The Robert H. Smith Faculty of Agriculture, Food & Environment

The Robert H. Smith Faculty of Agriculture, Food & Environment

The International School of Agricultural Sciences

International MSc Program Application 2018-19
Plant Sciences / Environmental Quality Sciences

Paste a passport sizedigital photo here
/ Program you are applying to:
Choose an item.
First Name (exactly as on your passport – please enter only one name):
Click here to enter text. / Last name (exactly as on your passport – please enter only one name):
Click here to enter text. / Country:
Click here to enter text.

Please complete all sections below. Where not applicable, enter NA.

PERSONAL INFORMATION

How did you hear about the international MSc program? / Choose an item.
If you chose "other" please explain
Have you applied to the international MSc before?
If yes, for which program and in what year? What was the result of your application?
Date of birth DD/MM/YYYY
Gender / Choose an item.
Passport number
Marital status / Choose an item.
Email
Phone (Country code + Area/city code + Number)
Fax (Country code + Area/city code + Number)
Postal address
Skype username (we may interview you via Skype)

ENGLISH PROFICIENCY

Please choose one*:Choose an item.

*If you choose either 1 or 2, you must enclose TOEFL or IELTS scores or an English proficiency letter from your university. We may request that you take an English exam.

COMPUTER SKILLS

Word
Choose an item. / PowerPoint
Choose an item. / Experience with other computer programs:

ACADEMIC BACKGROUND

1. Institutionof highest degree attained
City and Country
Title of Degree (BSc/MSc and title of degree)
Year completed / Click here to enter a date.
Final Grade Point Average (GPA)
If not completed, expected completion date
2. Additional academic institutions attendedat college or university level:
City and Country
Title of Degree
Year completed / Click here to enter a date.
Other relevant higher studies:

EMPLOYMENT

Current employer:
Position:
Date of employment:
Previous employer:
Position:
Date of employment:

ADDITIONAL RELEVANT EXPERIENCE

Experience in Israel, if any:
Dates:
Other experience:
Dates:

ASSESSMENTS

List below 2-3 assessors. At least one must be an academic assessor. The other assessors may be academic or professional. She/he must have known you for at least one year (e.g., teacher, trainer, advisor, employer).

1. Name of assessor:
Position:
Email address:
2. Name of assessor:
Position:
Email address:
3. Name of assessor:
Position:
Email address:

FUNDING

Visiting students must have sufficient funds to complete their studies. To protect you from a possible situation in which you cannot complete your studies, please ensure that your funding is sufficient for travel and expenses during the entire duration of the program.For scholarship options, please visit:
Will you be applying for a scholarship with your application to the International School? Choose an item.

• If Yes–Submit a separatescholarship applicationform.
• If No– Indicate your funding sources below:

Funding Sources (including personal and family) / Amount in US Dollars
1.
2.
3.

PERSONAL STATEMENT (250 WORD LIMIT)

The personal statement is an important factor in your application. Please tell us about yourself in your own words in 250 words or less. Please do not exceed the limit. PLEASE NOTE: This text box will automatically adjust to the text.

Click here to enter text.

DECLARATION

I, the undersigned, certify that all information supplied in this application is complete and correct. I understandand agree that the Hebrew University reserves the right to take any necessary measures in connection with candidates who submit partial, incorrect and/or false information. I waive my right to privacy regarding all academic documentation relevant to processing this application.

Name:Click here to enter text. Declaration:Choose an item. Date:Click here to enter a date.

PHOTO RELEASE PERMISSION (YOUR REPLY WILL NOT AFFECT YOUR APPLICATION)

If I am accepted to the program, I hereby give my permission to be included in any Hebrew University of Jerusalem photos, videos or interviews, and for the information collected by the media to be used as part of news stories, public relations and marketing collateral to be published in print, Internet, broadcast or video by the University or media. I understand that images and/or filmed or audio recordings will not be used for commercial gain and will not be sold to anyone for commercial use.

Name:Click here to enter text. Declaration:Choose an item. Date:Click here to enter a date.

Page 1 of 3