POLITECNICO DI MILANO SCUOLA DEL DESIGN APPLICATION FORM INTERNATIONAL WORKSHOP 2014-2015 IN PARTNERSHIP WITH THE SCHOOL OF DESIGN OF POLITECNICO DI MILANO WITH THE PRESENT FORM I WISH TO PARTICIPATE TO THE SELECTION PROCESS FOR THE INTERNATIONAL CUMULUS WITH MTMG 2015 SPECIAL EDITION | FUTURE WAYS OF LIVING WORKSHOP IN MILAN, ITALY 10 - 12 / 15 - 19 June 2015 NAME LAST NAME MOBILE PHONE E-MAIL (POLIMI AND OTHER) MATRICOLA NUMBER COURSE YEAR AND LEVEL ENGLISH LANGUAGE MOTIVATION: (350/500 CHARACTERS ) Deadline for application: h. 23.50, April 26th Applications are to be sent by email to rele@polimi.it with “INSTITUTE WITHOUT BOUNDARIES” as object with the filled A form attached. Application form has to be saved in this way: lastname_name x CUMULUS WITH MTMG. Relé Office | School of Design | Politecnico di Milano T: +39.02.23.99.72.61 | f +39.02.23.99.59.77 | rele@polimi.it | www.design.polimi.it