Application Form DLA (PhD Programme)

film.factory
PERSONAL DETAILS
Surname/Family name:__________________
First Name(s):_________________________
Male ___________

Female ________________

E-mail: ______________________________
Street: ________________________________
Postal Code: _______________

City: ________________________________

Country: ________________________________________
Home Telephone Number (include STD Code): ____________________________
Mobile Telephone Number (include STD Code): ______________________________
Fax Telephone Number (include STD Code): ___________________________________
Citizenship (as on passport): ________________________________________
Date of birth (Day/Month/Year): ___________________________________
Place of Birth: _________________________________________
NEXT OF KIN CONTACT:
Surname/Family name: ________________________________
First Name(s): ______________________________________
Relationship: _______________________________________
E-mail: ___________________________________________
Street: _________________________________________
Postal Code: ___________________________________

City: ___________________________________

Country: __________________________________________________

LANGUAGE QUALIFICATIONS:
Native Language: ____________________________________
Other Languages: ______________________________________
ENGLISH LANGUAGE EXPERIENCE: please check one of the following
Fluent speaker: ______________________
Lived in English speaking country, how long: ______________
Studied English for (how many years): __________________________________
TOEFL exam or equivalent, score (non-fluent speakers only): _______________________________

EDUCATIONAL QUALIFICATIONS
Please list all University/Institutions attended (you may use a resume/CV if you desire):
Universities/Institutions Attended

Dates attended

________________________________________________

____________

Major

Awards/GPA

__________

______________

HOW DID YOU HEAR ABOUT THE SARAJEVO FILM ACADEMY:

Web-site __________________ Internet (specify) ________________________
Publication (specify) __________________________

Word of mouth ___________

Other (specify)________________________

APPLICATION REQUIREMENTS
Please ensure that you have included the following with your application:

3 DVDs

All candidates must submit 3 DVDs containing short or full length feature films directed by the candidate.

Biography/Resume/CV

Filmography

Motivation Letter

Every application submitted must be accompanied by a letter of motivation no more than 500 words long. This should include an account
of why you think are suitable for the course and how it might support your future plans.

Transcripts

Please send official copies of certificates or academic transcripts where possible. International documents should be both, in original
language and English. Do not enclose original certificates.

A copy of your passport

Two recent passport photos

The annual tuition fee for the programme is 15000 Euros, where SSST Financial Department will work
individually with candidates to create a feasible payment plan and/or procurement of scholarships.

DECLARATION:
I declare that all the information given on this form is correct and complete and that I have completed all sections
myself.
Signature: __________________________

Date:________________________

Please send this application form to:

Sarajevo School of Science and Technology
Sarajevo Film Academy Film Factory Programme
Hrasnika cesta 3a
71000 Sarajevo
Bosnia and Herzegovina
info@filmfactory.ba

FOR OFFICE USE ONLY do not complete

DECISION BY ADMISSIONS TUTOR
Data received: _______________

CONDITIONAL OFFER:
The Conditions of the Offer are:

Department: ________________

1. _______________________

Interview: __________________
Time: ______________________

2. _______________________
3. _______________________

Yes: _______

Date: ______________________
Location: ___________________
Unconditional Offer: _____________

Reject: Applicant not suitable for course

Yes: _______

Reason: ________________

Yes: __________

Academic Signature: __________

Date: __________