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SCHEDA DI ISCRIZIONE PER CORSO DI ITALIANO/ Application Form for the Italian Language Course ERASMUS /EXCHANGE STUDENTS - I semester 2018/2019 COGNOME/ Family Name________________________________NOME/ name__________________________________ NAZIONALITA’/nationality__________________________ PRIMA LINGUA/Mother Tongue____________________ UNIVERSITA’ DI PROVENIENZA/Home University _______________________________________________________ ALTRE LINGUE/Other Languages Known _______________________________________________________________ DA QUANTO TEMPO STUDI ITALIANO? How long have you been studying Italian? Settimane (Weeks)_______________ Mesi (months)________________ Anni (years)__________________ 1. Are you interested in attending the INTENSIVE Italian language Course? YES NO IF YES, please check your Proficiency level on: http://europass.cedefop.europa.eu/en/resources/european-language-levels-cefr Please tick the Proficiency level: A1 (beginner) A2 (elementary) B1 (pre- intermediate) B2 (intermediate) C1 (advanced) C2 (proficient) 2. According to your level, choose your INTENSIVE Italian Language Course please: from 3 rd to 14 th September 2018 A1+ ( beginner Italian Course) A2 (Elementary Italian Course) CANIANA CAMPUS from 10 th to 14 th September 2018 B1 + B2 (Academic Italian for Economics) CANIANA CAMPUS from 5 th to 14 th September 2018 A1+/ A2 (reserved to Engineering students) DALMINE CAMPUS From 17 th -28 th September 2018 B1 (Pre intermediate students) CITTA’ ALTA CAMPUS From 24 th to 28 th September 2018 B1 + B2 (Academic Italian for Human studies) CITTA’ ALTA CAMPUS 3. During the semester would you like to attend the GENERAL Italian Language Course ? YES NO Do you need credits for the General Italian Language Course? YES NO Date, ________________ An ASSESSMENT TEST (compulsory) will take place on 03 rd OCTOBER 2018. Please tick the reason: I don’t study Italian, because I will attend courses taught in English only. I don’t need credits for the Italian Course . No credits will be assigned and approved by my University. Other (specify): ______________________________

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SCHEDA DI ISCRIZIONE PER CORSO DI ITALIANO/ Application Form for the Italian Language Course ERASMUS /EXCHANGE STUDENTS - I semester 2018/2019

COGNOME/ Family Name________________________________NOME/ name__________________________________ NAZIONALITA’/nationality__________________________ PRIMA LINGUA/Mother Tongue____________________ UNIVERSITA’ DI PROVENIENZA/Home University _______________________________________________________ ALTRE LINGUE/Other Languages Known _______________________________________________________________

DA QUANTO TEMPO STUDI ITALIANO? How long have you been studying Italian? □ Settimane (Weeks)_______________ □ Mesi (months)________________ □ Anni (years)__________________

1. Are you interested in attending the INTENSIVE Italian language Course? YES □ NO □ IF YES, please check your Proficiency level on: http://europass.cedefop.europa.eu/en/resources/european-language-levels-cefr Please tick the Proficiency level: □ A1 (beginner) □ A2 (elementary) □ B1 (pre- intermediate) □ B2 (intermediate) □ C1 (advanced) □ C2 (proficient) 2. According to your level, choose your INTENSIVE Italian Language Course please: from 3rd to 14th September 2018

A1+ ( beginner Italian Course)

A2 (Elementary Italian Course)

CANIANA CAMPUS □

from 10th to 14th September 2018 B1 + B2 (Academic Italian for Economics) CANIANA CAMPUS □

from 5th to 14th September 2018 A1+/ A2 (reserved to Engineering students) DALMINE CAMPUS □

From 17th -28th September 2018 B1 (Pre intermediate students) CITTA’ ALTA CAMPUS □

From 24th to 28th September 2018 B1 + B2 (Academic Italian for Human studies)

CITTA’ ALTA CAMPUS □

3. During the semester would you like to attend the GENERAL Italian Language Course ?

YES □ NO □

Do you need credits for the General Italian Language Course? YES □ NO □ Date, ________________

An ASSESSMENT TEST (compulsory)

will take place on 03rd OCTOBER 2018.

Please tick the reason:

□ I don’t study Italian, because I will attend courses taught in

English only.

□ I don’t need credits for the Italian Course .

□ No credits will be assigned and approved by my University.

Other (specify): ______________________________