Advanced degree Application Form Year of Studies: 2017-2018 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)
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 Email 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
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
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
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 e-mail 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