The first three questions are only for applicants from the Russian Federation
or other native Russian speaking applicants. Other applicants should begin with Question 4.
(Первые 3 вопроса только для граждан Р.Ф.
Пожалуйста, пишите ответы на первые 3 вопроса по–русски.)

1. Фамилия

2. Имя, Отчество

3. Место работы или учебы
(название ВУЗа, факультет, кафедра, курс, специальность)

ALL APPLICANTS: (Please write the rest of the application in English)

4. LAST NAME:

5. FIRST / MIDDLE NAMES

For students: (including graduate students):
6A. Place of Study (name of Institution, Faculty/School, Kafedra/Department, Specialization)

6B. Level of Study (e.g. “1st year undergraduate”, “2nd year MA”, “3rd year Ph.D.” etc.)

For non-students (including professors, and other professional / academic positions):
6C. Place of Work (name and address of Company/Business/Institution)

6D. Work Position (your Position, your Specialization, how long you have held the position)

7. Interest in NYI: CHOOSE ONE

I am PRIMARILY interested in COGNITIVE/LINGUISTIC Studies

I am PRIMARILY interested in CULTURAL Studies

*NB: This does not depend on what your primary specialization of work or study is – it only indicates what
omponent of the NYI program you are interested in (for our information)

8. How did you hear about NYI? (check any/all boxes that apply. Please give specific information)

I was recommended by my Professor. Professor’s name

From a former NYI student. Name and year of student

I received an e-mail from NYI

On the Internet. Site or Portal name/address

Other source of information? Be specific

CONTACT INFORMATION:

9. E-MAIL ADDRESS(es)

• TELEPHONE NUMBERS:

10. Home:

11. Mobile:

12. Work:

Level of English language: (for all non-native speakers; native speakers write 'native')

13. Describe your background in studying English (school, institute or university, other courses and for how long).
Also describe other extensive use of the language (work, study abroad…)

14. Have you ever taken a standardized English language test? Name of test

Name of test

Date of test?

Please report your score here

15. Self-evaluation: Please evaluate your English language ability in the following categories:

	reading	writing	speaking	comprehension	informal/slang
Fair
Good
Very good
Excellent
Native

16. Please provide the name, position, phone number and e-mail address of two people who are well acquainted with your academic interests (Professor, Supervisor,...). Please ask one of them to submit a letter of recommendation (in English or Russian) to us, electronically if possible. (See instructions on recommendation submission at the end)

A.

B.

17. a. Have you studied at NYI before? (circle one)    YES    NO

b. If YES, which years?  2003   2004   2005   2006   2007   2008   2009   2010

c. If NO, how did you hear about the New York Institute? Please provide exact info!

18. Are you interested in applying for dormitory accommodations for the NY Institute?

19.	4 Essay Questions: On the next two pages there are 4 essay questions. Please answer each question separately, numbering them clearly. Your answers should be no more than 250 words each. (You may use additional space or a separate file if you prefer, but be sure to put your NAME on the separate file.)
QUESTION A: Describe your primary area(s) of academic, intellectual or artistic interests
QUESTION B: What do you imagine yourself doing 5 years from now, academically and/or
	professionally? And in 10 years?

QUESTION C: NYI’s program is primarily concerned with non-traditional and interdisciplinary forms of study.
	Describe your own experience with and thoughts about interdisciplinary study and what role you think they will play in your future research or other work.
QUESTION D: Tell us about a creative and/or intellectual person you admire,
	someone whom you would like to meet/have met and why (the person need not be alive today)

INSTRUCTIONS:

All applicants must fill out questions 4-19

Every applicant must have one recommendation letter sent to us directly by your recommender to the address: nyistudents@gmail.com

The SUBJECT of the e-mail letter must say "Recommendation for NYI Student X" (X is your name)

Questions? Contact Us!

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