RUSSIAN & EAST EUROPEAN STUDIES CONSORTIUM

 Arizona State University • Tempe, AZ 85287-2601 • PH: 480/965-4188 • FAX: 480/965-0310


Critical Languages Institute Registration Form - Summer 2002

Name: _______________________________________________________________

Current Address: _______________________________________________________

____________________________________________________________________

Current phone and email: _________________________________________________

ASU ID Number (if a currently registered student): __________________


I wish to apply for:

___ Elementary Macedonian (8 credits)___ Intermediate Macedonian (6 credits)
___ Elementary Serbian/Croatian (8 credits)
___ Intermediate Serbian/Croatian (6 credits)
___ Elementary Tatar (8 credits)___ Intermediate Tatar (6 credits)
___ Elementary Armenian (8 credits)

Note: tuition and fees have been waived by ASU Summer Sessions for CLI courses and the tuition portion of the practicum.

Three-week practicum-a $300 non-refundable deposit is required; balance due by 6/3/02
___ Ohrid Macedonia Practicum
___ Novi Sad, Yugoslavia Practicum
___ Yerevan, Armenia Practicum

Please make checks payable to "Arizona State University" and mail to REESC with your application.

Previous language training*:

__________________________________           ________________________________

__________________________________           ________________________________

*There are no prerequisites for elementary-level CLI classes; intermediate-level classes require completion of the equivalent of first-year coursework in the same language.

Current academic status:

___ Undergraduate___ Graduate Student___ Other Educational Institution

Institution:______________________________Major/field of study:____________________________

___Not currently registered as a student at any educational institution

   Highest degree(s)/diploma(s):____________________________________
   from:_______________________________________________________

I am interesting in participating in CLI because ___________________________________________

______________________________________________________________________________

______________________________________________________________________________

Please identify an individual who can provide a reference for you, preferably a faculty member who has worked with you:

______________________________________________________________________________________
Name, Address, phone, e-mail,


Please be sure you have completed each step. You must submit proof to the Critical Languages Institute that you have completed each required step in the registration process.

___Summer Sessions application form completed online or in person. Please submit proof of completing the Summer Sessions application form to the Critical Languages Institute.
OR
___Check here if you registered for classes at ASU in spring 2002.
___Completed CLI Registration Form
___MMR documentation to Student Health. Submit a copy of the MMR form to the Critical Languages Institute in addition to submission to Student Health
___Practicum Check payable to ASU if you are registering for a three-week practicum in Ohrid, Novi Sad or Yerevan.
___for Tatar language students who wish to be considered for a fellowship, please include your Statement of Purpose. The faculty letter of recommendation must be mailed directly to REESC.

Mail your applications materials to:

Critical Languages Institute
Russian and East European Studies Consortium
Arizona State University
PO Box 872601
Tempe, AZ 85287-2601

_________________________________________________________________________
SignatureDate