International Student Application Form Please complete this form using an ink pen, sign and return to the Registrar’s Office whose address is given below along with the required documents. Address: Koç Üniversitesi, Kayıt ve Kabul Müdürlüğü, Rumeli Feneri Yolu, Sarıyer, Istanbul, Turkey 34450 Candidates may also enter their information directly on the pdf by following the instructions on the web page. Photograph

Personal Information Last name: ............................

First Name:

.... .. ... ... ... .. . .... ..

Date of Birth: (dd/mm/yyyy) ...........................

Gend er:

Country of Birth: ..........................................

N ati o n al i ty:

Middle Name(s): ...................... Male

Female

......................................................

Do you have Turkish or TR of Northern Cyprus Citizenship? Yes Father’s Name: .............................................

TR

TRNC

No

Mother’s Name: ...............................................

Home address: .............................................................................................................................

........................................................................................................................................................ Correspondence address (if different): .....................................................................................

........................................................................................................................................................ Telephone: ........................ (country code) ........................ (area code) ..................

(number)

Mobile phone: ................... (country code) ........................ (area code) ..................

(number)

Fax: ................... (country code) ........................ (area code) .................. (number) E-mail address: .............................................

Disability/Special Needs: .............................................................................................................

Academic Background List all schools you have attended (including high school and college) full-time for one academic year or more, and any degree program in which you are currently enrolled. List schools in chronological order, beginning with most recent. Name of the Institution

Studied Subjects/ Major

Location (City and Country)

Entrance Date (mm/yyyy)

Leaving or Graduation Date (mm/yyyy)

Reasons for Leaving

International Student Application Form Application Information

Test Scores and Diplomas Date (mm/yyyy) SAT I

…….Total Score …. Mathematics …. Critical Reading .… Writing

IB (International Baccalaureate)

…… Diploma Grade

ACT (American College Testing) …… English …… Reading …… Writing …… Math …… Science

……/……...

……/……...

ABITUR

…… Diploma Grade

……/……...

MATURA

…… Diploma Grade

……/……...

Tawjihi

…… Average Score from each course in Scientific Stream

……/……...

GCE (General Certificate Education)

A Level

……………..Subject …. Grade

……/……...

A Level ……………..Subject …. Grade

A Level

……………..Subject …. Grade

……/……...

A Level ……………..Subject …. Grade

A Level

……………..Subject …. Grade

……/……...

(subjects are required to be relevant to the applied program applied)

Baccalauréat Libanais

…… Diploma Grade in Scientific Stream

……/……...

French Baccalaureate

…… Diploma Grade

……/……...

Al-Shahada-Al Thanawiyya-Al-Amma …… Test Score - Scie. Stream International Science Olympiads

Gold medal

…… - Literary Stream

Silver medal

Bronze medal

……/……... ……/……...

(recognized and participated by TUBITAK)

Senegal Baccalaureate

…… Diploma Grade

……/……...

Indonesian UAN (Ujian Akhir Nasional)

…… Test Score

……/……...

Proficiency in English Date (mm/yyyy) TOEFL …… PBT (Paper Based) ……. TWE (Test of Written English)

……/……...

TOEFL …… IBT (Internet Based) ……. WRT (Writing)

……/……...

TOEFL …… CBT (Computer Based)

……/……...

KPDS

…… Test Score

……/……...

UDS

…… Test Score

……/……...

Native Language: ………….…… Other Languages: …………………………...…

Beginner

Intermediate

Advanced

International Student Application Form Application Information

Awards/Honors List any awards or honors you received in the past 5 years. .................................................................................................................................................................................................. ................................................................................................................................................................................................. ................................................................................................................................................................................................. ................................................................................................................................................................................................. ................................................................................................................................................................................................. .................................................................................................................................................................................................. ................................................................................................................................................................................................. ................................................................................................................................................................................................. ................................................................................................................................................................................................. .................................................................................................................................................................................................

Extra-curricular interests and activities List your extra-curricular interests and activities. .................................................................................................................................................................................................. ................................................................................................................................................................................................. ................................................................................................................................................................................................. ................................................................................................................................................................................................. ................................................................................................................................................................................................. .................................................................................................................................................................................................. ................................................................................................................................................................................................. ...................................................................................................................................................................................................

.................................................................................................................................................................................................

International Student Application Form Application Information

Essay Briefly explain your reasons for applying to Koç University (less than 200 words).

International Student Application Form Choice of Program at KU Have you applied to Koç University before?

Yes …………... Year

No

Please state your program preferences by placing a “1” in the box next to your first choice, “2” next to your second, and “3” to your third. (1 = 1st choice, 2 = 2nd choice, 3 = 3rd choice) I. College of Sciences a. Chemistry b. Mathematics c. Physics

d. Molecular Biology and Genetics II. College of Administrative Sciences and Economics a. Business Administration b. Economics c. International Relations III. College of Social Sciences and Humanities a. History b. Psychology c. Philosophy d. Sociology

e. Archaeology and History of Art f. English Language and Comparative Literature g. Media and Visual Arts IV. College of Engineering a. Computer Engineering b. Electrical and Electronics Engineering c. Industrial Engineering d. Mechanical Engineering e. Chemical and Biological Engineering V. School of Medicine Medicine VI. Law School Law

International Student Application Form Required Materials Checklist

Enclosed Copy of the exam result or diploma grade (SAT, GCE, International Baccalaureate, etc.) Two recommendation letters Copy of the High School Diploma (A Turkish or English translation should also be enclosed unless the Diploma is in in one of these languages) Sealed and approved official High School transcript Copy of English proficiency exam (TOEFL, etc.) Copy of your non-refundable application fee of TL 150.– receipt Please note that the originals of the above documents will be requested in the enrollment process.

Declaration Once you have completed this application form, please read the following statements carefully. By signing this application form you confirm your acceptance of these statements. If you do not sign this form, we cannot process your application. I confirm that the information I have provided on this application form is (to the best of my knowledge) true, accurate, current and complete; and I agree to notify the University promptly if any information contained on this application form should change, in order to keep it true, accurate, current and complete. I confirm that the required documents submitted as part of this application are entirely my own original work, except where clearly indicated otherwise, and do not include any plagiarised elements. Please sign here to confirm acceptance of these statements:

SIGNATURE

______________________________

DATE (dd/mm/yyyyy) ……/……/……..…

LAST NAME

................................FIRST NAME ................................

MIDDLE NAME(S) ................................