SANT’ANNA INSTITUTE
STUDY ABROAD APPLICATION FORM
SUMMER 2015
DATES OF THE PROGRAM:
Summer I: May 25- June 26
Summer II: June 29 – July 31
Summer I + II: May 25 – July 31
APPLICATION CHECKLIST:
 Completed Application Form
 Copy of your unexpired, signed passport
 One page personal statement describing personal and academic reasons for studying at SASL
 Transcript with cumulative GPA of 2.5 (unofficial transcript acceptable)
* Please remember that students entering Italy passing through the Schengen Area (U.K., Ireland, German,
Spain..) will have to apply for a Declaration of Presence after their arrival in Italy. The fee of the Declaration
is 18,15 € per student. Sant’Anna Institute will assist you during the process. If you enter
Italy DIRECTLY from your own Country, WITHOUT passing through the Schengen Area you DO NOT have
to apply for the Declaration of Presence. Please, be sure your passport is clearly stamped by the airport. If it
is not clear or there is not a stamp at all, you MUST apply.
Please send all application materials to Serena Vacca at [email protected]
Istituto Sant’Anna-Sorrento Lingue
Via Marina Grande, 16, 80067 Sorrento, Napoli
Tel: +39 081 878 44 70 / +39 081 878 44 70 Fax: +39 081.532.41.40
DEADLINE FOR OUR SUMMER 2015 PROGRAM: April 1, 2015
PERSONAL INFORMATION
Last Name___________________________________
First Name________________________
 Female Male
Current University/College_______________________
Occupation_________________________
Country of Citizenship__________________________
First Language______________________
Date of Birth (mm/dd/yy) ________________________
Passport Number____________________
City/State of Birth ______________________________
Country of Birth______________________
Permanent Address:
____________________________________________________________________________________
(Street)
(Apartment/Unit number)
City ________________________________________
Country_____________________________
State_______________________________________
ZIP Code____________________________
Current Mailing Address (if different from above):
____________________________________________________________________________________
(Street)
(Apartment/Unit number)
Sant’Anna Institue - Sorrento Lingue s.r.l
Via Marina Grande, 16 – 80067 Sorrento (Na) – Italy - Tel +39.081.807.5599 – Fax +39.081532.4140
www.santannainstitute.com – [email protected]
P.Iva 07631160012
City ________________________________________
Country_____________________________
State_______________________________________
ZIP Code____________________________
***
Email_______________________________________
Phone/Fax___________________________________
Mobile phone_________________________
How did you learn about Study Abroad at Sant’Anna Institute-Sorrento Lingue (SASL) ?________________
______________________________________________________________________________________
ACADEMIC INFORMATION
Class (when you’ll be abroad):
Cumulative GPA__________________________________
Projected Graduation Date_____________________________
Major___________________________________________
Minor (if applicable)__________________________________
EMERGENCY CONTACT
Parent/Guardian Name_________________________________
Relationship_______________________________________
Home Phone_________________________________________
Cell Phone________________________________________
Email Address________________________________________________________________
Street________________________________________________
City_________________________
State_____________________
Apartment/Unit_____________________________________
ZIP Code___________________
Country_____________
Family/friend Istituto Italiano di Cultura Student Teacher
Google Ad
Internet search Website_____________ Educational Agency – Specify__________ Other __________
How did you find out about SASL?
PRIVACY POLICY
SASL is registered to hold your personal data under the Italian data protection law. This information will be used for administrative
purposes
and will not be given to any third party. I authorize the use of my personal information bySant’Anna Institute, in accordance with
Italian Law D.
Lgs. 196/03 on privacy.
________________________________________________________________________
Sant’Anna Institue - Sorrento Lingue s.r.l
Via Marina Grande, 16 – 80067 Sorrento (Na) – Italy - Tel +39.081.807.5599 – Fax +39.081532.4140
www.santannainstitute.com – [email protected]
P.Iva 07631160012
SUMMER 2015 PROGRAM
All course credit is transferable through Alfred State College (SUNY)
Please blacken the program you are interested in:
SUMMER I (May 25- June 26)
SUMMER II (June 29 – July 31)
SUMMER I + SUMMER II (May 25- July 31)
If you are interested in an internship for academic credit, please see the form on page 9.
ITALIAN LANGUAGE
ARTS & HUMANITIES
Italian 101: Elementary
Archaeology: Cities of Fire
Italian 102: Pre-Intermediate
Creative Writing: Travel and Experience
Italian 103: Intermediate
History of Italian Cinema
Italian 104: Upper-Intermediate
Italian 105: Advanced
Survey of Italian Art History:
Ancient Greece and Rome to Italian Baroque
Italian 106: Post-Advanced
Drawing on Location, the Art of the Travel
Sketchbook
Italian Literature
Introduction to digital photography
BUSINESS ADMINISTRATION
Business in the European Union
SOCIAL SCIENCES
History of Western Civilization since 1648
NATURAL SCIENCES
History of Contemporary Italy
Marine Biology
History of the Mafia
Geology
Mediterranean Culture and History
Volcanology
SANT’ANNA INSTITUTE ABSENCE POLICY:
You are allowed two unexcused absences. Documentation for any other absence MUST be produced and
APPROVED the professor or the Director. For absences due to illness, please provide the professor with a
doctor's note upon returning to class as well as inform them and/or the school the first day of illness. Each
unexcused absence after the second will reduce your grade by 3 percentage points.
Sant’Anna Institue - Sorrento Lingue s.r.l
Via Marina Grande, 16 – 80067 Sorrento (Na) – Italy - Tel +39.081.807.5599 – Fax +39.081532.4140
www.santannainstitute.com – [email protected]
P.Iva 07631160012
ITALIAN LANGUAGE PROFICIENCY
Select the appropriate level:

Beginner
Lower Intermediate
Intermediate
Upper Intermediate
Advanced
List the course title and level of your most recent Italian language course. ______________________________________________
How many semesters of Italian language have you completed? ______________________________________________________
REGISTRATION POLICIES



In the event of insufficient enrollment in particular courses (especially at the higher levels), SASL reserves the right to adjust the
balance of teaching/open studio hours.
Mid-term and final exams will be given only on the scheduled days that appear on each course syllabus. For no reason (i.e.
religious issues, travel plans, family matters, etc.) will they be moved. Exams are scheduled during normal class times, so m ore
than one exam may be administered on the same day.
Withdrawal from Courses: Not all courses have the possibility to be dropped. Students have two weeks to be able to add or drop
courses at the discretion of the Academic Program Coordinator.
PAYMENT
If a student visa is required, SASL is obligated to receive the full balance of tuition before releasing an official “Letter of
Acceptance,” which is one of the required documents for the student visa application.
If a student visa is not required, a deposit of 30% of the total tuition is due with the application; the remaining balance of the tuition is
due 30 days prior to the start of the term.
STUDENT VISA AND PERMIT OF STAY EXPENSES
Students are responsible for acquiring their student visas at their local consulate. Please refer to the consulate’s website for exact
information on required documents as it varies from region to region. SASL is available for assistance in this process. This process is
extremely sensitive and all instructions must be followed exactly according to the Consulate’s regulations. SASL strongly recommends
that students contact the consulate directly to confirm that they have all the required documents before their appointment.
Upon arrival in Sorrento, SASL will instruct students on how to apply for a ‘permesso di soggiorno’ (permit of st ay). The estimated costs
of this application is 150 Euros which are strictly the costs imposed by the Italian government.
CANCELLATION POLICY
If an official cancellation notice is received by SASL:
- 20 days or more before the start of the term, the student will be liable for 10% of the full program fee.
- 19 to 7 days before the start of the term, the student will be liable for 20% of the full program fee.
- 6 days to the beginning of the term, no refund will be given.
After classes start, no refund will be due to students who do not attend or who withdraw from SASL.
Fees are not transferable to other persons.
Students will receive the refund minus the cost of any transfer fees.
I HAVE READ, UNDERSTOOD, AND WILL ABIDE BY THE ABOVE SASL POLICIES AND REGULATIONS.
MY SIGNATURE BELOW ALSO ATTESTS TO THE FACT THAT I HAVE BEEN MADE AWARE OF THE INFORMATION
REGARDING:
Student signature
___________________________________________ Date ______________________
PRIVACY POLICY
SASL is registered to hold your personal data under the Italian data protection law. This information will be used for administrative purposes and
will not be given to any third party.
I authorize the use of my personal information bySant’Anna Institute, in accordance with Italian Law D.Lgs. 196/03 on privacy.
Student signature
_________________________________________________________ Date ____________________
Sant’Anna Institue - Sorrento Lingue s.r.l
Via Marina Grande, 16 – 80067 Sorrento (Na) – Italy - Tel +39.081.807.5599 – Fax +39.081532.4140
www.santannainstitute.com – [email protected]
P.Iva 07631160012
RESERVATION PROCEDURE
1. The student must return all of the required documentation (see first page of this form)
2. About a week before the beginning of the term, the Housing Office will provide the student with (via e-mail):
a. type and address of the apartment, specifying room-mates and apartment-mates
b. information regarding Housing Check-in
Sant’Anna Institue - Sorrento Lingue s.r.l
Via Marina Grande, 16 – 80067 Sorrento (Na) – Italy - Tel +39.081.807.5599 – Fax +39.081532.4140
www.santannainstitute.com – [email protected]
P.Iva 07631160012
PLEASE ATTACH:



Copy of your unexpired, signed passport
One page personal statement describing personal and academic reasons for studying at SASL
Transcript with cumulative GPA of 2.5 (unofficial transcript acceptable)
I appoint the SASL Institute to forward, in my name and on my behalf,
my payment of the housing rent and expenses as established and chosen in this application form.
I understand that:

the accommodation assignment will be communicated to me about a week before my arrival;

I will enter my apartment ONLY at the Check-in date, and I must leave the assigned apartment no later than 12:30 pm on Check-out day;

In case of damages to the apartment, excessive use of the utilities and/or the apartment left in an unclean, or otherwise unacceptable
condition, the cost will be withheld from the deposit;

SASL reserves the right to expel from the assigned apartment any student whose behavior does not conform with civilized standards of
behavior;
I HAVE READ, UNDERSTOOD, AND WILL ABIDE BY ALL OF THE LORENZO DE’ MEDICI POLICIES,
RULES, AND REGULATIONS ON THIS FORM.
Student signature
________________________________________________ Date _________________________
Print Student Name_________________________________________
Sant’Anna Institue - Sorrento Lingue s.r.l
Via Marina Grande, 16 – 80067 Sorrento (Na) – Italy - Tel +39.081.807.5599 – Fax +39.081532.4140
www.santannainstitute.com – [email protected]
P.Iva 07631160012