Office of Admissions
4400 University Drive, MS 3A4, Fairfax, Virginia 22030
Phone: 703-993-2400; Fax: 703-993-4622
China 1-2-1 Undergraduate Admission Application
Revised November 2006
Please type or print the information below and return this form with the required essay (on a separate sheet).
PERSONAL INFORMATION (Please Print name as it will appear on your passport)
Name
__________________________________________________________________
Last/Family Name
First
_____/_____/_____
Date of Birth
Day
Month
Permanent China Address
Gender
Middle
Male______ Female_____
Year
__________________________________________________
Street
Apartment No
________________________________________________________________________
City/Town
Phone (086)
State/Province
Postal Code
_____________________________________________________________
Country Code
Please enter your foreign permanent phone umber in the space provided.
Email _____________________________________________
ENROLLMENT PLAN
Please check the box for your intended major – choose from one of the degrees listed in bold text below.
The Volgenau School of Information Technology and Engineering:
 Computer Science, B.S.
The College of Visual and Performing Arts:
 Dance, B.F.A.
 Music, B.M. in Performance
The College of Humanities and Social Sciences
 Geography, B.A. or B.S. degree
 Economics, B.A. or B.S
 Global Affairs, B.A
The School of Management:
 Decision Sciences and Management Information Systems, B.S.*
 Management, B.S.*
 Marketing, B.S. *
 Finance, B.S.*
*These business majors are only open to students accepted by the School of Management after meeting
prerequisites at Mason. Extra coursework/time may be required for these degrees.
ENROLLMENT HISTORY
Secondary School ______________________________________________________________
Name of School
City
State/Province
Country
Unified National University Entrance Exam Score(s) __________ ____________ ________
Chinese
Date Taken _______/________/________
Day
Month
Mathematics
English
______________ or ______________
Year
Natural Science
Social Science
Postsecondary Institution
Please circle the post-secondary school that you attend.
Beijing Normal University
CHU 063
Chang’an University
CHU 478
Chongqing University
CHU 319
Communications Univ. of China
CHU 205
Nanjing Normal University
CHU 003
Shandong Univ. (Weihai campus)
CHU 036
Southwest Jiaotong University
CHU100
Suzhou University
CHU 043
Wuhan Univ. of Technology
CHU 051
Yunnan University
CHU162
Other: _______________________________________
TEST INFORMATION
Test results should be sent to George Mason University’s Office of Admissions directly from your testing agency.
Have you taken the TOEFL or IELTS exam? Yes / No
_____________________________________________
Test
Score
Date Taken
________________________________________________
Test
Score
Date Taken
INTERNATIONAL INFORMATION
Country of Citizenship ________________________City and Country of Birth ___________________________
Native Language _____________________________How long have you studied the English language? ________
Have you visited the United States before?
If Yes, When ______________
Yes / No
For what purpose: __________________________________________
GENERAL INFORMATION
Have you ever been placed on academic or social suspension or dismissed from any college, university, or other formal
postsecondary educational program? (If yes, attach a statement of explanation.) Yes / No
Please list any other American schools you are applying to: _______________________________________________
________________________________________________________________________________________________
HONOR CODE
George Mason University shares the tradition of an honor system that has existed in Virginia since 1842.
The Honor Code is an integral part of university life, and it is the student’s responsibility to understand the
provisions of the code. Attempted cheating, plagiarism, lying, and stealing constitute Honor Code
violations. In the spirit of the code, students and faculty must report all violations to the Honor Committee.
The complete Honor Code is found in the University Catalog and will be fully explained during orientation.
I will read and accept the responsibility of the Honor Code if I am approved for admission to George
Mason University.
Signature _____________________________________________ Date ________________________
ESSAY
The Admissions Committee is interested in learning more about you. On a separate sheet of paper, please
write at least 150 words about yourself. Please use this essay to relate information about yourself that
cannot be found elsewhere on your application. You may choose to write about your ambitions and goals,
a special talent, or unusual interest that sets you apart from your peers, or a significant event or relationship
that has influenced you during your life. Please include your name on your essay.
SIGNATURE
I certify that all information given on this application is complete, true, and correct.
Signature ____________________________________________
Other Information
www.admissions.gmu.edu
Find the 1-2-1 application online to print.
www.gmu.edu/students/oips
See what services the Office of International Programs and Services offer.
ATTN: Kevin Holmes
George Mason University
Admissions Office
4400 University Drive
MS 3A4
Fairfax, VA 22030, USA
Phone (001) 703-993-2400
Fax (001) 703-993-2392
Date ___________________________