2015-04-14
RPW/23039/2015
2015/29762516-Var§ova BE/7757465 - URGENT
Embassy of the Republic of Turkey
WARSAW
The Embassy of the Republic of Turkey presents its compliments to the Ministry of
Science and Higher Education of the Republic of Poland and has the honour to commimicate
the following.
Yunus Emre Turkish Language Summer Course 2015, is going to be held in Turkey, in
the framework of Turkiye Scholarships, between 1 July and 31 August 2015, for foreign
students who wish to improve their Turkish language proficiency.
The programme is open to candidates, at the age of between 18 and 27, having basic
knowledge of Turkish language. Further details regarding the programme will be conveyed
soon.
The application form is attached herewith. Applications should be submitted to the
Embassy's following email accoimt until 30 April 2015: [email protected]
The Embassy would like to inform the Esteemed Ministry that the candidates to be
submitted by the Esteemed Ministry will be favourably considered.
The Esteemed Ministry is kindly requested to disseminate the aforementioned information
among the relevant Polish students.
The Embassy of the Republic of Turkey avails itself of this opportunity to renew to the
Ministry of Science and Higher Education of the Republic of Poland the assurances of its
highest consideration.
Warsaw, 13 April 2015
Enc: As stated.
Ministry of Science and Higher Education
of the Republic of Poland
WARSAW
CC: Ministry of Foreign Affairs
of the Republic of Poland
WARSAW
1
A-
T O R K J Y E B U R S L A R I / T i i R K i Y E SCHOLARSHIPS
Yunus Emre Turk Dili Burs Programi/Yunus Emre Turkish Language Scholarship Program
Yaz Okulu Ba^vuni Formu/Summer Course Application Form
A - g ^ m B l l G t l ^ ^ » M A i « 6 ] f » r i O N
Adi/Name
i
1 Soyadi/Surname
Uyrugu/Citizenship
Pasaport No/Passport No
Cinsiyet/Gender
Bay/Male (.-0
Bayan/Femalef.-O
Date of Birth ( d d / m m / y y ) /
Dogum Tarihi (gg/aa/yy]
/
/
Medeni Hali/Marital Status
Olke-Eyalet/Country-State
5ehir/City
e-posta/e-mail
Fotograf
Photo
Adres/Address
Ev telefonu/Home Phone
Cep telefonu/Mobile Phone
Adi
Soyadi/NameSurname
Yakmlik D u r u m u /
Relationship
Ev Telefonu/
Home Phone
Cep
Telefonu/Mobile
Phone
Adres/
Address
Oniversite/
University
Egitim
Duzeyi/
Education
Level
Bdliim/Department
Lisans/ Undergraduate [...]
Yiiksek Lisans/Master [...]
Doktora/PhD [...)
Smif/Class
Ortalama/CGPA:
Qali$ma
Konusu/
Subject
of Study
ANADiL/
NATIVE
LANGUAGE
DiGERDiL/
OTHER
LANGUAGE
Tiirkfe/
Turkish
DUZEY/ PROFECIENCY LEVEL
( ) Beginner
( ) Intermediate
( ] Advanced
( ) Fluent
( ] Beginner
( ) Intermediate
( ] Advanced
[ ) Fluent
( } Beginner
( ] Intermediate
[ ] Advanced
( ) Fluent
( ) Beginner
( ] Intermediate
( ) Advanced
( ) Fluent
E - T O R K C E BtLGiSl/TURKlSH SKILLS
Turkfe'yi nerede ogrendiniz?
/How did you learn Turkish?
Daha once Tiirkiye'de T i i r k f e
egitim programma katildiniz
mi ?/ Have you ever attended a
Turkish course in Turkiye ?
(...]
[...)
[...)
[...)
(...)
Yunus Emre Tiirk Kultur Merkezi'nde / At Yunus Emre Turkish Cultural Center
Universitenin Turkoloji Bolumunde / At the Department ofTurcology
Ozel kurslarda / At Private Courses
Turkiye'de TOMER'de/ At TOMER
Diger (liitfen belirtiniz)/ Other (please specify):
Evet/Yes
(...)
Hayir/No
(...)
Evet ise/If yes;
Katildtgi Program/Program attended:
ll/City
Tarih/Date
E-S0SYALVEKpLtttRELY6NLER/S0ClALANDCULTm^
Goniillii olarak kadldiginiz
faaliyetleri belirtiniz/Please
specify your voluntary
activities
Hobilerinizi belirtiniz/Please
specify your hobbies
Yetenekleriniz
belirtiniz/Please specify your
skills
ilgi alanlanniz
belirtiniz/Please specify your
areas of interest
Turk Edebiyatinda takip
1ettiginizyazarlan [varsa]
2belirtiniz./ Do you know any
3Turkish novelist/ w r i t e r / poet?
Tiirk sinemasmm
omeklerinden izlediginiz
[varsa] belirtiniz./ Have you
ever watched any Turkish
movie?
123-
Tiirkiye denince akimiza gelen
ilk 3 isim nelerdir?/ List three
femous names associated w i t h
Turkey?
123-
G - sMtIK BiltGlLERt/HEAiTHISSUES
Evet/Yes
(...)
Hayir/No
(...)
Siirekli ilaf kuUanmanizi gerektiren bir
hastaligimz var mi? Varsa belirtiniz./ Do Evet/Yes
you need to have a medical support (...)
continuously? If yes, please specify.
Hayir/No
(...)
Herhangi bir alerjiniz var mi? Varsa Evet/Yes
CO
belirtiniz./ Do you have any allergies?
Hayir/No
(...)
Evet/Yes
(...)
Hayir/No
(...)
Saglik probleminiz var mi?
Do yo have any health problem ?
Bedensel engeliniz var mi?
Do you have any physical disability?
.../.../20... - .../.../20...
'
H - T O R K I Y E I L E B A G I / RELATION W I T H TURKiEY
Tiirkiye'ye daha 6nce geldiniz mi/Have
you ever visited Tiirkiye?
Evet/Yes (...]
Hayir/No [...]
Evet ise kaf defa geldiniz/If yes, how many times?
Tiirkiye'ye daha once geldiyseniz hangi
jehirleri ziyaret ettiniz/If yes, which
cities have you been to?
Turkiye'de yasayan tanidiginiz var mi?
Evet ise belirtiniz./ Have you got any
relatives or friends living in Turkey?
Evet (...)
Hayir(...)
I - DlQERBtLGlLER/FURTHER I^IFORMATION
Program hakkmda nasil bilgi
sahibi oIdunuz?/How did you
learn about the program?
Bu programa neden katilmak
istiyorsunuz?/ Why do you want
to attend this programme?
Programdan beklentileriniz
nelerdir?/ What are your
expectations from the
programme?
Dil egitimi alirken kendinizi
geli^tirmek istediginiz bir alan
1var mi?/ Please specify the areas
you want to improve yourself
2while learning Turkish? [Tiirk el
sanatlan, folklor, Tiirk yemekleri, 3miizik vs. / Turkish handicrafts,
folklore, Turkish food, music, etc.]
Tiirkiye Burslari Yunus Emre Tiirk Dili Burs Programi Yaz Okulu ba^vuru formunu aniayarak ve gerfege uygun olarak
doldurdum. Formda yazdigim bilgilerin dogrulugunu taahhut ediyor ve yanli9 bilgi vermekten kaynaklanabilecek
sorumluluklan kabul edlyorum.
I hereby declare that the information provided above is true and accurate, and agree that in the event that the
information is false, inaccurate or erroneous the Republic of Turkey will be entitled to cancel my right to attend the program
at any time.
Imza/ Sign:
Ad Soyad /Name Surname :
Tarih: .../.../2015
Gerekli belgeler/Required documents
1- Ogrenci belgesi/Student certificate
2- Ge^erli bir kimlik belgesinin fotokopisi/Copy of a valid identity card
3- 1 fotograf/l,photo
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2015-04-14 RPW/23039/2015