Apply now for 2012

To apply for the Summer School starting in July 2012, please complete this form in full and press 'Submit'. Do let us know if you have any questions about applying (via our contact details, right).

Application deadline: 15 April 2012

Fields marked with a * are required.

Need help with this form? Let us help.

Where did you hear about the Global Citizenship Summer School

Please let us know where you first heard about this course

About you

First name *

Surname/family name *

Date of birth

Day *

Month *

Year *

Year

Gender * MaleFemale

Email *

Please re-enter email *

Contact telephone number * Please include area dialling codes

Permanent address *

Country *

Zip/post code *

Which university are you currently attending? * Please tell us the name of the university and its location (eg. City University London, UK)

Which subject(s) are you currently studying? *

Nationality and residence

Country of residence *

Country of birth *

Country issuing your passport *

Disability

Please tick the relevant box to let us know if you have any disability. If you need additional support or would like to make any special arrangements for your learning, please contact our disability team on +44 (0)20 7040 0246 or email disability@city.ac.uk *

Please indicate type(s) of disability *

Ethnic origin

Please select *

Highest qualification

Please let us know the name of the highest qualification you have completed to date (eg. Baccalaureate). If you are currently taking an undergraduate/Bachelor degree, please let us know the qualification you completed before starting your undergraduate/Bachelor. *

Emergency contact/next of kin

Full name *

Relationship to you *

Address *

Email *

Contact telephone number * Please include area dialling codes

Statement in support of application

Please write 250-500 words about why you are interested in the Global Citizenship Summer School and what you hope to gain from this course. *

References

You are required to provide one reference as part of your application to the Global Citizenship Summer School.

Please ask your referee to write a reference including the following information:

how long they have known you and in what capacity
whether you are in good standing at your current university
how they feel you are suitable for the Global Citizenship Summer School
your ability to work with students from diverse backgrounds

You referee should either:

email the reference to global@city.ac.uk
or write the reference on letter headed paper, and then fax a copy to +44 (0)20 7040 8887, or post a copy to Global Summer School, School of Arts, City University London, Northampton Square, London EC1V 0HB, UK

Click here for a web page containing this information for referees.

Academic transcript

Please email a scan of your latest academic transcript to global@city.ac.uk. If you are unable to scan your transcript, please either fax a copy to +44 (0)20 7040 8887, or post it to: Global Summer School, School of Arts, City University London, Northampton Square, London EC1V 0HB, UK.

Declaration

By clicking 'Submit' below, I certify that the information given in this application form is correct and hereby undertake, if admitted as a student on the Global Summer School, to observe and comply with all ordinances and regulations of both City and Utrecht Universities (as applicable).

I agree that the information given on this form may be processed by the University in accordance with Data Protection Law applicable to England and Wales, and the Netherlands (Global Citizenship applicants only). Information will be used for the purpose of the application and selection process and any subsequent admissions process.

This data is also subject to relevant Freedom of Information legislation in both countries. By clicking 'Submit' below, I consent to the storage of this and additional information obtained from myself and other persons in manual and computerised files.

Apply now for 2012

Contact us