كلية الدراسات العليا College of Graduate Studies ………………………………….. Application Reference No. رقم مرجع الطلب طلب االلتحاق ببرامج الدكتوراه Ph. D. Application form Program Applying for: ……………………………………………………………. Full-time Starting Semester: Fall, year ………………... Spring, Part-time …………………………….. الفصل الدراسي Semester year ……………… ……………………………….. العام الجامعي Academic Year Ph. D. Application form Complete application should be returned to: College of Graduate Studies - University of Sharjah P.O.box: 27272 Sharjah, United Arab Emirates. Telephone: +971-6-5050550 Fax: +971-6-5050552, Email: masters@sharjah.ac.ae Past A Recent Photograph I. PERSONAL DATA Please PRINT 1. Mr. Ms. Family Name (As it appears in passport) First Middle 2. Mailing Address (please give complete details) Address: P.O.Box City/Town Email Address Emirate Telephone: Mobile Telephone: home (______)_______________ 3. Gender: M F 4. Date of Birth 5. Nationality ________________________ Work: ____ Day ____ Month Country ( ) (______)______________ ____ Year 6. Marital Status Fax: (______)_______________ Place of Birth City Single Married Country Other 7. Proficiency in Languages Arabic English Excellent Excellent Read Good Good Fair Fair 8. English language proficiency test(s) taken: 9. Have you previously applied for admission to UOS? Excellent Excellent TOEFL core Yes No Write Good Good Fair Fair IELTS Score If yes, when? year Excellent Excellent Speak Good Fair Good Fair Other pecify) Program __________________ 10. If you have previously attended the University of Sharjah, indicate years attended: __________, ID No. ____________ 11. Would you like to be considered for a Research Assistantship (*): � Yes � No (*)Available in Science and Engineering/ Medicine and Health Science/ Humanities and Social Science II. ACADEMIC QUALIFICATIONS Institution - Country Major and Minor Degree GPA Years 1. 2. 3. 4. 5. III. EXPERIENCE – AFTER B. SC. (TEACHING, RESEARCH, PROFESSIONAL, BUSINESS, … ETC) Position 1. 2. 3. 4. 5. Organization Location Years IV. REFERENCES (Please provide details of references who are familiar with your background or who are in a position to provide assessment of your academic and professional experience) Reference #1 Reference #2 Reference #3 Name Job Title Organization Mailing Address Telephone Numbers Fax Number E-Mail Address V. PERSONAL STATEMENT (Insert a statement below of not more than 300 words concerning your past work in your proposed field of study, publications, relevant employment and your plans for graduate studies and professional career) ……………………………………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………. VI. AREAS OF EXPERTISE AND AREA OF INTEREST IN YOUR Ph. D. (List some items that summarize the areas of your expertise and identify or suggest, (if it is possible), the field, area, subject or topic at which you want to pursue your Ph. D.) ……………………………………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………. I DECLARE that the information I have provided in this application is a true and complete record of my personal, academic and professional background. I hereby AUTHORISE the University of Sharjah to make enquiries of, and to obtain official records from any organization mentioned in this application if it is necessary to complete this application. I also ACCEPT to comply with the University of Sharjah bylaws if accepted. Signature: Date: REQUIRED DOCUMENTS (Please note that all documentation supplied will remain the property of the University of Sharjah) Certified copies of academic degrees Equivalence letter of certificate from MOHER if certificate is issued from outside UAE. Official copies of transcript of grades A photocopy of the identity card and passport and Iqammah for non-Emarati students. A professional resume / CV Three letters of recommendation Proof of English language proficiency, if available or required Two recent passport size colored photographs A 200 Dhs non-refundable application fee APPLICATION ENQUIRIES: Further enquiries can be directed to the College of Graduate Studies, Telephone: + 971 6 5050566, 5050881,5050882 ,5050855 Email: masters@sharjah.ac.ae FOR UNIVERSITY USE ONLY Decision on Admission Semester _____________________________________________________ Name of Applicant _____________________________________________ Application Reference No: _____________________________________ 1. Recommendation of the Department To accept for admission unconditionally. To accept for admission conditionally subject to fulfilling: Foundation course(s), …………………………………………………………….. (Credit hours). To accept conditionally subject to fulfilling the English requirements ………………………… To reject the applicant: Reasons: _______________________________________________________________ Others __________________________________________________________________ Comments: ______________________________________________________________ CHAIRPERSON--------------------------- SIGNATURE------------------------- DATE ------------------------ 2. Decision of the Council of Graduate Studies ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- COUNCIL CHAIR______________ SIGNATURE ______________ DATE _____________ College of Graduate Studies Seat Reservation Fees Please read carefully before you sign: All admitted students, conditionally, or unconditionally, should pay non-refundable AED 5000 before obtaining the admission letter according to the following: 1- The student who completes his/her registration shall be credited AED 5000. 2- The student who doesn't complete his/her registration loses the right to refund the seat reservation fees. 3- The student who completes his/her registration, but wishes to withdraw from all courses, shall lose the right to refund the seat reservation fees. Other payments shall be subject to the University financial and registration bylaws. I am ------------------------ acknowledge that I have read the University financial procedures regarding the seat reservation fees and I am willing to comply with the above mentioned procedures. Student’s Signature : -------------------------------- Date : -------------------------