ATTACHMENT 1 

TO THE DEPARTMENT OF ECONOMICS
PIAZZA SCARAVILLI 2
40126 BOLOGNA

APPLICATION FORM FOR THE CALL FOR APPLICATIONS FOR 2 MERIT-BASED STUDY GRANTS FOR STUDENTS ENROLLED IN THE FIRST YEAR OF THE INTERNATIONAL SECOND CYCLE DEGREE PROGRAMMES OF THE SCHOOL OF ECONOMICS AND MANAGEMENT A.Y. 2022/2023. CALL FOR APPLICATION   REP.33/2023 PROT.362  02.27.2023

DEADLINE MARCH 20, 1 PM (EUROPE/BRUSSELS)

I, the undersigned, ………………………………………………………………………………………………………………………… 
 	(surname and name) 	 
Born in ……..………………………………………………………………….(……………….) on …………………………………………….
	 	 	 	 	 	 		 	 	 	 			 		
                            (City)                                                                   (State) 
Fiscal code    
 (mandatory)

Student number ………………………………………………………………………………………………………….……………….……
Nationality ………………………………………………………………………………………………………….……………………….…….
Address ……………………………………………………………………………………………………………Postal Code………..…….
City ……………………………………………………..State ……………………………….……. Mobile number …………………...
e-mail ………………………………………………………………………………………………………….…………………………………….. 
(be careful on writing the correct email since this will be the only means used for further notifications)
HEREBY APPLY
To the call for no. 2 merit-based study grants for students enrolled in the first year of the international Second cycle degree programmes in Economics and Management A.Y. 2022/2023 – Bologna, Forlì and Rimini Campus. 

To this purpose, pursuant to the D.P.R. 28.12.2000, n. 445 artt. 46 e 47 and aware of the civil and penal responsibilities in the event of false declarations as for art. 76 of the mentioned D.P.R. 28.12.2000, n. 445, 

I DECLARE
-	To be enrolled in the first year of the following course for which the grant is provided for the A.Y. 2022/2023: …………………………………………………..

-	To have passed and registered the activities of the first semester (exams and other activities), as set in the Study Plan, for a total amount of at least 24 credits. 
-	To have attained a total GPA of at least 28,5/30 for those activities (the general grade average is calculated on the basis of the grade average weighted with the correspondent number of credits). 

-	Not been charged with any disciplinary measure.

I HEREBY DECLARE (OPTIONAL)

-	To have attained the following English language knowledge certifications higher than B2 

…………………………………………………………………………………………………………………………………
-	To have been awarded an Erasmus scholarship for the A.A. 2023-24 to the following destination:

………………………………………………………………………………………………………………………………….

I will attach to this application: 
•	A self-certification “Dichiarazione sostitutiva di certificazione resa ai sensi dell’art. 46 del DPR 445/2000” (available on Studenti Online) concerning all the exams and other activities attained in the first semester, with their related grades;
•	Copy of a valid ID document;
•	English language knowledge certifications superior to B2 (optional);
•	Certification of an Erasmus-Exchange scholarship for the academic year 2023-24 (optional)

I commit to notify any change in the information given.
I also declare to be aware of all the rules of the present call. 

 ___________________ , _______________                                            ________________________ 
                        (place and date)     	(signature of the candidate)