Registration form for SSRES 2022

General Information

Name

Surname

Middle name

Date of birth

Gender

Marital Status

Current Mailing Address

Country

Province

if available

City

Postal / Zip Code

Address Valid Until

Current Telephone Number

Skype Address

if you do not have one, we strongly advise you to open a Skype account

E-Mail Address

Confirm E-Mail Address

At which embassy or consulate will you apply for your Kazakh visa?

Emergency contact

Name

Street

Postal code

Country

Province

if applicable

City

Country code

Telephone number

Email address

Skype address

Insurance Information

Do you have health insurance that will be valid for your stay in Kazakhstan?

Yes

No

2. If yes, then please enter your insurance information, including the company name and contact information, as well as your policy number:

We strongly advise you to purchase health insurance through your university or a tourist agency.

Special Accommodations

Do you require special accommodations?

Yes

No

Comments

Citizenship Information

Country of Residence

Country of Citizenship

If you hold more than one citizenship, list others here

Passport information

Nationality

Passport Number

Issued Date

Issued by

Expiry Date

Educational Information

Instructions: Answer only those questions that are relevant to your situation.

If you are currently a student enrolled in a degree program, list your future degree, year in the program, and expected date of graduation: (If you are not currently a student, please write N/A)

Name of University

School

Major or prospective major

Minor

if applicable

Current GPA

Year of Study

If you are a graduate student, list your degree program and your year in the program

If you are currently not enrolled in a degree program, list your highest degree earned, major, and the year the degree was granted

If you are currently employed, provide the following information

Employer

Address

Years at the current job

Job title

Which language are you interested in studying?

Please choose only Kazakh for 2022

Kazakh

Russian

Are you a ROTC student?

US applicants only

Yes

No

Educational Information (Kazakh)

Evaluate your current knowledge of Kazakh by providing thorough and complete answers to the following questions. When answering these questions, describe your knowledge of Kazakh, depending on which program you are applying for. The information that you provide is very important to us and it will be used for program planning. Your answers to these questions do not guarantee or determine your placement in a specific level. The actual placement into courses will be done when you arrive to Nur-Sultan on the basis of entrance proficiency testing.

1. Are you a complete beginner in Kazakh?

If you answer “yes” you do not need to answer any more questions in this section. If you answer “no” then you must provide answers to other questions

Yes

No

2. Have you had any formal instruction in Kazakh (at high school or college level)?

If yes, proceed to question 3

Yes

No

3. How many semesters (or quarters) have you studied Kazakh at a university level?

4. List all the Kazakh courses that you have taken (e.g. Kazakh 101…), including summer intensive programs

if applicable

5. List the titles of the textbooks that you used for studying Kazakh and the courses in which you used them (e.g. 1st-semester Kazakh)

6. Have you studied Kazakh abroad? If yes, how long (a semester, a year...)? Name the program that you participated in and the city/country where you lived

7. Please, rate your level of Kazakh in each of the following categories (Nazarbayev University uses NCSSFL-ACTFL Global Can-Do Benchmarks to evaluate your proficiency). For each category (interpersonal communication, interpretive listening, and interpretive reading) select one description that best describes your abilities in this category

Interpersonal Communication

Interpretive Listening

Interpretive Reading

Educational Information (Russian)

Evaluate your current knowledge of Russian by providing thorough and complete answers to the following questions. When answering these questions, describe your knowledge of Russian, depending on which program you are applying for. The information that you provide is very important to us and it will be used for program planning. Your answers to these questions do not guarantee or determine your placement in a specific level. The actual placement into courses will be done when you arrive to Nur-Sultan on the basis of entrance proficiency testing.

1. Are you a complete beginner in Russian?

If you answer “yes” you do not need to answer any more questions in this section. If you answer “no” then you must provide answers to other questions

Yes

No

2. Have you had any formal instruction in Russian (at high school or university level)?

If yes, proceed to question 3.

Yes

No

If no, describe where and how you learned Russian, i.e. through conversations with Russian-speaking friends, an online course, a tutor, self-study, etc.

3. How many semesters (or quarters) have you studied Russian at a university level?

4. List all the Russian courses that you have taken (e.g. Russian 101…), including summer intensive programs

if applicable

5. List the titles of the textbooks that you used for studying Russian and the courses in which you used them (e.g. 1st-semester Russian)

6. Have you studied Russian abroad? If yes, how long (a semester, a year...)? Name the program that you participated in and the city/country where you lived

7. Please, rate your level of Russian in each of the following categories (Nazarbayev University uses NCSSFL-ACTFL Global Can-Do Benchmarks to evaluate your proficiency). For each category (interpersonal communication, interpretive listening, and interpretive reading) select one description that best describes your abilities in this category

Interpersonal Communication

Interpretive Listening

Interpretive Reading

8. Please write a brief essay describing how your summer language study fits into your academic goals and career plans. Can-Do Benchmarks to evaluate your proficiency). For each category (interpersonal communication, interpretive listening, and interpretive reading) select one description that best describes your abilities in this category

Statement of Academic Goals and Career Plans

Letter of Recommendation

One letter of recommendation should be emailed to the program director separately (see the Instructions section of this form for more information).

Requirements for the letter of recommendation

The letter of recommendation should come from an official university email address and contain the full contact information of the person providing the recommendation. The letters should comment on the student's academic abilities (if the letter is coming from a language instructor, it should compare the student's work in a language class to that to that of his or her other classmates); they should speak about the student's potential to handle the challenges of a language and cultural immersion program, as well as provide any other relevant information about the student.

Enter contact details of the person supplying a letter on your behalf here

Full name of the person, providing the letter

Academic affiliation of the recommender and/or employer and job title

Full contact information of the recommender

Financial Information

SSRES will work with FLAS and other sources of funding. If you do not have external funding available, you will be expected to pay all the program costs.

Will you be using external funds (scholarship, grants, etc) to pay for the program?

Yes

No

If yes, indicate the source of funding

If you don`t have external funds, how will you be paying for the program?

Academics

In addition to the 8-week Intensive Russian or Kazakh course, the program includes an optional free course on Kazakh language and culture.

You may also choose to enroll in an additional elective course in Russian and Eurasian Area Studies. These elective courses are part of Nazarbayev University regular curriculum, and you will be taking them together with local students.

Nazarbayev University will work with your home institution on the transfer of credits that you will earn (both for the Russian course and for the elective).

Are you interested in enrolling in an elective course in Eurasian Studies

for an additional fee

Yes

No

N/A (Please choose N/A for SSRES 2022)

How did you learn about SSRES?

Internet search

Nazarbayev University web page

China Educational Expo

A former SSRES student

Your language teacher or program director

PROGRAM COSTS

Program Title: Summer School in Russian and Eurasian Studies at Nazarbayev University

Program Duration: 8-week intensive Russian/Kazakh

Program Fee, including tuition fee and books, meal plan, excursions and cultural program, visa invitation letter, sport center: ________ (please see the Educational program attached)

Hereby I confirm that the provided information is true and accurate. Hereby I join the attached Accession Agreement and I accept and agree with its terms and conditions.