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To avoid delays in considering your application for admission, please: answer all questions on the application. Dont leave any question unanswered include with your application all the required documents as listed on page one of this application.
All applications are considered on the basis of qualifications regardless of race, color, gender, handicap, religion, age or national origin.
1. _________________
________________
_______________
_______________
________________
_______________
_______________
Family Name
3. Mothers full maiden name _________________________________________________________ 4. Date of Birth Day 5. Place of Birth _____________________________ City Month Year ______________________________ Country
6. Nationality ______________________________
7. Religion ________________________________
8. Passport Number ___________________ Place of Issue ______________ Expiry Date_____________ 9. Gender and Marital Status
Male Female
Single
Married
Divorced
Widowed
C/o _________________________ PO Box ______________________ Building ______________________ City ________________________ Street _______________________ Country ______________________ Postal Code ___________________
First-year
Transfer
Non-Degree
Part-Time
13. Have you previously applied to AUS? __________ If yes, when? _______________________________ 14. Semester you are applying for
15.
List all secondary schools you have attended and dates of attendance. Furthermore, you MUST also list all universities and/or colleges, if any, that you have attended and dates of attendance. The university/college attendance information is required even if you are applying as a first-year student. List the most recent first. Name of School/University Location (Country) Date of Attendance From To
16.
Indicate type of secondary certificate you hold or expect to receive and the date received.
General Secondary Certificate High School Diploma British Certificate(s) Other (Specify) ____________________________________ Date __________________________
17. If the certificate is the British IGCSE, GCSE, GCE, the IB Diploma, or similar, specify subject, level and result. Subject 1. 2. 3. 4. 5. 18. Level Result 6. 7. 8. 9. 10. Subject Level Result
Are you enrolled in school this year? If yes, indicate the grade in which you are enrolled. If no, indicate what you are doing. _________________________________________________________________________________
19.
20.
Yes
No
If he/she is faculty or staff, give name ______________________Position ______________________ 21. Have any members of your family attended AUS? Name(s) Relation(s) Dates Attended
22.
Do you have any special needs (for example physical disability)? This information is voluntary and confidential; it is requested to help the university prepare services and auxiliary aids, if possible, to accommodate your needs.
Yes
If yes, please indicate
No
Vision Impairment Hearing Impairment Speech Impairment Mobility Impairment Learning Disability (please explain) ___________________________ Other (please explain) ___________________________________
If you have been diagnosed with a disability, please provide the most recent report on your case.
23. Admission to the selected college/school and majors will depend on submitted qualifications and availability of seats. Please indicate your first and second choice of college/school, and select two majors in each. Use numbers (1) and (2) to indicate your first and second choices.
__ College of ArCHiTeCTUre,
ArT And deSign*
__ Architecture (BArch) __ interior design (Bid) __ design Management (BSdM) __ Multimedia design (BSMd) __ Visual Communication (BSVC)
__ College of engineering*
__ Chemical engineering (BSChe) __ Civil engineering (BSCe) __ Computer engineering (BSCoe) __ Computer Science (BSCS) __ electrical engineering (BSee) __ Mechanical engineering (BSMe)
__ Accounting __ Economics __ Finance __ Management __ Management Information Systems __ Marketing __ economics (BAe)
24. In your own handwriting, write a statement in the space below about your personal and educational background and your expectations from a university education. _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ I certify that answers to the foregoing items and the statements were completed by me and are, to the best of my knowledge, true, complete and correct. I authorize investigation of all statements contained therein. I further understand that any misrepresentation or material omission made on this form renders me liable to disciplinary action. Date _________________ Signature__________________________________________
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Office of Enrollment Management Undergraduate Admissions Tel +971 6 515 1000 Fax +971 6 515 1020 PO Box 26666, Sharjah, United Arab Emirates admission@aus.edu
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