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A program of the Bureau of Educational and Cultural Affairs,United States Department of State
1. NAME (as written on official documents): ____________________________ (Family Name)
____________________________________________________________________
(First Name) (Middle/Patronymic)
2. COUNTRY OF CITIZENSHIP:_____________________________________
3. COUNTRY OF LEGAL Residence: ______________________________
4. PLACE OF BIRTH: ______________________________________________
(City or Town) (Country)
5. DATE OF BIRTH: _______________________________________________
(Month) (Day) (Year)
6. GENDER: Male: ____________________ Female: ____________________
7. MARITAL STATUS: Single Married
CITIZENSHIP OF SPOUSE (if applicable): ___________________________
8. CURRENT HOME ADDRESS: Is this a dormitory address? Yes No
Street/Building Number: ____________________________________________
Apartment: ____________________
City: _________________________ Postal Index: _______________________
Region or Oblast: _________________________________________________
Country: ________________________________________________________
Telephone: ______________ Fax: _____________Email: _________________
Cell phone (if applicable): __________________________________________
PERMANENT HOME ADDRESS (IF DIFFERENT):
Street/Building Number: ____________________________________________
Apartment: _______________________________________________________
City: __________________________ Postal Index: ______________________
Region or Oblast __________________________________________________
Country: _________________________________________________________
Telephone: ______________ Fax: _____________Email: _________________
Cell phone (if applicable): ___________________________________________
9. CURRENT ACADEMIC INSTITUTION: ____________________________
FACULTY/DEPARTMENT: ________________________________________
Street: ___________________________________________________________
City: __________________________ Postal Index: ______________________
Country: ________________________________________________________
Telephone: ______________ Fax: _____________
10. PRESENT COURSE YEAR: First Second Third* (*only for students enrolled in 5-year university programs)
11. EXPECTED GRADUATION DATE (month/year): ____________________
12. CURRENT SPECIALIZATION / MAJOR IN HOME COUNTRY: ______
____________________________________________________________________
13. PROPOSED FIELD OF STUDY IN THE US:
Please indicate one specialization below, which most closely matches your current specialization. Unless otherwise noted, all fields of study are offered for first-, second-, and third-year students. If selected as a finalist, applicants may not change their field of study during the program.
Accounting (first-year only)
Agriculture
American Studies
Business
Computer Science (first-year only)
Criminal Justice
Economics (second- and third-year only) Education (second- and third-year only)
Environmental Management
Hospitality Management (first-year only)
International Relations (second- and third-year only)
Journalism and Mass Communications
Law (first-year only)
Political Science
Psychology (first-year only)
Sociology
Signature of applicant ______________________________ Date _____________
III.Role play
You are going to describe or ask for a description of a crime suspect. Divide into two groups A and B. Read the cards below and follow the instructions.
A. Witnesses
Yesterday you visited a local bank. At the entrance you were nearly knocked down by a strange man. At the bank you learnt that a large sum of money had been stolen and one of the criminals had managed to escape. The police want you to give a description of this person. You have 3 minutes to look at the picture (see page 22). Discuss in your group how to describe him.
Useful words and phrases:
1. Age: elderly, middle-aged, young, under 30, past 40...
2. Height: tall, short, over 5 feet 6 inches, of middle height...
3. Build: slim, stout, broad-shouldered...
4. Face: long, round, thin, wrinkled, oval...
5. Hair: long, straight, curly, blond, bald-headed...
6. Eyes: close-set, dark-eyed, small...
7. Nose: straight, hooked,...
8. Ears: stick out...
9. Distinctive marks: freckles, a mole on his right cheek, beard, moustache...
B. Police officers
Yesterday criminals stole a large sum of money from a local bank. One of the robbers had managed to escape. You know that he ran into one of the clients when he/she was entering the bank. In your group get ready with the questions you will ask the witness. Think about his age, height, build, face, hair, eyes, nose, ears, distinctive marks.
C. Witnesses
Yesterday you visited a local shop. At the entrance you were nearly knocked down by a strange man. At the shop you learnt that a large sum of money had been stolen and one of the criminals had managed to escape. The police want you to give a description of this person. You have 3 minutes to look at the picture (see page 22). Discuss in your group how to describe him.
Useful words andphrases:
1. Age: elderly, middle-aged, young, under 30, past 40...
2. Height: tall, short, over 5 feet 6 inches, of middle height...
3. Build: slim, stout, broad-shouldered...
4. Face: long, round, thin, wrinkled, oval...
5. Hair: long, straight, curly, blond, bald-headed...
6. Eyes: close-set, dark-eyed, small...
7. Nose: straight, hooked,...
8. Ears: stick out...
9. Distinctive marks: freckles, a mole on his right cheek, beard, moustache...
D. Police officers
Yesterday criminals stole a large sum of money from a local shop. One of the robbers had managed to escape. You know that he ran into one of the customers when he/she was entering the shop. In your group get ready with the questions you will ask the witness. Think about his age, height, build, face, hair, eyes, nose, ears, distinctive marks.
Work in pairs: one person from group A (a witness) and one person from group B (a police officer).
The police officer should interrogate the witness and make a video image.
The witness should decide if it is the man he/she had seen at the local bank/shop and if necessary correct the video image synthesized by the police officer.
Useful words and phrases:
Make the face thinner (more round)...
Try to add bushy eyebrows...
He was wearing a cap/eyeglasses/a
beard
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