APPLICATION FORM FOR OFFICE USE ONLIY Form No. File number Fellowship/source of fund Specialization. Previous degree Transcript CV... Date. To be filled out by the candidate (Please complete and send this form to) ADMISSION AND ALUMNI DIRECTORATE HAWASSA UNIVERSITY P.O.BOX 5, FAX: 251-046-214781, E-mail: Tel: 251-046-200887 PERSONAL DATA (please write in block letters) Full Name.. Place and date of birth.. Sex Marital status. Nationality Postal address City.. Country... Telephone (Office).. (Mobile). Fax E-mall.. FELLOWSHIP (Please mark in the boxes) I will pay all expenses myself Fellowship support is requested but has not yet been granted Fellowship support is required Fellowship has already been awarded If the fellowship has been secured, please indicate the name of the sponsor and attach statement of award; PLEASE MARK ONE MSC PROGRAM SPECIALIZAITON 1
COLLEGE OF AGRICULTURE MSc in Agronomy MSc in Crop Protection MSc in Plant Breeding MSc in Agro-Forestry MSc in Soil Science MSc in Horticulture PhD in Agronomy PhD in Entomology PhD in Soil Science MSC in Animal Production MSC in Animal Nutrition MSC in Animal Breeding PhD in Animal Breeding PhD in Animal Nutrition MSc in Rural Development MSc in Gender and Family Studies MSc in Agribusiness and Value Chain MSc in Applied Human Nutrition MSc in Food Science & Post-Harvest Technology COLLEGE OF NATURAL AND COMPUTATIONAL SCIENCES MSc in Limnology Fisheries and Aquatic Ecotoxicology MSc in Micro-Biology MSc in Botanical Science MSc in Analytical Chemistry MSc in Organic Chemistry MSc in Physical Chemistry MSc in Quantum Optics MSc in Nuclear Physics 2
i MSc in Statistics Physics MSc in Physics MSc in Material Science MSc n Applied Statistics MSc in MASTMO MSc in Computational Mathematics PhD in Applied Statistics MSc in Veterinary Epidemiology MSc in Veterinary Microbiology INSTITUTE OF TECHNOLOGY MSC in Soil and Water Conservation Engineering MSC in Water Resource Engineering and Management MSC in Sugar Mechanization MSC in Communication Engineering & Networking MSC in Control and Instrumentation Engineering MSC in Power System and Energy Engineering MSC in Road and Transport Engineering MSC in Construction Technology and Management MSC in Geotechnical Engineering MSC in Hydraulics Engineering MSC in Structural Engineering COLLEGE OF LAW AND GOVERNANCE Governance (MA degree) Development management (MA degree) LLM in Commercial Law 3
COLLEGE OF BUSINESS AND ECONOMICS MBA in Cooperative Development and Leadership MBA in Humane Resource Management MBA in Marketing Management MSC in Accounting and Finance MA in Development Economics COLLEGE OF SOCIAL SCIENCES AND HUMANITIES Teaching English as Foreign Language (MA degree) Journalism (MA Degree) Social Anthropology (MA degree) Social Psychology (MA degree) Adult Education and Community Dev;t (MA degree) EDPM (Educational Planning and Management) AECD (Adult Education and Community Davit) CuEd (Curriculum and Education Development COLLEGE OF MEDICAL AND HEALTH SCIENCE MSC in Public Health MSC in Emergency Surgery and Obstetrics 4
ACADEMIC RECORDS (Start with the recent obtained credential) University/College Country Major Field of study Diploma/Degree /Masters Year of attendance From To EMPLOYEMENT RECORDS (Start with the recent employer) Name of employer (Organization) Address Present position (Job Title) Service year From To PUBLICATIONS (if any) Attach list of articles you have published, write name of journal (5) and year of publication. DOCUMENTS SUBMITIED (Mark in the boxed) Completed application form Copy of B.Sc./diploma Copy of Student Copy Curriculum vitae Supporting statement of the candidate s sponsor Recommendation letter (3) 5
Statement by applicant I hereby certify that all information given in the form is complete and correct. I fully realize the University is entitled to take any action on me; including dismissal if the information give by me here is found incorrect or misleading at any time. I also realize that I will not be entitled to any reimbursement of whatever fee I might have paid in cases where the University takes any action on me as a result of any incorrect or misleading information given by me. I further undertake to observe all the rules and regulations of the University if I am accepted by the University, and to refrain from and activity, which may be contrary to the interest to Ethiopian people. I shall take full responsibility for reading and abiding by the rules and regulations of the University. Date.. Signature.. ATTENTION! examination. Please check the academic calendar of HU for the date of entrance 6