1. Program choice:

One-year course: 1st semester 2nd semester
Summer courses: July 1 July 22 July 1-28 (only for NAWA scholarship candidates, 4 weeks)
Duration: Intensity:

2. Type of accommodation required:

university dormitory
other (please specify)

3. Personal data:

Family name:

First name:

Date of birth: - - Sex: Male Female

Father`s (first) name:

Mother`s (first) name:


Passport No.:


Present employment:

Educational background (degrees, diplomas etc.):

4. Why do you want to study Polish?

5. Scientific achievements; current University; connections with Poles, Polish language and Polish community abroad (only for NAWA scholarship candidates)

6. Have you done any previous courses in Polish? If so, give details (e.g. titles of grammar books)

7. Rate your knowledge of the Polish language:

speaking: none poor fair good

reading: none poor fair good

writing: none poor fair good

8. Other foreign languages:

9. Do you suffer (or have a history of) any of the following conditions?

food or drug allergies asthma epilepsy mental disorders diabetes heart condition

Are you currently undergoing medical treatment? If so, give detalis

10. I declare that I will possess a valid health insurance for the period of my stay during the course and I take full responsibility If I will not meet this requirement (only for NAWA scholarship candidates)

I consent (obligatory for NAWA scholarship candidates)
I decline (If marked, application for a scholarship will not be taken into account)

11. Name and address of a person in Poland to be notified in case of emergency:

12. Name and address of a person outside Poland to be notified in case of emergency:

13. For transfer of credits, supply complete address of your school`s Registrar:

14. Your address:

15. Email address:

16. Information clause: (PDF)

I hereby declare that I consent to the processing of my personal data for the purpose and scope essential to participate in the recruitment process for the courses and trainings carried out by The School of Polish Language and Culture of The John Paul II Catholic University of Lublin. The consent is voluntary, while failure to give your consent means the lack of opportunities to participate in recruitment for classes organized as part of The School of Polish Language and Culture. The consent can be withdrawn at any given moment, however, without affecting the legality of the processing which was carried out on the basis of consent prior to its withdrawal.