AUBG paper application form AY13 14 by dc9263

VIEWS: 34 PAGES: 4

									                                         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: admissions@aubg.bg, 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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