Application Form.Indd

ADMISSIONSAPPLICATION

2013 / 2014ACADEMICYEAR

PERSONALAND CONTACT INFORMATION

Print your legal name as spelled in your international passport

For Bulgarian citizens only--please enter your Uniﬁed

Identification Number(ЕГН):

Do you plan to apply for ﬁnan- cial aid?

YesNo

Name:

LastFirstMiddle

Gender:MaleFemaleDateofbirth: //

MonthDayYear

If yes, you must submit theApplication forAUBG

Cityofbirth:

Countryofcitizenship:

(as stated in your international passport)

FinancialAssistance.

Mailingaddress:

City: State:

Postalcode: Country:

Telephone: ()

E-mail:

Mobile: ()

Alternative E-mail:

ACADEMIC PLANS

Have you ever applied toAUBG?:YesNoIfyes,when: /

SemesterYear

Semester you wish to begin atAUBG:

Fall’13Spring’13Fall’14

You are applying as a:

First year studentTransfer studentVisiting student

If you are a visiting or a transfer student, are you a:

Second semester studentSophomoreJuniorSenior

If you are a visiting student, how long do you intend to study atAUBG: One semesterTwo semesters

1. BusinessAdministration

The AmericanUniver- sity in Bulgaria is com- mitted to a policy of

Possible major interest(s) atAUBG:

First choice: Second choice:

2. Computer Science

3. Economics

4. European Politics

5. History

6.Information Systems

7. Journalism and Mass Communications

8. Mathematics

9. Political Science and International Relations

10. Southeast European Studies

non-discrimination and equal opportunity in all of its endeavorsand afﬁrms a commitment to diversity in both its employees and its stu- dent body.

Please list other universities or colleges to which you are applying or have applied, in order of preference:

1.Name: City: Country:

2.Name: City: Country:

3.Name: City: Country:

EDUCATIONALBACKGROUND

Highschool,fromwhichyouaregraduating:

School name

Address:

City: State:

Postalcode: Country:

Telephone: ()

Website:

Previous high schools and universities attended:

1.Name:

Address:

City: State:

Postalcode: Country:

Telephone: ()

Website:

Datefrom:/to: /

MonthYearMonthYear

2.Name:

Address:

City: State:

Postalcode: Country:

Telephone: ()

Website:

Datefrom:/to: /

MonthYearMonthYear

ENTRANCE EXAMS

Indicate the date you have taken or will take the SATReasoning test or ACT:

SAT

/ Scoresifavailable: / /

MonthYear

Critical Reading (Verbal)MathWriting

ACT /

MonthYear

Scoresifavailable:

Composite

If English is not your native language, indicate the date you have taken or will take TOEFL:

iBTIELTSESOLTotalscore:

if available

Please list any other tests or qualifying examinations you have taken or plan to take:

1.Nameoftest:

2.Nameoftest:

FAMILYBACKGROUND

MonthDayYear

The American Univer-

1.Father’sname:

LastFirstMiddle

sityinBulgariaiscom- mitted to a policy of

Single

MarriedDivorcedSeparatedWidowedDeceased

non-discriminationand equalopportunityinall

Homeaddress:

of its endeavors and affirms a commitment

City: State:

Postalcode: Country:

to diversity in both its employees and its stu- dent body.

Business telephone: () E-mail:

Profession:

(FAMILYBACKGROUND CONTINUED)

2.Mother’sname:

LastFirstMiddle

Single

MarriedDivorcedSeparatedWidowedDeceased

Homeaddress:

City: State:

Postalcode: Country:

Business telephone: () E-mail:

Profession:

3.Nameofemergencyperson:

LastFirstMiddle

Homeaddress:

City: State:

Postalcode: Country:

Hometelephone:()

Business telephone: () E-mail:

Relation:

4. Brothers and sisters applying or currently enrolled inAUBG:

Name:

LastFirstMiddle initials

Name:

LastFirstMiddle initials

EnrolledApplyingGraduated

EXTRACURRICULARACTIVITIES

This information will help theAdmissions Committee evaluate your application better.

Describeschooland/orcommunityachievementsorawards:

The AmericanUniver- sity in Bulgaria is com- mitted to a policy of non-discrimination and equal opportunity in all of its endeavorsand affirms a commitment to diversity in both its employees and its stu- dent body.

List hobbies and travel:

(EXTRACURRICULARACTIVITIES CONTINUED)

If you have already graduated from high school, please describe your activities since graduation:

STATISTICALINFORMATION

How did you first learn about theAmericanUniversity in Bulgaria?

AUBG contacted me with an SAT/ACTdatabase search letter

AUBG evening

AUBG student

My English language teacher

Print media Radio /TV Relative

Brochure

Newspaper advertisement

Newspaper article

Poster

School visit byAUBG representative

Collegefair,where:

Website:

Other:

APPLICANT’S DECLARATION

Icertifythatallinformationonthisapplicationiscomplete,factual,accurateandhonestlypresented. I further understandthat my admissionand subsequentregistrationmay be canceledif this informa- tionisfoundtobefalseorifanythinghasbeenintentionallyomitted. IfIenrollatAUBG,Iagreeto familiarize myself with the rules and regulations of the University and abide by them. In addition, I understand that application documents submitted in support of an application for admission become the permanent possession of theAmericanUniversity in Bulgaria and will not be returned.

Signatureofapplicant:

Date:

Ifyouhavequestions,pleasecontactusbyemail:,byphone:(35973)888235, or by fax: (359 73) 883 227.

The information you provide is personal and is protected by the provisions of the Personal Data Protected law. AUBG is obligated to keep and use the documents for admission and academic purposes only.