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RBS Summer School
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Personal Data
First name
*
Your answer
Family name
*
Your answer
Citizenship 1
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Your answer
Citizenship 2 (if applicable)
*
Your answer
Date of birth
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DD
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Place of birth
*
Your answer
Mailing address
*
Your answer
Telephone number
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Your answer
Email address
*
Your answer
Emergency Contact Information
First name
*
Your answer
Family name
*
Your answer
Relationship to applicant
*
Your answer
Email address
*
Your answer
Telephone number (incl. country code)
*
Your answer
Mailing address
*
Your answer
Health Information
This part remains confidential and will not be shared with anyone
Do you have a disability, a medical condition or an illness that can affect your studies?
*
Yes
No
If yes, please specify
Your answer
Do you have any physical disabilities?
Yes
No
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If yes, please describe. This information is requested only to enable the school to better serve your needs.
Your answer
Do you have any other health problems of which RBS should be aware? E.g. Asthma, Diabetes, Epilepsy?
Your answer
If yes, please detail the problems and any special requirements or considerations:
Your answer
Do you have any specific dietary requirements? (allergies, religious beliefs, etc)
Your answer
If yes, please specify and give further details
Your answer
Academic Information
University/Home institution
Your answer
Field of studies
Your answer
Current level of studies
1st
2nd
3rd
4th
Other
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Academic year
Your answer
Program coordinator (Name)
Your answer
Contact email
Your answer
Degree sought
Your answer
Expected year of graduation
Your answer
Languages
First language
Your answer
Other language
Your answer
Other language 2
Your answer
Other languages
Your answer
Arabic language background
Please indicate your level of Arabic to the best of your knowledge
Beginning: Are you familiar with the Arabic script?
Yes
No
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Intermediate: Arabic subjects completed so far?
Your answer
Advanced: Arabic subjects completed so far?
Your answer
Housing Arrangements*
* Housing costs are not included in the program fees.
Where would you prefer to house?
On Campus
Homestay
An apartment
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Have you ever lived abroad?
Yes
No
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If yes, where, when and for how long?
Your answer
Do you smoke?
Yes
No
Clear selection
Have you ever been to Morocco before?
Yes
No
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Please tell us a bit about your hobbies, interests, passions or anything else which might help us get to know you.
Your answer
Do you have any specific requirements or preferences for future roommates? Please give details
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Is there someone with whom you would like to share a room?
Yes
No
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If yes, please write his/her name
Your answer
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