Application Form
for Educational program
General Information
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if available
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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
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Please select
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua & Deps
Argentina
Armenia
Australia
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Canada
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Chile
China
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Comoros
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Dominican Republic
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Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
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Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland {Republic}
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
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Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
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Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
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Myanmar, {Burma}
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Nauru
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Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russian Federation
Rwanda
St Kitts & Nevis
St Lucia
Saint Vincent & the Grenadines
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
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Slovakia
Slovenia
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Spain
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Vietnam
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Zambia
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Province
if applicable
City
Country code
Telephone number
Email address
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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
Please select
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua & Deps
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Rep
Chad
Chile
China
Colombia
Comoros
Congo
Congo {Democratic Rep}
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland {Republic}
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
Korea South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar, {Burma}
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russian Federation
Rwanda
St Kitts & Nevis
St Lucia
Saint Vincent & the Grenadines
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Country of Citizenship
Please select
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua & Deps
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Rep
Chad
Chile
China
Colombia
Comoros
Congo
Congo {Democratic Rep}
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland {Republic}
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
Korea South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar, {Burma}
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russian Federation
Rwanda
St Kitts & Nevis
St Lucia
Saint Vincent & the Grenadines
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
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
Please select
Novice low
Novice mid
Novice high
Intermediate low
Intermediate mid
Intermediate high
Advanced low
Advanced mid
Advanced high
Superior
Interpretive Listening
Please select
Novice low
Novice mid
Novice high
Intermediate low
Intermediate mid
Intermediate high
Advanced low
Advanced mid
Advanced high
Superior
Interpretive Reading
Please select
Novice low
Novice mid
Novice high
Intermediate low
Intermediate mid
Intermediate high
Advanced low
Advanced mid
Advanced high
Superior
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
Please select
Novice low
Novice mid
Novice high
Intermediate low
Intermediate mid
Intermediate high
Advanced low
Advanced mid
Advanced high
Superior
Interpretive Listening
Please select
Novice low
Novice mid
Novice high
Intermediate low
Intermediate mid
Intermediate high
Advanced low
Advanced mid
Advanced high
Superior
Interpretive Reading
Please select
Novice low
Novice mid
Novice high
Intermediate low
Intermediate mid
Intermediate high
Advanced low
Advanced mid
Advanced high
Superior
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.
Send
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