Application Form

Application - Crossing Borders Global Studies

Choose one of the following courses:

Spring 2012 :

22 weeks including a trip around Denmark - 8.01. - 9.06. 2012 - DKK 32.100,- (Euro 4.310,-)
12 weeks - 8.01. - 31.03. 2012 - DKK 18.000,- (Euro 2.420,-)

Fall 2012 :

17 weeks - 19.08.-15.12. 2012 including a 2 week trip around Denmark DKK 22.200,-
7 weeks - 19.08.-06.10. 2012 - DKK 10.500,- (Euro 1.410,-)

Spring 2013 :

22 weeks including a trip around Denmark - 06.01. - 08.06. 2013 - DKK 32.100,- (Euro 4.310,-)
12 weeks - 06.01. - 30.03. 2013 - DKK 18.000,- (Euro 2.420,-)

All fields marked with a red star must be filled.

Name * :

Address * :

City and code * :

Country * :

Telephone number * :

E-mail * : Indtast en E-mail-adresse (fx. you@provider.com).

Day of birth * :

Sex :

CPR-nr (only for Danish students) : ?

Education :

Citizenship * :

Country of residence :

Practical Information

Type of room * :

Special wishes for food :

Do you have any illness? :

Whom can Krogerup contact in case of illness, an accident or the like?

Name :

Address :

Telephone number :

E-mail : Indtast en E-mail-adresse (fx. you@provider.com).

Payment

Please fill out the name of the person or institution who is going to pay for the course

Name :

Address :

Telephone :

E-mail : Indtast en E-mail-adresse (fx. you@provider.com).

More regarding payment :

From where did you hear about Krogerup? :

Elsewhere? :

Motivation: Please write your motivation to apply :

Krogerup.dk