Apr.

20, 2017
APPLICATION FORM PRAGUE FILM SCHOOL Page 1

Application for Admission - Workshops

Office of Admissions
Prague Film School
Pstrossova 19, 110 00 Prague 1
Czech Republic
E-mail: admissions@filmstudies.cz
(After submitting your application, within two working days you should receive
confirmation from the school that your application was received. If not, please
contact the school by telephone +420 257534013 to make sure that application was
delivered.)

I. Personal Information

First Name:
Last name:
Nationality(ies):
Male / Female
Occupation / Study (describe the area in which you are working/studying and your position):
Address:
City:
Post Code:
Country:
Telephone:
Mobile telephone:
E-mail:
Date of Birth:

How did you first find out about Prague Film School?
Internet (If so, what site?)
Print Materials (If so, where?)
Referral through liaison. Liaison name______________
Other:

II. Program-Related: Questions for ALL Applicants

1. Please indicate the program you are applying to:

SUMMER WORKSHOPS 2017:

June 4 July 1, 2017
July 2 July 29, 2017
July 30 August 26 2017
Tuition Fee: 2.660 Euro
Equipment Fee: 120 Euro

2. Please describe your experience in the following areas (detailed answers welcome):
Screenwriting
none
study:

Prague Film School / Ptrossova 19, Prague 1, 110 00 Czech Republic

Tel. +420 257534013 / info@filmstudies.cz / www.filmstudies.cz
IO 26698099 / DI CZ26698099
 Apr. 20, 2017
APPLICATION FORM PRAGUE FILM SCHOOL Page 2

professional:
Comments:

Directing
none:
study:
professional:
Comments:

Production (camera, sound, lights)

none
study:
professional:
Comments:

Video editing (non-linear or other)

none
study:
professional:
Comments:

3. Please indicate your major areas of interest:

Cinematography (camera)
Directing
Screenwriting
Editing
Comments:

4. Where do you intend to use the Prague Film School experience?

in professional career
in studies
for personal purposes
Other
Comments:

III. Accommodation

Please choose the relevant option:

Will arrange own accommodation

Shared flat option:
4-week workshop: 680 Euro
Private flat option:
4-week workshop: 920 Euro

Prague Film School / Ptrossova 19, Prague 1, 110 00 Czech Republic

Tel. +420 257534013 / info@filmstudies.cz / www.filmstudies.cz
IO 26698099 / DI CZ26698099
 Apr. 20, 2017
APPLICATION FORM PRAGUE FILM SCHOOL Page 3

IV. Healthcare Insurance

Applicants are expected to arrange their own medical insurance.

V. Signature

By typing my name below I confirm that all of the information I provided above is correct.

Name, Surname .

Date, Place .

Prague Film School / Ptrossova 19, Prague 1, 110 00 Czech Republic

Tel. +420 257534013 / info@filmstudies.cz / www.filmstudies.cz
IO 26698099 / DI CZ26698099