Online Application

Program Site  (Prague, Budapest, Krakow, Florence)

Host University or College  (Charles University, University of Economics, Anglo-American University, Jagiellonian University, Corvinus University, Istituto Europeo)

Program  (Academic Year, Fall, Spring, Winter Intersession, Summer I, Summer II,  Summer III, etc.) 

Accommodation Option  (apartment, dorm, independently) *Not all programs have all options. 

First Name

Middle Name  (If you do not have a middle name answer None).

Last Name

Date of Birth  (month/day/year) 

Place of Birth  (City, State) 

Sex  (Male or Female)

Passport #  You do not need a passport to be accepted to a CEECE program , but you must have it by your departure) 

Expiration Date  

Citizenship

Home College or University  

Major

GPA

Expected Graduation Date  (month and year)

ID Card #

College or University Email Address

Non-College or University Email Address  

Current Address

Current Telephone

Cell Phone

I will be at this address until  (month/day/year)

Permanent Address 

if your current address is also your permanent address write "same".

Permanent Telephone

Emergency contact person 

Name

Relationship to you  (mother, father, aunt, uncle, etc) 

Home Telephone 

Work Telephone

Cell Phone

Statement of Motivation

- Explain your motivation for studying abroad and what you hope to gain from the experience. 

 Please tell us how you first found out about us  (Please be as specific as possible and give us the exact web site or the name of the person or group you heard of us from) This information is used to improve our marketing and to identify students that are part of a group, who will receive a group discount and to identify students who will earn referrals. 

Special Requests 

We will try to meet all of your special requests when circumstances allow. However, we can NOT guarantee that we will be able to meet all of your requests. We can guarantee that you can choose your roommate and we can also guarantee that you will Not be in a co-ed apartment if you answer No to that question 

-Do you and your friend want to study abroad together? Two or more students who know each other and decide to attended the same program together may receive a group discount. Students in a group may be from different colleges and universities. All the students from the same college or university are Not automatically considered a group. Students should identify themselves as a group when they apply for the program, in order to receive the discount.  If you would like to start a group your friend should put your name in the box above above,  " Please tell us how you first found out about us" or the box below or both.

If you are part of a group please name one other student you know of in the group, otherwise answer None

-Specific roommate, name  (name of student or none) 

-Single room for an additional fee  (Yes or No) 

-Co-ed apartment  (Yes, No, Don't care either way) 

Certification 

By submitting this application I certify that all the information on this application form is correct, that I agree to follow the policies and procedures of CEECE and the host institution, that either my native language is English or I am proficient in English at the college level, and that I am in good health and I am able to participate in all CEECE activities(If you have a health problem, please contact us to see what kind of reasonable accommodation can be made). I also understand that if I am accepted, I will be liable to pay the full program fee unless I formally withdraw from the program. Finally, I agree that I will not hold CEECE responsible for acts of god, war, terrorism, or any act beyond the direct control of CEECE.

(Please press submit only once and wait.  After you submit your application your application information will be sent to us and you will be redirected to another page. Please press back to return to this web page to pay your deposit)