(Please write all your answers in the spaces provided below)

Essay Questions

1) Write out two or three lines of a text of which you are particularly fond (poetry, fiction, philosophy, etc). Then explain what it is about the lines you love.

2) What periods of art do you particularly like? Please list them here. Then pick a particular work of art or architecture from one of these periods and explain why you like it.

3) What work of English or Italian literature has influenced you as a human being? Explain how.

Short Answer Questions

1) Where have you traveled in the USA in the last two years? And abroad?

2) What was your favorite trip? Why?

3) What foreign languages do you know and how well?

4) Have you ever participated in an exchange program? If so, please describe your experience, indicating both what you liked best and what difficulties (if any) you encountered.

5) Have you attended, or are you attending, university? If so, where? And what did you study or are you studying?

6) If you are a high school student, please give the name and location of your high school and list all courses you have taken in the last two years.

If there is anything else you would like to add about your interest in HSNY, please do so here:

Contact Information

Full name (as it appears on your documents)

Current address

Social security number

Passport number
released by on expires

Home phone number

Cell-phone number(s)

Your e-mail

Enrollment Preferences

Standard Costs

_X_ HSNY Program (3 weeks) + €2950

_X_ Early Enrollment Reduction - €250

_X_ HSNY Application Fee + €35

Optional Extras

 HSNY in Niagara (snazzy extra) + €375 1 more week at the Y (snazzy extra) + €250 (Early Enrollment: €100) Single room (supplement) + €200 Couples room (no extra cost) + €0 Gym (May Fitness Center at Y) + €85

Verify You're Human