Globalization Program
Fall term 2018

Research Internships and Worldwide Mobility
	Application Form

•	Personal Information

First name  

Last name  

Gender      

Home address (residenza)

State/ Country/ Zip Code 

Telephone     

E-mail            

Place and date of birth 
(day-month-year)	
	
Fiscal code
		
Passport Number

•	Education

Please give details of: high school, undergraduate studies and current position
[include: full title of the first degree course you attended, title, supervisor(s) and grade of the final dissertation, full title of the Master’s degree course you are currently attending, University]

	

	

	

	

	

	

•	Languages
Knowledge of English 
Do you hold: Toefl Certificate, First Certificate, other? 

	

If not, how would you rate your English language ability? Please tick your answer

	Spoken	elementary	satisfactory	good	very good	excellent	bilingual
	
	 Written	elementary	satisfactory	good	very good	excellent	bilingual

•	Other languages:

	

•	Courses you wish to take within the Globalization Program

Applicants must have completed the pre-registration and registration for courses steps to ensure that they are enrolled in the VIU Globalization Program and must take a minimum of two courses within the course offering of the semester in which they apply for the mobility.

Pre-registration and registration for courses
http://www.univiu.org/study/globalization-program/admissions/registration 

Course descriptions 
http://univiu.org/study/globalization-program/courses 

Timetable of courses (Course Weekly schedule) 
http://www.univiu.org/study/globalization-program/schedules 

•	Final dissertation
Describe your experiences, goals, motivations for application and the topics of interest for your final thesis research project.

	

	

	

	

	

	

Together with this application form please send a Curriculum Vitae and a certificate of academic achievements issued by your home university (a list of taken exams with grades). 
 
The completed form together with the CV and the certificate should be sent by e-mail, fax or regular mail to Venice International University.

I agree to allow Venice International University use my personal data for administrative purposes or services provided by the University (Law 196/03)

Date and signature

___________________________________________

Venice International University
Globalization Program
Isola di San Servolo
30133 Venice, Italy 

Tel. +39 041 2719 511
Fax +39 041 2719 510
e-mail: globalization@univiu.org
http://www.univiu.org/globalization