TO BE COMPLETED BY HIGHER EDUCATION INSTITUTION PROVIDING TRAINING IN CONFERENCE INTERPRETING FOR THE ACADEMIC YEAR 2014-2015 Name of student Name of institution Name of person responsible for course Position / title Address Active language(s) (i.e. mother tongue or equivalent) Passive languages If the course is a 2 year one, please state for which year the bursary is requested (only second year students are eligible for a bursary). I hereby certify that this student has been accepted for a postgraduate course in conference interpreting during the academic year 2014-2015 at the above university/institution and that the language combination indicated is that which the applicant will be studying. Furthermore, I undertake to notify the DG Interpretation (SCIC) immediately if the student ceases to attend the course and, if requested by the SCIC, to provide an attendance certificate for this student at the end of each term/session. Signed at ………………………………….. on ………………………………. Signature: This is a SCIC-document without which the applicant’s file is not acceptable. It must in no circumstances be used for or linked to the settlement or payment of enrolment expenses by the student. Please use black ink.