Application Form for Doctorate (PhD) Programs

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APPLICATION FORM FOR DOCTORAL STUDIES
(This form should be completed in order to apply for admissison as a graduate student at Atılım University.)
A1: About the programme of study that you are applying to
Programme Title:
Choose and tick the graduate school:
Choose and tick the programme level:
Graduate School of Natural and Applied Sciences
Doctoral (PhD)
Graduate School of Social Sciences
Post-Doctoral
Term of the study you want to start:
Status:
20….. - 20….. Academic Year
Regular
Special
Fall
Spring
Transfer
Visiting
A2: Personal Information
First Name (Given Name):
Middle Name/s:
Last Name (Family Name):
Gender:
Male
Date of Birth:
Day:
Place of Birth:
City:
Female
Month:
PHOTO
(Passport Size)
Country:
Nationality:
Marital Status:
Year:
Passport No:
Married
Single
Father’s Name:
Mother’s Name:
Do you have a second nationality?
Yes
No
Blood Type:
If yes, please state:
A3: Contact Information
Your home address:
(Residence address)
Postal Code:
City:
Country:
Home Tel:
Fax:
Mobile:
Your address in Turkey:
(If any)
Postal Code:
City:
Country:
Home Tel:
Fax:
Mobile:
e-mail (1):
e-mail (2):
A4: Residence Permit
Do you have a residence permit in Turkey?
If yes, residence permit no:
Yes
No
Expiry date of your residence permit:
If no, date of last entrance to Turkey (If you are in Turkey now):
A5: Health and Safety
If you are handicapped and/or need
special treatment, please state:
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B1: Educational Backgroud
Tertiary Education (Please start from the lowest degree)
1.
University:
City / Country:
Faculty / Institute:
Department / Programme:
Degree:
High Diploma
Bachelor
Entrance Date:
2.
Master
Graduation Date:
Doctoral (PhD)
Score (CGPA):
University:
City / Country:
Faculty / Institute:
Department / Programme:
Degree:
High Diploma
Bachelor
Entrance Date:
3.
Master
Graduation Date:
Doctoral (PhD)
Score (CGPA):
University:
City / Country:
Faculty / Institute:
Department / Programme:
Degree:
High Diploma
Bachelor
Entrance Date:
Master
Graduation Date:
Doctoral (PhD)
Score (CGPA):
B2: Examinations (Please provide information about the national or international scientific examinations you’ve taken)
1.
Examination Name:
Country:
Exam Date (month/year):
2.
Total Score:
Examination Name:
Validity:
Country:
Exam Date (month/year):
Total Score:
Validity:
Total Score:
Validity:
B3: Language Skills
1.
IELTS (month/year):
Exam Type:
2.
General
TOEFL (month/year):
Exam Type:
Academic
Total Score:
IBT
CBT
Validity:
PBT
If you’ve studied in an English spoken country for 3
years or more, please indicate:
If you’ve got a certificate of Turkish Language
please indicate:
C: Work Experiences (Please start with your latest job)
1.
Company / Institution:
City / Country:
Position:
2.
Date of Start:
Date of Leave:
Company / Institution:
City / Country:
Position:
3.
Date of Start:
Date of Leave:
Company / Institution:
City / Country:
Position:
Date of Start:
Date of Leave:
Note: If you are attaching your cv to this application form, you can skip this part.
2/4
D: References (People who can provide information about your past performances of study and/or work)
1.
Name / Surname / Title:
Company / Institution:
Position:
Telephone:
2.
e-mail:
Name / Surname / Title:
Company / Institution:
Position:
Telephone:
3.
e-mail:
Name / Surname / Title:
Company / Institution:
Position:
Telephone:
e-mail:
Note: If you are attaching your cv to this application form, and if your references are included there, you can skip this part.
E: Doctoral Degree Programmes (Please select only one programme and tick the respective box in column S)
Natural and Applied Sciences
S
Social Sciences
Architecture (in Turkish)
English Culture and Literature (in English)
Modeling and Design of Engineering Systems (MODES)*
Notice: The candidates of MODES must select one major
field (J) from the list below. They may optionally select one
minor field (N) too.
Major (J) and Minor (N) fields for MODES
J
International Relations (in English)
S
International Relations (in Turkish)
Management (in English)
N
Management (in Turkish)
Applied Chemistry (in English)
Political Economy (in English)
Automotive Engineering (in English)
Political Economy (in Turkish)
Civil Engineering (in English)
Computer Engineering (in English)
Electrical and Electronics Engineering (in English)
Energy Systems Engineering (in English)
Industrial Engineering (in English)
Information Technology Service Management (in English)
Manufacturing Engineering (in English)
Mathematics (in English)
Mechanical Engineering (in English)
Mechatronics Engineering (in English)
Metallurgical and Materials Engineering (in English)
Software Engineering (in English)
* Medium of Instruction in MODES and all sub-fields is English.
S: Select
J: Major
N: Minor
F: Financial Details (How do you plan to finance your stay and study in Turkey?)
I have a sufficient amount of reserve funds to finance.
My family will sponsor my stay and study.
I need a scholarship/grant to finance my tuition.
I have to work during my stay to finance my tuition.
I have already been awarded a scholarship/grant. (Please
state the source and duration):..……….……………….................
……………………………………………………..………………………………………
………………………………………………………………..……………………………
………………………………………………………………….....………………………
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G: Proposal (Please indicate the field of study/area of research in which you would like to study and provide summary
information about your aspirations/intensions. Try to explain the reasons why you prefer this field of study and Atılım
University. Also note that, the information provided below will have a great influence on acceptance decision.)
Note: If you have already prepared a paper for proposal, please indicate here and attach it to this application form.
H: Required Documents & Checklist
Application form (Completed and photo affixed)
Copy of tertiary transcript/s
→
Copy of tertiary diploma/s (i.e. graduation certificate) →
- If the originals are not in English or Turkish, copies of officially attested
translations are needed.
- PhD candidates should submit both bachelor and master degree documents.
Passport copy (Photo affixed page and ID page in English, if different.)
Recognition Letter
→ - These two documents are not compulsory for application and being accepted.
Certificate of Language Proficiency
→ candidate and to be delivered on time of registration as a regular student.
- Recognition letter is to be taken from YOK – Higher Education Council – by the
Recommendation Letter/s
Resume (cv)
Supporting documents (e.g. various certificates, proof of financial support, publications, etc.)
I: Justification (Name, Surname, Date and Signature)
- I hereby justify that all of the information provided in this form and supporting documents attached to this form are true, genuine and complete.
- I recognize that the submission of any false information or fake documents will render this application null and void.
- I am aware of my responsibility to submit a recognition letter (taken from YOK) and fulfil the language requirement in order to be admitted as a regular
student. I agree that I’ll be a special student until then and in case of failure to fulfil my obligation, I will not claim to be awarded a degree or diploma.
- I also acknowledge that the submitted documents will be the property of Atılım University.
Full Name:
Signature:
Application Date:
Deliver your application to:
Atılım University
Kızılcasar Mah. 06836 Incek – Ankara – TURKEY
Tel: +90 (312) 586 82 70 Mobile: +90 (530) 373 54 28 Fax: +90 (312) 586 80 91
e-mail: [email protected]
www.atilim.edu.tr
(Applications via e-mail, fax, air-mail or hand-delivery are equally acceptable.)
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