Application for admission for summer 2009

Use this form to apply for the Summer term (June 22 – July 31, 2009).
The application deadline for this term is April 24, 2009.
The deposit deadline is May 15, 2009.

Personal Information

First Name:

Middle Name:

Last Name:

Gender: Female   Male

Address:

Phone:

Fax:

E-mail:

Date of Birth (day/month/year):

Place of Birth (city & country):

Nationality/Citizenship:

Housing

Dormitory, Double Occupancy
Dormitory, Single Occupancy ($275 additional fees; limited space available)

Other

— If “other,” please explain:

Previous Arabic Study

Have you studied Arabic before? No Yes

— If yes, please answer the following:

• How many credits will you have earned in Arabic by summer 2009?
• Where and when did you study?
• What textbook(s) and chapters will you have studied by 2009?
  

Have you had any previous exposure to Lebanese Arabic or any other dialect?
No Yes

— If yes, please explain:

Which level do you expect to enroll in?
(Actual placement will be determined at the beginning of the program.)
Elementary Arabic
Upper Elementary Arabic
Intermediate Arabic
Advanced Arabic

Also sign up for Intensive Lebanese Dialect (Sufficient enrollment required).

Reference

Please provide the name and e-mail address of an Arabic instructor (if possible), or another teacher or individual who knows you well and would be willing to comment on your academic abilities, personal interests and goals, and who can provide an assessment of your ability to manage the stress of studying in a foreign country in an intensive language program. This person will be contacted by e-mail by the SINARC director.

Name & Title:

Address:

E-mail:

Phone:

Fax: