ADMISSIONS APPLICATION 2013 / 2014 ACADEMIC YEAR Instructions: Complete all questions. For international students only - please attach a copy of the first page of your international passport to the application form and return i t together with a non-refundable 25 USD application fee, and all relevant documents described in APPLICATION INSTRUCTIONS FOR FULL-TIME STUDY (separately downloadable) to: Admissions Office, American University in Bulgaria, Blagoevgrad 2700, Bulgaria. PERSONAL AND CONTACT INFORMATION For Bulgarian citizens only--please enter your Uniﬁed Print your legal name as spelled in your international passport Identification Number (ЕГН): Do you plan to apply for ﬁnan- Name: Last First Middle cial aid? Gender: Male Female Date of birth: / / Month Day Year Yes No City of birth: Country of citizenship: If yes, you must submit (as stated in your international passport) the Application for AUBG Mailing address: Financial Assistance. City: State: Postal code: Country: Telephone: ( ) E-mail: Mobile: ( ) Alternative E-mail: ACADEMIC PLANS Have you ever applied to AUBG?: Yes No If yes, when: / Semester Year Semester you wish to begin at AUBG: Fall’13 Spring’13 Fall’14 You are applying as a: First year student Transfer student Visiting student If you are a visiting or a transfer student, are you a: Second semester student Sophomore Junior Senior If you are a visiting student, how long do you intend to study at AUBG: One semester Two semesters 1. Business Administration Possible major interest(s) at AUBG: 2. Computer Science 3. Economics 4. European Politics First choice: 5. History 6. Information Systems Second choice: 7. Journalism and Mass Communications 8. Mathematics The American Univer- 9. Political Science and International Relations sity in Bulgaria is com- 10. Southeast European Studies mitted to a policy of non-discrimination and Please list other universities or colleges to which you are applying or have applied, in order of preference: equal opportunity in all of its endeavors and 1. Name: City: Country: afﬁrms a commitment to diversity in both its 2. Name: City: Country: employees and its stu- dent body. 3. Name: City: Country: 1 EDUCATIONAL BACKGROUND High school, from which you are graduating: School name Address: City: State: Postal code: Country: Telephone: ( ) Website: Previous high schools and universities attended: 1. Name: Address: City: State: Postal code: Country: Telephone: ( ) Website: Date from: / to: / Month Year Month Year 2. Name: Address: City: State: Postal code: Country: Telephone: ( ) Website: Date from: / to: / Month Year Month Year ENTRANCE EXAMS Indicate the date you have taken or will take the SAT Reasoning test or ACT: SAT / Scoresifavailable: / / Month Year Critical Reading (Verbal) Math Writing ACT / Scores if available: Month Year Composite If English is not your native language, indicate the date you have taken or will take TOEFL: iBT IELTS ESOL Total score: if available Please list any other tests or qualifying examinations you have taken or plan to take: 1. Name of test: / / Month Day Year 2. Name of test: / / Month Day Year FAMILY BACKGROUND 1. Father’s name: The American Univer- Last First Middle sity in Bulgaria is com- Single Married Divorced Separated Widowed Deceased mitted to a policy of non-discrimination and Home address: equal opportunity in all of its endeavors and City: State: Postal code: Country: affirms a commitment to diversity in both its Business telephone: ( ) E-mail: employees and its stu- dent body. Profession: 2 (FAMILY BACKGROUND CONTINUED) 2. Mother’s name: Last First Middle Single Married Divorced Separated Widowed Deceased Home address: City: State: Postal code: Country: Business telephone: ( ) E-mail: Profession: 3. Name of emergency person: Last First Middle Home address: City: State: Postal code: Country: Home telephone: ( ) Business telephone: ( ) E-mail: Relation: 4. Brothers and sisters applying or currently enrolled in AUBG: Name: Enrolled Applying Graduated Last First Middle initials Name: Enrolled Applying Graduated Last First Middle initials EXTRACURRICULAR ACTIVITIES This information will help the Admissions Committee evaluate your application better. Describe school and/or community achievements or awards: The American Univer- List hobbies and travel: sity in Bulgaria is com- mitted to a policy of non-discrimination and equal opportunity in all of its endeavors and affirms a commitment to diversity in both its employees and its stu- dent body. 3 (EXTRACURRICULAR ACTIVITIES CONTINUED) If you have already graduated from high school, please describe your activities since graduation: STATISTICAL INFORMATION How did you first learn about the American University in Bulgaria? AUBG contacted me with an SAT/ACT database search letter AUBG evening AUBG student Brochure My English language teacher Newspaper advertisement Print media Newspaper article Radio / TV Poster Relative School visit by AUBG representative College fair, where: Website: Other: APPLICANT’S DECLARATION I certify that all information on this application is complete, factual, accurate and honestly presented. I further understand that my admission and subsequent registration may be canceled if this informa- tion is found to be false or if anything has been intentionally omitted. If I enroll at AUBG, I agree to familiarize myself with the rules and regulations of the University and abide by them. In addition, I understand that application documents submitted in support of an application for admission become the permanent possession of the American University in Bulgaria and will not be returned. Signature of applicant: Date: If you have questions, please contact us by email: email@example.com, by phone: (359 73) 888 235, or by fax: (359 73) 883 227. 4 The information you provide is personal and is protected by the provisions of the Personal Data Protected law. AUBG is obligated to keep and use the documents for admission and academic purposes only.
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