Are you currently applying to any other sponsored educational programmes for the next academic year?
q Yes q No
If yes, please specify which programme: ______
Name of Sponsoring Organization: _______________________________________________________________
11. Have you previously traveled on AN EXCHANGE programme?q Yes q No
IF YES, PLEASE LIST PROGRAMME NAME, DATES AND LOCATION:
12. Beginning with English followed by Polish, list all languages you know and rate your reading, writing, listening, and speaking skills in each language, using Excellent, Good, Fair, and Poor.
| Language | Reading | Writing | Listening | Speaking |
| English | ||||
13. Language courses at TSPU attended from: ____________________________________________________
(Day) (Month) (Year)
14. List below in English or Russian ALL university courses you have taken at TSPU and the grades you received. (List in chronological order. Attach additional lines if necessary. Be ready to present your record book for verification when submitting this application)
| ACADEMIC YEAR (for example 1990-1995) | SUBJECT / COURSE (class title) | GRADE |
15. Statement of Purpose (maybe written in English or Russian): In one, typewritten page, please write an essay Describing your future career plans, why you want and need to study at Olomouc University and how you hope to contribute to TSPU upon your return. Please choose a clear, easily readable, professional font—such as Times New Roman 12 pt. or Arial 10 pt.
16. Program of Study Essay (maybe written in English or Russian): In one typewritten page, please write a detailed essay describing your intended program of study in Olomouc, including specific areas of interest, potential coursework, and/or research topics. You are strongly encouraged to check the website of Olomouc University. Please choose a clear, easily readable, professional font—such as Times New Roman 12 pt. or Arial 10 pt.
17. Resume or Curriculum Vitae (C.V.): Attach a copy of your current resume or Curriculum Vitae (C.V.) This should not exceed one page. A sample resume is included on the next page to assist applicants.
(This is a Sample Resume Only—Please Do Not Include Sample in Submitted Application)
Natalia Nikolaevna Ivanova
Ul. Tsentralnaya, Apt. 200
Ekaterinburg, 620083
Russia
(367) 22-65-98
nnivanova@hotmail.com
PROFESSIONAL EXPERIENCE
Uralskiy Vestnik – Ekaterinburg, Russia
Journalist (10/2002-present)
· Conduct interviews of leading business persons
· Report on regional politics and business development
· Act as member of weekly editorial team
Center for Journalism in Extreme Situations – Ekaterinburg, Russia
Program Manager (01/2000-present)
· Assist Ural regional expert with research and client case management
· Draft weekly reports to international funding groups
· Develop and oversee center budget
British Council Small Grant Program Recipient
Conference Organizer (01/2003-12/2003)
· Developed and managed a conference on independent media resources and the Internet for journalists and journalism students at Ural State University
· Drafted concept paper for funding of conference
US Peace Corps – Ekaterinburg, Russia
Business Education and Community Development /BECD Project Manager (10/1999-9/2002)
· Assessed business education needs at Institutions of Higher Education
· Developed and implemented project plans to address these needs within the Peace Corps mission
EDUCATION
Ural State University – Ekaterinburg, Russia
diplom (09/1994-07/1999)
Department of Journalism
PROFESSIONAL DEVELOPMENT
Best Student Journalist, Uralskiy Vestnik and Ural Business Forum Sponsored Competition
Winner for Marketing Optimism and Entrepreneurial Spirit in the Urals, published August 1999
Journalists and the Internet Workshop – Moscow, Russia 1998
Participant in workshop on internet resources and online ethics for students of journalism
Teacher of Journalism, Advisor for Student Newspaper – Ekaterinburg, Russia
Volunteer at alma mater, School Number 5, 1994-1998
COMPUTER SKILLS
Microsoft Word, Explorer, Excel, PowerPoint, Outlook, Adobe PhotoShop, PageMaker
LANGUAGES
Russian (fluent), English (excellent), French (basic)
Privacy Policy Statement and Application Certification
Я согласен, что информация, предоставленная мною, может быть передана в принимающий университет.
Я подтверждаю, что я заполнил данное заявление самостоятельно, без чьей либо помощи. Информация в данном заявлении является полной и точной.
Мне известно, что Международный информационный центр ТГПУ оставляет за собой право проверить информацию, предоставленную мной в данной заявке. Мне известно, что предоставление ложных сведений и информации влечёт исключение моей заявки из конкурсного отбора и дальнейшего участия в программе обмена.
Мне известно, что я несу ответственность за своевременное получение заграничного паспорта и в случае его отсутствия в нужный срок, моя кандидатура будет снята автоматически.
Мне известно, что окончательное решение о моём участие в программе обмена зависит от согласия Вроцлавского Университета и моей способности получить Чешскую/Шенгенскую визу.