Application Form in English by wulinqing

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									         saklviTüal½yPUminÞPñMeBj
                      Royal University of Phnom Penh
                                   Master of Education
                       ACCEPTING APPLICATIONS NOW…… !
The ROYAL UNIVERSITY OF PHNOM PENH (RUPP) is honored to invite applicants for a two-year
master program of education majoring in
   1. Educational Management and Planning
   2. Educational Administration and Leadership
Medium of Instruction: English (with synopsis in Khmer when required)

Important Deadline
          Event                                Date
  Application deadline                 October 17, 2010
  Written examination*                 October 23, 2010
  Announcement of result               November 08, 2010
  Registration deadline                November 21, 2010
  First semester commencement          November 27, 2010

* Examination papers consist of 90 minutes of an essay on an education-related topic and 90 minutes of
English proficiency test.

Program Schedule
   Weekend          Time
   Saturday     08:00-11:00
                14:00-17:00
   Sunday       08:00-11:00

Admission requirements
 Application forms (2)
 A copy of bachelor degree or equivalent
 A copy of valid ID card
 Recent 4 x 6 photos (4)
 Recent 3 x 4 photos (2)
 Satisfactory entrance examination results

Fees: Entrance examination (non-refundable) US$15.00
      Tuition per term (non-refundable)     US$350.00

Application Form can be downloaded from the following website or obtained at the following
address:
       Room 216B, RUPP Main Campus, Russian Blvd., Phnom Penh
       Tel: 12-583-856, 89-985-820, 12-878-197
       Email: medprogram@gmail.com Website: www.rupp.edu.kh/master/education
             saklviTüal½yPUminÞPñMeBj
                                   Royal University of Phnom Penh

                                         Master of Education (Cohort 5)
                                                      2010 Application Form

Personal Information
Family Name: .............................................................              Given Name: ...................................................
Sex          Male                                              Female
Date of birth:           (DD/MM/YY)......................................
Place of birth: ..............................................................................................................................................
Identity card number: .......................................................... Expiry date: ...................................................
Marital status:  Single                                        Married                             Other
Current address: No ................. Street ............... Sangkat/Commune.........................................................
Khan/District: ........................................... City/Province: ...........................................................................
Tel: ................................................. Fax: ........................................... Email:..............................................


Academic Information
List in chronological order colleges/universities you have attended.
            Name of University                              Attended from/to               Degrees Obtained                  Main course of study




English proficiency
Skill                                                                                          Level
                                                    Excellent                                  Good                                      Fair
Speaking
Writing
Reading


Do you have a TOFEL score?                                      No                      Yes (Attach a copy of certification)
Do you have an IELTS score?                                     No                      Yes (Attach a copy of certification)
Computer Skills
Skill                                                                                      Level
                                              Excellent                                    Good                                        Fair
MS Word/Excell
Power point
Internet


Work Experience
Present post (Last post if not currently employed)
Position:         ...........................................................................................................................................
Institution:      ...........................................................................................................................................
Duties:           ...........................................................................................................................................
                  ...........................................................................................................................................
                  ...........................................................................................................................................
                  ...........................................................................................................................................
                  ...........................................................................................................................................
Name and address of the employer
Name:             ..........................................................................................................................................
Address           # ..................... Street # ................. Sangkat/commune ..................................................
                  Khan/District ................................................... City/Province: ..........................................
                  Tel:. ........................................Fax:............................. Email:............................................
Funding Source
 Self             Employer                              Other (Specify………………………..)


Major Preferred: Please tick on a major that you prefer to take in the Master of Education Program
            Educational Management and Planning
            Educational Administration and Leadership


Declaration
I declare that the information provided in this application form is true to the best of my knowledge.


                                                                                                 Applicant’s signature
                                                                                   .................................................................
                                                                                                              Date
                                                                                   .................................................................

								
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