Danish Language Course for Foreign University Students Copenhagen, 13 July 2 August 2016 Advanced, medium and beginner s level Application form Must be completed on the computer in Danish or English All fields are mandatory PERSONLIGE OPLYSNINGER / PERSONAL INFORMATION Fornavn(e) First name(s) (as in passport) Efternavn(e) Last name(s) (as in passport) Nationalitet Nationality/citizenship Fødselsdato Date of birth Dag: Måned: År: Day Month Year Køn Sex Kvinde Female Mand Male Telefonnummer Telephone (country code, area code, number) E-mail adresse E-mail address 1
STUDIERELEVANTE OPLYSNINGER / STUDY INFORMATION Er du fuldtidsstuderende per 31 March 2016? Are you a full time student at a higher education institution on 3 March, 2016? Hvad studerer du? What are you studying? Navn på højere uddannelsesinstitution samt land Name of higher education institution and country Hvilket studieår er du på? Year of study Sidst erhvervede grad? Latest degree/diploma achieved? Skal du på et Erasmus+-ophold i Danmark umiddelbart efter sommersprogkurset? Will you be going on an Erasmus+ stay in Denmark immediately following the Danish Summer Language Course? Hvis ja, vedlæg skriftlig dokumentation for optagelse If yes, please enclose documentation Har du tidligere fulgt et danskkursus? Have you previously taken a course in Danish language? Hvis ja, hvor? If yes, where? Danskkundskaber/Danish language skills Dit kendskab til dansk sprog Vurder dine sprogkompetencer. Udfyld hver linie (Sæt en X ) Your knowledge of the Danish language. Assess your language skills. Please fill out each line (set an X ) http://europass.cedefop.europa.eu/l anguageselfassessmentgrid/en Lytte Listening Læse Reading Kommunikation Communication Tale Speach Skrift Writing Beginner Medium Advanced A1 A2 B1 B2 C1 C2 2
Er du indstillet til et stipendium af en lektor, der underviser i dansk i det land, hvor du studerer nu? Skriv navn og arbejdsplads på lektoren og vedlæg anbefalingen. Du kan stadig komme i betragtning, selvom du ikke er indtillet af en lektor. Has a lecturer in Danish in the country where you are currently studying recommended you for a scholarship? Write the name and work place of the lecturer and enclose the recommendation. You are still eligible for a scholarship, even without a recommendation. Skal kurset bruges som forberedelse til et kommende studieophold i DK? Would the course serve as preparation for you for a future study period in Denmark? Name of university: / TILMELDING TIL SPROGKURSUS I DANSK 2016 APPLICATION FOR SUMMER COURSE IN DANISH LANGUAGE 2016 1. Prioritet/ Priority Det Danske Kulturinstitut/Københavns Voksenuddannelsescenter (KVUC) 2. Prioritet/ Priority Must be filled in TietgenSkolen Studieskolen Askov Højskole RUC, Roskilde Universitetscenter Den Internationale Højskole Din adresse Your address Gadenavn og nummer: Street name and number Postnummer: Zip code Land: Country By: Town 3
Kontaktperson Contact person in case of emergency Navn Name Telefonnummer Telephone number E-mail: E-mail: Mail the application together with your motivation as soon as possible and not later than 1st March, 2016 to: Merete Agger, ma@dankultur.dk Please make sure that you have completed the application form according to the instruction together with your motivation. Sted og dato/place and date Underskrift/Signature 4
Motivation Name: Please note that your motivation for applying for the Danish language course must be sent together with your application. The information will help the team of instructors prepare the best course for the students. 1. Have you been in Denmark before? If yes, when and for how long? 2. Tell about yourself: Please introduce yourself (max. 5 lines) What are your main interests? (max. 10 lines) What would you like to learn in particular? (max. 5 lines) 3. Why do you want to follow this course? (max. 5 lines) Please mail your answers together with your application no later than 1st March to: Merete Agger, ma@dankultur.dk 5