De Rada Italian Institute, Inc.
Calabria 2008 Summer Language Program
Admission Application Form
(Deadline:
Personal Data:
First Name:
__________________Middle__________________Last________________
Permanent Home Address:__________________________________________________
_______________________________________________________________________
Permanent Home Telephone: _____________________ Fax
#:_____________________
Mailing Address (if
different):_______________________________________________
_______________________________________________________________________
Telephone at Mailing Address: ___________________ Cell
phone: _________________
Email address ___________________________ Date of Birth:
____________________
Citizenship: _________________________
Education/Employment Data:
College Degrees and Date Received: _________________________________________
Previous Italian Language Experience:
________________________________________
Other Language Experience:
________________________________________________
May 30-June 26, 2008 ____ June 27-
For other choices, please specify the dates you plan
to attend: ____________________
Course Options: Please check our course list on our website www.derada.com, and write down the course
number, title and number of credits:
________________________________________________________________________
_______________________________________________
Practicum cooking lab ______
Tutoring: 20 hours of private tutoring
in English, Spanish, French, Latin, Albanian, Ancient and Modern Greek Language
and Literature, History, Philosophy, Anthropology, Religion, are also available
for an additional payment of $620.
Choice:_______________________________________________________________________
Tuition, Room and Board
(please check preference):
|
Program Type |
Shared Room |
Single Room |
|
1-week |
$1,200 |
$1,500 |
|
2-week |
$2,000 |
$2,400 |
|
3 week |
$2,800 |
$3,300 |
|
4-week |
$3,500 |
$4,100 |
|
5-week |
$4,200 |
$4,800 |
|
6-week |
$4,800 |
$5,400 |
|
7 week |
$5,300 |
$5,900 |
|
8-week |
$5,800 |
$6,300 |
Indicated
price includes 6 credits per session, accommodations, and two meals per day,
transportation, activities, field trips and other features listed on our
website. Price of textbook is not included. The fee for each additional course
is $350.
Registration data (optional):
§
The objective of our program
is to promote a community of learning and teaching. To this end, please write a
brief paragraph in the space below explaining why you feel this program is
suitable for you. Please also let us
know if you are interested in having a particular experience or internship
while in our program (Attach an additional page if necessary):
Please enclose a $100
non-refundable deposit. The remaining tuition balance is due the first week in May,
2008. Enrolment is limited. All checks should be in US dollars and should
be made out to: De Rada Italian Institute, Inc. Please send your application to:
De Rada
Italian Institute,
Signature:__________________________________________ Date:______________________