Application for Admission to Undergraduate Program
Université Antonine
Office of Orientation & Admissions
Application for Admission to Undergraduate Program Academic year: __________________ Referenc...
Application for Admission to Undergraduate Program Academic year: __________________ Reference : ____________________ ID : _________________________ Semester applying for:
Paste recent colored passport-size photograph.
Spring Regular Admission Transfer Student Auditor
Fall Regular Admission Transfer Student Auditor
Personal Information 1. Full legal name:
________________________/________________________/____________________________ Last
First
Father’s name
In Arabic: _____________________________________________________________________ [Full name as it appears on passport or identity card] 2. Gender:
Male
Female
3. Mother’s full maiden name:_______________________________________________________ 4. Maiden name for women applicants: _______________________________________________ 5. Date of Birth: _______/_______/________ (e.g 27/07/1972) Day Month Year 6. Family registration number, or passport number: _____________________________________ 7. Country: __________________________ Nationality: _________________________________ 8. Marital status
Single
Married
Other: ________________________
9. Place of birth: ________________________________________________________________ 10. Blood type: _________ 11. Current mailing address: _________________________/______________________________ Building Street
Telephone (home): ________________________ Cell Phone: __________________________ Contact person in case of emergency: _____________________________________________ Email address (1): _____________________________________________________________ Email address (2): _____________________________________________________________
Family information 1. Father
Full legal name: Mr._______________________________________________________________ Year of Birth: _______________________ Profession: ___________________________________ Phone: _________________/_________________/_________________ /___________________ Home
Full legal name: Mrs.______________________________________________________________ Year of Birth: _______________________ Profession: ___________________________________ Phone: _________________/_________________/_________________/___________________ Home
______________________________ / ____________________ First name
Year of birth
______________________________ / ____________________ First name
Year of birth
______________________________ / ____________________ First name
Year of birth
______________________________ / ____________________ First name
Year of birth
______________________________ / ____________________ First name
Year of birth
Secondary school information Name of school
Address
Secondary classes
Year from - to
Average /20
10th 11th 12th Indicate the type of your Lebanese Baccalaureate obtained (or its equivalent): ________________________________________________/______________/_______________ Type
Month
Year
University information List the names of colleges or universities attended: Name of university/college
Major
Credits earned Degree earned
Year from
to
Proficiency in languages Arabic
French
English
Others (s): _____________________
Have you taken the test of English as a foreign language (TOEFL or SAT)? Yes
NO
If yes, please indicate the score and date taken (Documents are required) _________________________/_______________/_________________ Score
Month
Year
Choice of major According to your preference, kindly indicate your choice of Faculty/Institute: 1st Choice: _________________________________/____________________________________ Faculty/Institute
What are the reasons for the selected field? Please write down any information that you find important to support your application. _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________
Financial information How do you expect to cover the cost of tuition and other expenses? Parents Myself Other resources Family and first name: ___________________________________________________ Address: ___________________________________________________________________ Phone: ____________________________________________________________________ Date and Signature: ____________________________________________________
Further information 1. Are you or one of your parents registered in the social national security fund or its equivalent? Yes
No
2. Do you have any physical disabilities? Yes
No
If yes, please describe (The information is requested only to enable the university to better serve students). _______________________________________________________________________________ _______________________________________________________________________________ 3. Do you have any relatives, members of the Antonine Maronite congregation (Antonine Fathers or Sisters)? Yes
No
If yes, please specify: _____________________________________
_______________________________________
_____________________________________
_______________________________________
Name
Name
Family Relation Family Relation
4. Do you have any parent or sibling (brother/sister) presently member of the staff and/or faculty at UPA? Please specify. Name
Position
Father Mother Brother/Sister 5. Do you have any sibling (brother/sister) currently enrolled at UPA? Name
Major
Academic Year
Supporting documents Incomplete applications will not be considered for admissions. (Whether accepted or rejected, applicants may not claim any of the documents.) Two recent colored passport-size photos Three photocopies of the applicant’s identity card/individual status record or passport One recent photocopy of the family status record A certified transcript of school records for the last 3 years of secondary education One certified copy of the Lebanese Baccalaureate or its equivalent by the Ministry of Education and Higher Education One official transcript and one photocopy of college or university record as well as course descriptions from the previous university or college (for transfer students) Scores of exams taken outside Université Antonine (SAT I, TOEFL, DELF…), when applicable
I certify that the information provided in this application is complete and accurate. Date: ______/______/_________ Applicant’s signature: ___________________________
