Dear PAS applicant,

Following is the application form.

All PAS applicants must have finished high school to be eligible to apply for the program. Applications may be declined depending on the number of applicants and submitted documents

Please do not wait till you have all the supporting documents ready, but first complete and return to us the application form (by e-mail) and then proceed to send us the following documents:

1. Picture (one by email with the application and 1 passport size photos upon arrival)

2. Academic transcripts (email)

3. Two reference letters ( may be e-mailed on condition that the

referee's name and/or institution appear in the sender identification)

4. Copy of the first two pages of your current passport (email)

5. A 200-word essay explaining why you like to study at Birzeit

University.

Please also send through bank transfer only at this time:

1. Application fee - US$55.00 (Bank transfer; contact the office by email to send you the bank info.)

Please note that a $30.00 late fee will apply if application is received after the deadline.

2. Housing fee - US$50.00 if our help in finding accommodation is required.

Birzeit University Palestine and Arabic Studies Application for admission:

(Please attach a recent photograph and provide us with a small passport photo upon arrival for the ID card)

1. Personal Data

Name of Applicant: name, second name, third name, family name

______

Sex: M__ F___

Place of Birth:______

Date of Birth (day/month/year): ______

Citizenship (please list all if more than one):______

Passport number: ______

Permanent address in Country of Residence:

______

Telephone ______Fax: ______

Present Address:

______

Telephone______Fax ______

Email ______

Are you? Vegetarian------Vegan------None ------

2. Education

List all colleges/universities attended:

(Please attach evidence, such as official transcripts or certified

copies of matriculating documents, diplomas or certificates)

Name of Institution Dates Attended Subjects (expected)

Degree

______

______

3. Work Experience (please indicate whether voluntary or paid work)

______

______

4. Professional or Vocational Plans:

______

______

5. Period of intended study*:

___ Summer 2014/15 June 10th till 5th of August 2015

____ Fall 2015/16 26th of August till the 25th of November 2015

ــــــــSpring 2015/16 last two weeks in January till mid to end of April 2016

* (Please note that the above dates are subject to change)

6. Course Choice:

Students may select a combination of up to four courses for Fall and

Spring semesters and three courses for the summer term. The course list

is subject to change, as courses are offered according to demand.

Students are therefore asked to give an alternative course choice.

a) Arabic Courses (final placement according to placement tests)

___ Modern Standard Arabic:

______

Course number Course name

___ Colloquial Arabic:

______

Course number Course name

b) Social Science:

1.______

Course number Course name

2. ______

Course number Course name

7. Accommodations:

Do you require help in finding accommodation? ___Yes ___ No

If yes, please state in order of preference (1,2)

___ rented room in apartment with other internationals

_____ A) single room ______B) shared room*

* Shared rooms are generally cheaper than single rooms

8. Students of Arabic

Placement in courses of Arabic will be according to a placement test

given during the orientation period. To help us determine your general

level of Arabic in advance, please answer the following questions.

Have you studied Arabic before? ___Yes ___No

___ Modern Standard/Classical Arabic:

Institution/country/mode of instruction:______

______

Books/materials used: ______

______

Number of years: ______

Number of hours per week: ______

___ Colloquial Arabic: ______dialect

Institution/country/mode of instruction: ______

______

Books/materials used: ______

______

Number of years: ______Number of hours per week: ______

9. Conversation Partner program: We assign a Palestinian Student to help you in your Arabic Studies throughout the semester

Would you like a conversation partner? Yes ______No ______

10. For the benefit of the PAS Program we are interested in knowing how you heard of our course. We would appreciate it greatly if you could let us know:

____ Friend

____ Former PAS student (______)

____ Birzeit.edu website

____ Internet (which site? ______)

____ University ( ______)

______

Signature Date and Place

Please note:

Acceptable forms of payment for tuition and fees should be in US dollars

and ONLY in the following forms:

1. Application and housing fees could be paid by credit cards(Visa Card only), or cash, through bank transfer.

2.Tuition to be paid in theabove forms or cash upon arrival and on registration day and only

for tuition and registration fees (do NOT mail any checks or cash.)

Please also note that ATM machines are readily available and accessible in Ramallah area.