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LEYDEN - AMSTERDAM - COLUMBIA
SUMMER PROGRAM IN AMERICAN LAW

LEIDEN SESSION

APPLICATION FOR ADMISSION
(This form must be completed in English; please print)

Surname of applicant ....................................................................................................................
First name(s) .....................................................................................................................................
Address:
private ...................................................................................................................................................
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tel. ................................................ fax .................................. e-mail ...............................................
office .......................................................................................................................................................
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tel. ................................................ fax .................................. e-mail ...............................................
Nationality ............................................................................... sex .................................................
Date, place and country of birth ..............................................................................................

Academic career:

1.    University and/or Faculty ...............................................................................................................
2.    Years of academic studies completed .........................................................................................
3.    Academic degrees obtained or examinations passed (please use original language, no translations, and add full information about grades)
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4.    (For students) University officers who can confirm the accuracy of your answers to 1-3     .........................................................................................................................................
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5.    Describe other summer course(s) in which you have participated
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6.    Provide a short description of your schooling and proficiency in English
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7.    Persons who, if necessary, can confirm the accuracy of your answer to 6
    (Enclose, if possible, 'Test of English as a Foreign Language' results)
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    ......................................... tel., fax and/or e-mail ..................................................................

Reasons for application:


    Why are you interested in the course? ........................................................................................
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Professional employment:
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    If relevant, please specify the kind of legal work done ....................................................................
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    Period of employment ............................................................................................................
    Full or part-time work? ..........................................................................................................
    Persons who can provide information on your work .......................................................................
    .............................................. tel., fax or e-mail ...................................................................

Letter of recommandation:
    Please add one letter of recommandation from a University Professor or employer
    Name ................................................................................................................................
    Address ..............................................................................................................................

Scholarships:
    Do you expect financial support from some institution or firm to permit your participation?
    If yes, please specify     .........................................................................................................................................
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    If not, which efforts would you have to make to obtain financial support from outside sources?
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    A limited number of scholarships is available; mainly for participants from countries with rigid currency restrictions.
    Do you apply for a scholarship?                yes - no


    If so, please specify the absolute minimum amount (no travelling or personal expenses) necessary to enable you to participate. Give a short description of your financial circumstances     .........................................................................................................................................
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Courses:
    State, in the order of your preference, the elective courses you would like to take. (only three will be assigned to you, and mentioned on the certificate upon meeting the requirements of the Program)
    1.    .....................................................................................................................................
    2.    .....................................................................................................................................
    3.    .....................................................................................................................................
    4.    .....................................................................................................................................
    5.    .....................................................................................................................................

Are there any remarks you wish to make which are important for your application?
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                            Date ..........................................................................
                            Signature ..............................................................

You are requested to return this form before May 30, 2004, to:
Columbia Summer Program
Attn. Mrs. B. Zaaijer, LLM

P.O. Box 9500

2300 RA Leiden, The Netherlands

tel. +31.71.527.76.32
fax: +31.71.527.7298
email: columbiasc@law.leidenuniv.nl