Photo جامعة النيل A PPLICATION FOR U NDERGRADUATE A DMISSION Application No.: The Application provided in the application form must be written clearly and in the block letter PERSONAL DATA Please write your name (in block letters) as it appears on your birth certificate/national ID/or passport Name: (First) (Middle)(Last) Date of birth: / / Place of birth: Day / Month/ Year City, Country Gender: Male Female Military Status (for male applicants only) Completed Exempted Postponed National ID Expiry Date: Passport No: Country of issuance: Expiry date: ADDRESS Permanent home address: Mailing address(if different from permanent): Telephone No.: Mobile No.: Fax No.: E-mail: Telephone No.: Mobile No.: Fax No.: E-mail: ADMISSION INFORMATION Semester of application: Fall Spring Year: Applying to: School of Business School of Engineering School of Communication & Information Technology Intended major (if already decided) Undecided TOEFL test results: TOEFL test date: SECONDARY SCHOOL INFORMATION List all schools attended, starting with the most recent. Current or most recent secondary school attended: 1 School address: Language of instruction: Dates attended: from / Month/year Type of certificate awarded: Graduation date: If Thanaweya Amma, specify division: to: / Month/year Type of School: Public Private Previous school(s), if any. Please attach additional sheets if needed. Name of school attended: School address: Language of instruction: Dates attended: from / to: / Month/year Month/year Type of certificate (if any): Graduation date (if applicable): Type of School: Public Private ACADEMIC HONOURS/DISTINCTIONS/AWARDS Please list any academic awards, prizes, scholarships you have received at the school level. You may attach an additional sheet if needed. ACTIVITIES Please list your principal extracurricular, community, volunteer and family activities and hobbies. Include specific events and /or major accomplishments such as musical instruments played, achievement awards earned, sports accomplishments, etc. COLLEGES OR UNIVERSITIES ATTENDED List all colleges/universities at which you have taken courses for credit; list names of courses taken and grades earned on a separate sheet. Please have an official transcript sent from each institution to Nile University as soon as possible. Name of University Faculty, City/Country Dates attended Language of Overall College& (From/To) Instruction grade/GPA Major WORK EXPERIENCE Please list jobs held during the past three years, if any Employer Dates of Employment From - To Tasks 2 PERSONAL ESSAY Please write an essay (200 to 250 words) on a topic of choice or one of the topics listed below. You must attach the typed essay to your application. Please indicate your topic by checking the appropriate box. This personal essay will allow us to learn more about you and will demonstrate your ability to organize your thoughts and express yourself. Possible topics are: » Write about an experience that has had a significant impact on you. » Write about a person you regard highly and explain why. » Write about your future career plans and the reason behind your educational choices. » Select a topic of your choice, please specify 3 PARENT OR GUARDIAN CONTACT INFORMATION Father’s name: (First) (Middle)(Last) Home address: Home telephone number: Mobile: Occupation: Name of company: E-mail: Business telephone: Fax: Business address: Mother’s name: (First) (Middle)(Last) Home address: Home telephone number: Mobile: Occupation: Name of company: E-mail: Business telephone: Fax: Business Address: FINANCIAL INFORMATION Please identify the person who will be responsible for paying your educational expenses. Name: (First) Relationship: (Middle) Father (Last) Mother Other, please specify If you have marked “other”, Please Provide the Information below. Home address: Home Telephone Number: Mobile: Occupation: Name of company: E-Mail: Business Telephone: Fax: Business Address: 4 HEALTH INFORMATION Have you ever had any serious mental or physical illness? If yes, please specify Yes No TRANSPORTATION INFORMATION If accepted, how do you plan to commute to and from NU? Private means NU buses ADDITIONAL INFORMATION Please highlight below any additional information you feel is relevant to your application. SIGNATURE AND PAYMENT I certify that all information submitted in the admission process are my own, factually true, and honestly presented. I understand that I may be subject to a range of possible disciplinary actions, including admission revocation or expulsion, should the information I have provided be false. Signature: Date: Day / Month/ Year Signature of Parent or Legal Guardian Date: Day / Month/ Year For office use only Application fee payment: Yes No Student Accounts Stamp: 5 UNIVERSITY-RELATED INFORMATION The information provided in this sheet has no bearing on the admission decision. It is used by the university to assess and improve its various outreach activities and discern the interest and concern of our applicants. How did you learn of Nile University? Internet TV Radio School visits Nile University faculty Nile University student/alumni Print ad, please identify publication Conference, please specify Sports tournament, please specify Other, please specify What were the most important factors that influenced your decision to apply to NU? Which majors/specializations at Nile University attract you the most? 1. 2. What other universities are you applying to? 1. 2. 3. 4. What was the most important factor that influenced your decision to apply to other universities? Quality of education Reputation Facilities Location Fields of study (programs and specializations) – please specify Other, please identify 6 APPLICATION CHECKLIST A complete application package includes: Undergraduate application form Computerized birth certificate Copy of ID or passport (for non-Egyptians) Official Secondary School Certificate and Transcript or Grade Sheet and proof of completing 11 years of schooling Official IBT TOEFL or equivalent (scores are valid for one year prior to admission deadline) Nile University English Placement Test results (replaces TOEFL) Six recent passport size photos Military Service Status "Namouzag 2 gond" (for Egyptian male students only) Non-refundable application fee Scholarship Application Form (if needed) Financial Aid Application Form (if needed) Additional documents for Transfer students only Official transcript for each post-secondary institution attended. Official syllabi of all courses completed with a minimum grade of C or equivalent (each page stamped). Enrollment certificate in Arabic from the current university covering the period from the date of completing high school until the date of semester applying to Nile University (for Egyptian transfer males only) Please make sure to meet all deadlines required by NU to submit your application, required credentials and documents and payment of tuition fees. Admission may be revoked for lack of adherence to prescribed deadlines. 7