Advanced degree Application Form. Year of Studies:
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1 Advanced degree Application Form Year of Studies: I wish to Apply for: MA Phd Diploma Studies For MA: Thesis Track Non-Thesis Track For Phd: Standard Track Integrative Track Direct Track Pre-requisite Track Name of Department: Name of Field/Track: (Applicable for MA/Diploma Studies only) First Choice Second Choice ID number I have an Israeli ID card with the following 9 digit number: Number: I have a foreign passport from (country): A copy of the front page of the ID/Passport must be submitted with the rest of the application documents PERSONAL DATA Last Name Previous Last Name First Name Name in Hebrew Letters- if applicable Gender Male Female Date of Birth (dd/mm/yyyy)
2 Name in Hebrew (If applicable) Place of Birth I have made Aliyah Year of Aliyah : Information regarding prior applications to Bar-Ilan University This is the first time I am applying to Bar-Ilan University I applied to another study program in Bar-Ilan University (diploma studies, non-degree seeking studies, another degree, etc.) I have previously applied to a PhD program please state when and to which department: CONTACT INFORMATION ABROAD address: Mailing Address abroad: Street and number City State/Province Zip Code Country Phone number (with intl. area code) Mobile Phone number CONTACT INFORMATION IN ISRAEL Mobile Number Mailing Address in Israel C/O Street and number City Zip Code WORK EXPERIENCE Name of Most Recent Place of Employment Duration of Employment
3 PRIMARY FUNDING SOURCE I intend to work to finance my studies Full time Part time I intend to seek scholarships or loans UNDERGRADUATE (FIRST) DEGREE INFORMATION Country: If the courses took place in a country other than stated above, please specify where I did not fulfill all of the requirements for the I graduated with a degree in: Year of Graduation If you wrote a thesis for your undergraduate studies, please specify: UNDERGRADUATE THESIS INFORMATION Thesis Topic Name of Thesis instructor Grade: P4
4 GRADUATE (SECOND) DEGREE INFORMATION Country If the courses took place in a country other than stated above, please specify where I did not fulfill all of the requirements for the I graduated with this degree Year of graduation If you wrote a thesis for your graduate studies, please specify: MASTER'S THESIS INFORMATION: Topic of Master s Thesis Name of Thesis instructor Grade: ADDITIONAL ACADEMIC STUDIES/DEGREE INFORMATION Country: If the courses took place in a different country than stated above, please specify where I did not fulfill in all of the requirements for the I graduated this degree: Year of graduation
5 For MBA Candidates: I have taken or will take a GMAT Exam on (date): The Following Section is for PhD Candidates Only. If you are applying for a Second/Master s please skip to the item entitled "Documentation Checklist" ADDITIONAL APPLICATION INFORMATION- FOR PHD CANDIDATES ONLY Language Skills Please specify which languages and how you acquired knowledge of them (professional/academic course, etc.) Academic Publishing: Please provide a list of your academic publications Have you conducted academic research in the past? NO YES- Please specify the name of the institution, the research topic and year of publication Describe the research briefly Research you wish to conduct for your Phd: Brief description of desired research topic Name of desired research advisor Once you have finished filling out this form, please return it via with scanned copies of the necessary documents. You will be required to present the original documents prior to the beginning of the school year. For MA: MA.office@mail.biu.ac.il For Phd: Phd.office@mail.biu.ac.il
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