Arezzo Program Preliminary Application

GENERAL INFORMATION
First Name:    Last Name:
School Email Address:

ADDRESS
Home School:
Campus address:
Campus telephone: 
Permanent address:
Permanent telephone: 

IDENTIFICATION
University of Rochester ID Number (if applicable): 
Date of birth (mm/dd/yyyy): 
Place of birth: 
Country of citizenship: 
Type of visa (if not US): 
Passport number: 

CONTACT INFORMATION
Father's name: 
Father's daytime telephone: 
Mother's name: 
Mother's daytime telephone: 
Parents' address (if different from your permanant address):
Person to contact in case of emergency: 
Relationship: 
Telephone number: 

ACADEMIC INFORMATION
Major: 
Minor: 
GPA (on a 4.0 scale): 
Principal advisor's name, title, address, telephone, and email address:

ITALIAN LANGUAGE EXPERIENCE
UR course number(s) (if applicable): 

Additionally, an approximately 200 word essay is required on the student's reasons for wishing to participate in this program. The essay may be completed online in the text box below, or mailed to the following address:

Center for Study Abroad and Interdepartmental Programs
206 Lattimore Hall
Tel. (585) 275-7532
Fax (585) 461-5131

ESSAY

Interested University of Rochester students will be interviewed by a selection committee starting in early March. Acceptance will be based on the interview, the essay, and students records.