You are on page 1of 2

Culture Hunter Program Guest Student Application First name Family name Date of birth Gender Nationality Tele

e hone !mail "ang#age $!N% D!% FR& De artment ' Fa(#lty Norbert Kazamer Age:23 Male [x] Female [ ] Romanian 009053 9!!0"! #00 0$ 30"%9$5 norbert&'azamer()a*oo&com

Title: Me(hani(al !ngineering Masters [)] *hD'Resear(h [ ] +ear of st#dy:,

*lease ti(- one of the o tions and gi.e details for yo#r .isit referen(es *lease gi.e yo#r host a fe3 details abo#t yo#rself% yo#r interests and hobbies% allergies or hobias

[ ] /ffi(ial holidays $A ril 23& ' $May ,0& [)] 1at#rday or'and 1#nday [ ] Dinner ' 2offee on 3ee-days

*lease ti(- one of the o tions *lease gi.e yo#r host a fe3 details abo#t yo#r friend if yo# are lanning to be 3el(omed 3ith yo#r friend

[ ] 4 3o#ld li-e to be a g#est alone [ ] 4 3o#ld li-e to be hosted 3ith a friend

*lease ret#rn this form by email 3here ossible to: 1emra 1ad5-% !rasm#s 4n(oming 1t#dents Ad.isor in(oming6erasm#s7(#6ed#6tr

*lease note yo#r details 3ill be assed onto yo#r host% so that they (an (onta(t yo#6 8y ret#rning this form% yo# are agreeing to release yo#r details to a otential host in order to arti(i ate in 2#lt#re 9#nter *rogram6

You might also like