Application Form

Application - Crossing Borders Global Studies

Choose one of the following courses:

Fall 2013 :

17 weeks - 18.08.-14.12. 2013 including a 2 week trip around Denmark DKK 24.900,- (Euro 3.340)
7 weeks - 18.08.-5.10. 2013 - DKK 10.500,- (Euro 1.410,-)

Spring 2014 :

22 weeks including a 2 weeks trip around Denmark - 05.01. - 07.06. 2014 DKK 35.300 (Euro 4.740)

All fields marked with a red star must be filled.

Name * :

Address * :

City and code * :

Country * :

Telephone number * :

E-mail * : Indtast en E-mail-adresse (fx. you@provider.com).

Day of birth * :

Sex :

CPR-nr (only for Danish students) : ?

Education :

Citizenship * :

Country of residence :

Practical Information

Type of room * :

Special wishes for food :

Do you have any illness? :

Whom can Krogerup contact in case of illness, an accident or the like?

Name :

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E-mail : Indtast en E-mail-adresse (fx. you@provider.com).

Payment

Please fill out the name of the person or institution who is going to pay for the course

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Telephone :

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More regarding payment :

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Motivation: Please write your motivation to apply :

Krogerup.dk