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

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

HSNY Program (3 weeks) + €2950Early Enrollment Reduction (by February 15th 1st) - €300HSNY Application Fee + €35

Optional Extras

Extra week + €250Couples room (no extra cost) + €0

Student Profile

Essay Questions

1. Write out two or three lines of English of which you are particularly fond (poetry, fiction, philosophy, etc). Translate and 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 Italy in the last two years? And abroad?

2. What was your favorite trip?

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

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

5. 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:

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