SSRES Admissions Form

Country of residence

Country of citizenship

If you hold more than one citizenship, list others here

Nationality

Passport number

Issued by

Expiry Date

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Instructions: Answer only those questions that are relevant to your situation.

1. If you are currently an undergraduate student enrolled in a degree program, list your future degree, year in the program, and expected date of graduation:

Major or prospective major

Current GPA

2. If you are a graduate student, list your degree program and your year in the program:

3. If you are currently not enrolled in a degree program, list your highest degree earned, major, and the year the degree was granted:

4. If you are currently employed, provide the following information:

Employer

Address

Years at the current job

Job title

Which language are you interested in studying?

Russian Kazakh

Are you a ROTC student?

Yes No

Evaluate your current knowledge of Russian by providing thorough and complete answers to the following questions. When answering these questions, describe your knowledge of Russian, depending on which program you are applying for. The information that you provide is very important to us and it will be used for program planning. Your answers to these questions do not guarantee or determine your placement in a specific level. The actual placement into courses will be done when you arrive to Astana on the basis of entrance proficiency testing.

1. Are you a complete beginner in Russian? (If you answer “yes” you do not need to answer any more questions in this section. If you answer “no” then you must provide answers to other questions)

Yes No

2. Have you had any formal instruction in Russian (at high school or college level)?. If yes, proceed to question 3.

Yes No

If no, describe where and how you learned Russian, i.e. through conversations with Russian-speaking friends, an online course, a tutor, self-study, etc.

3. How many semesters (or quarters) have you studied Russian at a university level?

4. List all the Russian courses that you have taken (e.g. Russian 101…), including summer intensive programs (if applicable):

5. List the titles of the textbooks that you used for studying Russian (e.g. Live from Russia Volume 1, Golosa Volume 1....) and the courses in which you used them (e.g. 1st-semester Russian).

6. Have you studied Russian abroad? If yes, how long (a semester, a year...)? Name the program that you participated in and the city/country where you lived:

7. Please, rate your level of Russian in each of the following categories (Nazarbayev University uses NCSSFL-ACTFL Global Can-Do Benchmarks to evaluate your proficiency). For each category (interpersonal communication, interpretive listening, interpretive reading) select one description that best describes your abilities in this category.

	Novice low	Novice mid	Novice high	Intermediate low	Intermediate mid	Intermediate high	Advanced low	Advanced mid	Advanced high	Superior
Interpersonal Communication
Interpretive Listening
Interpretive Reading

Statement of Academic Goals and Career Plans *

Type or paste in your statement of academic goals and career plans. Explain how the study of Russian language and the enrollment in an Eurasian Studies course (if applying) at Nazarbayev University (Astana, Kazakhstan) will further your goals. Your statement should be no more than 300 words. 0/300

Letter of Recommendation

One letter of recommendation should be emailed to the program director separately (see the Instructions section of this form for more information).

Requirements for the letter of recommendation

The letter of recommendation should come from an official university email address and contain the full contact information of the person providing the recommendation. The letters should comment on the student’s academic abilities (if the letter is coming from a language instructor, it should compare the student’s work in a language class to that to that of his or her other classmates); they should speak about the student’s potential to handle the challenges of a language and cultural immersion program, as well as provide any other relevant information about the student.

Enter contact details of the person supplying a letter on your behalf here

Full name of the person providing the letter:

Academic affiliation of the recommender and/or employer and job title:

Full contact information of the recommender:

Evaluate your current knowledge of Kazakh by providing thorough and complete answers to the following questions. When answering these questions, describe your knowledge of Kazakh, depending on which program you are applying for. The information that you provide is very important to us and it will be used for program planning. Your answers to these questions do not guarantee or determine your placement in a specific level. The actual placement into courses will be done when you arrive to Astana on the basis of entrance proficiency testing.

1. Are you a complete beginner in Kazakh? (If you answer “yes” you do not need to answer any more questions in this section. If you answer “no” then you must provide answers to other questions)

Yes No

2. Have you had any formal instruction in Kazakh (at high school or college level)?. If yes, proceed to question 3.

Yes No

3. How many semesters (or quarters) have you studied Kazakh at a university level?

4. List all the Kazakh courses that you have taken (e.g. Kazakh 101…), including summer intensive programs (if applicable):

5. List the titles of the textbooks that you used for studying Kazakh and the courses in which you used them (e.g. 1st-semester Kazakh).

6. Have you studied Kazakh abroad? If yes, how long (a semester, a year...)? Name the program that you participated in and the city/country where you lived:

7. Please, rate your level of Kazakh in each of the following categories (Nazarbayev University uses NCSSFL-ACTFL Global Can-Do Benchmarks to evaluate your proficiency). For each category (interpersonal communication, interpretive listening, interpretive reading) select one description that best describes your abilities in this category.

	Novice low	Novice mid	Novice high	Intermediate low	Intermediate mid	Intermediate high	Advanced low	Advanced mid	Advanced high	Superior
Interpersonal Communication
Interpretive Listening
Interpretive Reading

Statement of Academic Goals and Career Plans *

Type or paste in your statement of academic goals and career plans. Explain how the study of Kazakh language and the enrollment in an Eurasian Studies course (if applying) at Nazarbayev University (Astana, Kazakhstan) will further your goals. Your statement should be no more than 300 words. 0/300

Letter of Recommendation

One letter of recommendation should be emailed to the program director separately (see the Instructions section of this form for more information).

Requirements for the letter of recommendation

The letter of recommendation should come from an official university email address and contain the full contact information of the person providing the recommendation. The letters should comment on the student’s academic abilities (if the letter is coming from a language instructor, it should compare the student’s work in a language class to that to that of his or her other classmates); they should speak about the student’s potential to handle the challenges of a language and cultural immersion program, as well as provide any other relevant information about the student.

Enter contact details of the person supplying a letter on your behalf here

Full name of the person providing the letter:

Academic affiliation of the recommender and/or employer and job title:

Full contact information of the recommender:

Financial Information

SSRES will work with FLAS and other sources of funding. If you do not have external funding available, you will be expected to pay all the program costs.

Yes No

Will you be using external funds (scholarship, grants, etc) to pay for the program:

If yes, indicate the source of funding:

If you do not have external funds, how do you plan to cover the cost of the program and your living expenses? Explain:

Academics

In addition to the 8-week Intensive Russian or Kazakh course, the program includes an optional free course on Kazakh language and culture.

You may also choose to enroll in an additional elective course in Russian and Eurasian Area Studies. These elective courses are part of Nazarbayev University regular curriculum, and you will be taking them together with local students.

Nazarbayev University will work with your home institution on the transfer of credits that you will earn (both for the Russian course and for the elective).

Are you interested in enrolling in an elective course?

Yes No

Indicate your choice of elective

Housing Information

Housing Information All SSRES participants will be housed on campus, in student dorms. Please, indicate your choice of rooms below.

(Recommended): Two students per room (one local + one international). This option allows for more cultural and linguistic immersion and interaction. Two students per room (both students are international) Individual room (additional cost will apply):

How did you learn about SSRES?

The University of Arizona Global Initiatives Program The Nazarbayev University web page The China Educational Expo from a former SSRES student from your language teacher or program director

please specify name

Street Address
Street Address Line 2
City	Province (if applicable):
Postal / Zip Code	Country

SSRES 2019 Application Form

Citizenship Information

Passport Information

Educational Information (General)

Educational Information (Russian)

Educational Information (Kazakh)