STUDENT EXCHANGE PROGRAM
PhotoUER Bachelor’s DegreeAPPLICATION FORM1. PERSONAL INFORMATION Surname: ___________________ Name: __________________ Gender:________________Birth date: __/__/____ Place of birth: ______________Nationality: _____________________Current address: ______________________n°: ___ zip: ____ city:_____ Country___________Address in Rome: ______________________n°: ___ zip: ____Tel. (with international prefix): ____________________ E-mail:________________________________________ 2. REQUESTED DEGREEBacherlo's Degree in Economics and Business Administration Bachelor's Degree in Psychological Sciences and Techniques Bacherlo's Degree in Tourism and Land Management 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 Italy6. REQUIRED DOCUMENTSUER Bachelor’s Degree Application form Photocopy of valid Passport or ID CardValidation 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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