Application Form: Danish Language, Culture & Society Date: 6th - 26th of July 2014 Price: 10.

000,- DKK
Last Name First Name Date of Birth (dd/mm/yyyy) Gender Street Address Postal Code, Town Country Nationality (citizenship) Email Phone Number Accommodation Smoker Vegetarian What is your approximate level of Danish? Single Room (+600 DKK) Double Room (No addtional fee) Yes Yes Rate from A1 - C2
(CEFR rating)

Female

Male

No No

Person to contact in case of emergency (if possible in Denmark) Name Street Address Postal Code, Town Phone Number Remarks Date

Signature

Montebello Allé 1

DK-3000 Helsingør

ipc@ipc.dk

www.ipc.dk

Tel: +45 4921 3361

Fax: +45 4921 2128

Information for students applying for a scholarship according to the Cultural Agreements under UI. Will you use this language course as a preparation for further studies in Denmark? If you are not granted a scholarship for The International People’s College what would alternatively be your 2nd priority (if any)? Yes Yes No No Yes.d. write the name of the institution you are studying at. which institution? Yes Bachelor Ph. Are you currently a student at a higher educational institution? Yes No If yes. shortly explain why. please enclose that in your application.dk www. I have a recommendation from a Danish lecturer and it is enclosed Yes List name of school here: No Comments or other reasons to apply for a scholarship? Montebello Allé 1 DK-3000 Helsingør ipc@ipc. Have you previously received a scholarship for the language courses offered under the Cultural Agreements? If yes. Are you currently receiving Danish lessons in your home country? Has a lecturer in Danish recommended you for a scholarship within the framework of the Cultural Agreements? If you have a written recommendation. No Master Doctoral What is your current level of studies? What is your field of study? If you are not currently enrolled at a higher educational institution.ipc.dk Tel: +45 4921 3361 Fax: +45 4921 2128 .

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