. REQUIRED DOCUMENTS UER Bachelor’s Degree Application form Photocopy of valid Passport or ID Card Secondary school leaving qualificationValidation of your secondary school leaving qualification giving access to the requested Bachelor’s Degree by CIMEA National Agency B2 CEFR Italian language certificate. Alternatively, you should take a B2 CEFR Italian language test delivered online by UER. Date: Signature: ................
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