Santa Reparata International School of Art - Virtual Programs Application Form

First Name *

Preferred Name

Middle Initial

Last Name *

Date

Select the term/s of study you are applying for

Spring 2021 (January 15-April 30)
Summer 2021 (June 1-July 15)
Fall 2021

Please check the box that best describes your ethnicity

Gender

Male
Female
Transgender
Other

Do you have any physical and/or mental conditions, limitations or allergies that we should know about in case of emergency? *

SRISA, as a non-profit institution is required by law to keep statistics on its students. We do not discriminate on the basis of sex, race, age, religion, sexual orientation, pre-existing conditions or disabilities.

Date of Birth *

Social Security Number or National Identity Number (Optional)

Native Language

Permanent Street Address *

Permanent City, State and Zip Code *

Current Street Address *

Current City, State and Zip Code/Current Country *

Correspondence, bills, and transcripts should be sent to: *

Permanent Address
Current Address

Phone Number *

Cell Number *

Email Address *

Secondary Email Address

Would you like to receive a Maryville University Transcript?

Yes
No
Unsure

Maryville University is SRISA’s school of record. For more information see Transcripts and College Credit
Note: All students automatically receive a SRISA transcript upon completion of their studies.

How did you learn about SRISA? *

Please describe the promotional, curricular or financial aspects that were influential in your decision to apply to SRISA. *

Home University/Institution

Intended Major

Current Year in School *

Grade Point Average *

Indicate the courses of study of interest to you at SRISA

Indicate the program of interest to you at SRISA

Research and Project Exchange Virtual Courses
Virtual Internships

For both programs students must submit a current college transcript. Students that select the Virtual Internship must also submit: 2 letters of recommendation, resumé or CV, and cover letter indicating preferred internship placement.

Will you be receiving financial aid from your home institution?

Students that receive financial aid must pay the application fee and tuition deposit before the enrollment deadline. They will receive an additional financial aid form upon request to defer final payments until financial aid is disbursed. Note: Deferment of payments is not valid without the financial aid form.

What do you hope to gain from this program? *

What are your personal and academic goals? *

Disclaimer *

I understand that I am responsible for confirming with my home institution that desired credits will transfer. I certify that I am in good academic and judicial standing at my home institution and that each question and all statements made within this application are true and complete to the best of my knowledge.

Privacy Policy Disclaimer *

I have read and agree to theSRISA Privacy Policy Disclaimer.

Read the SRISA Privacy Policy Disclaimer

Please, insert the code *

SRISA

Santa Reparata International School of Art - Florence, Italy Fine Arts Liberal Arts Design

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Santa Reparata International School of Art - Florence, Italy

Fine Arts Liberal Arts Design