SLS LITHUANIA

2012 Application Form

 

CONTACT INFORMATION

Full Name:

Email:

Gender:

Male Female

Address where you can be reached through June 2012:

Work/School Phone:

Home Phone:

FAX:

Date of Birth:

Country of Citizenship:

Occupation:

Educational History: (Please list your University background, beginning with the most recent institution attended.)

 

SEMINAR SELECTION:

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WORKSHOP SELECTION

(NOTE: If you are applying for the Jewish Lithuania, you do not need to send a sample of your writing. Simply fill out this form and pay the $150 application fee.)

SESSION ONE SEMINARS: July 15 - July 28

Session One Morning:  

Session One Afternoon:

SESSION TWO SEMINARS: July 29 - Aug 12

Session Two Morning:  

Session Two Afternoon:


 

HOUSING PREFERENCE*

Bed and Breakfast
Apartment single
Apartment shared
Hotel
Other arrangements (will book without SLS)

*We will be in touch with you immediately in the event of any issues arising with your housing preference. . Please remember that quality accommodation at the best prices can fill up rapidly in Vilnius for the summer months, and the sooner bookings are made, the more certain that your personal requirements can be met in full, and at the lowest possible cost.


 

PERSONAL INFORMATION

How did you hear about the SLS Lithuania Program? (Note here if you are a fellowshop recipient)

Experience/interest in EASTERN EUROPE, and/or with Lithuanian culture (prior study is not a prerequisite for the program):

All SLS programs, as described in its publications, brochures and on the website, may be subject to change or cancellation, without prior warning, and neither the Summer Literary Seminars and its employees, affiliates, or agents shall be responsible or liable for any expenses or losses that may be sustained because of these changes or cancellations.

 

(continue to payments)