Multiculturalism Summer School

“Baku Intercultural Youth Forum 2019:

Putting Interfaith Dialogue into Action”

PHOTO

1. Name, Surname …………………………………………………………

2. Address……………………………………………………………………………………………….
……………………………………………………………………………………………………………
3. Telephone number………………………………………………………………………………
4. E-mail address……………………………………………………………………………………..

5. Date of birth………………………... Place…………………………………………………….

6. Citizenship…………………………………………………………………………………………..
7. Sex ……..……………………………

Education

8. Undergraduate University/ College

…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………

Field of study……………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
9. Graduate University/College
…………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………..….
Field of study……………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
Expected year of graduation…………………………………………………………………….………..

10. Have you attended the course “Azerbaijani multiculturalism”?

Yes No

11. If yes, what was the most specific and interesting topic for you
during the Course of Azerbaijani Multiculturalism? ( 150-200 words)
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
 12. What do you expect from International Summer School? (100-
150 words)
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………….

13. Which hobbies and skills do you have apart from studying? (Please
 write about it clearly, because your additional abilities may be useful for
our Summer School Program)

1.…………………………….………….……………………………………………………………………………
2.………………………………………………………………………………………………….………………….
3.………………………………………………………………………………………………….……………….…
4.……………………………………………………………………………………………………………………..
5.…………………………………………………………………………………………………………………..…

14. Do you have any health or physical condition that requires special
treatment or diet (diabetic, pregnancy etc.)? Please specify
……………………………………………………………………………………………………………………….

I certify that, information given by me in the application form is true and correct.

Date……………………………… Signature……………………………………………………