Ashesi University College Application for Undergraduate Admission

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Legal Name Surname First Middle Ashesi University College Application for Undergraduate Admission Application Checklist After completing your application, please use the following checklist to ensure that your application is complete. Put a check in the box next to the listed item only if you have included it in your submission packet. You will not be considered for admission if you submit an incomplete application. When submitting your completed application, please make sure it contains all of the following. Put a check in the box next to the listed item only if you have included it in your submission packet: Pages 1-6 of the application form. Official transcript from each secondary school you attended. Endorsed result slips of the final examinations you have completed. Copy of your SAT scores (if you have taken the SAT). Personal Statements on separate sheets: Essay I (required) Essay II (optional) Essay III (optional) Your signature on page 6. Application for Undergraduate Admission 1 Ashesi University College

Student Information Legal Name Male Female Surname First Middle Residential Address Postal Address Telephone number: E-Mail address: Please write clearly Birth date (dd/mm/yy): / / Citizenship: Ghanaian or Other: Language(s) spoken at home: Possible area of academic concentration: Computer Science Business Administration Undecided Have you ever applied to Ashesi University? No Yes, in year: Financial Aid (This section is not applicable to International Students) To qualify for financial assistance, you must complete and submit the attached financial aid application. Be advised that Ashesi University has limited resources and therefore cannot provide assistance to all applicants. Furthermore, admissions decisions are based in part on the university's ability to provide the support requested. It is therefore very important that you not request more assistance than you need. Financial aid is awarded on the basis of need and academic performance. Aid is also used as an instrument to achieve gender balance within the Ashesi University community. Do you intend to apply for financial assistance from Ashesi University? No Yes (complete financial aid form) Educational Data School you now attend/last attended: Date of entry (mm/yy): / Date of secondary school completion (mm/yy): / List all other secondary schools, including vacation classes and programs you have attended beginning in JSS 1 (United States equivalent: Middle School) Name of School Location Dates Attended If you are not currently attending school, please check here and describe in detail, on a separate sheet, your activities since last enrolled in school Prizes Won or Academic Honours Briefly describe any scholastic distinctions or honours you have won beginning with SS1 (United States equivalent: th 10 grade; GCE equivalent: Form 4): Application for Undergraduate Admission 2 Ashesi University College

Family Mother's full name Father's full name Is she living? Yes No Is he living? Yes No Home address if different from yours: Home address if different from yours Occupation (describe briefly): Occupation (describe briefly): Name of business or organization: Name of business or organization College/University attended (if any): College/University attended (if any): Degree: Year: Graduate school attended (if any): Degree: Year: Graduate school attended (if any): Degree: Year: Degree: Year: If not with both parents, with whom do you make your permanent home: Please check if parents are Married Separated Divorced, in Year: Please give names and ages of your brothers and sisters. If they have attended university, give the names of the institutions attended, degrees and approximate dates: Full Name University or School Degree / Other Dates of Attendance Do you have siblings or other relatives who attend(ed) Ashesi University? Yes No If yes, please give their names and the year they gained admission to Ashesi below. Full Name Year admitted to Ashesi Application for Undergraduate Admission 3 Ashesi University College

Academics The basic requirement for acceptance at Ashesi University is successful completion of a rigorous secondary school curriculum. Complete the appropriate section below and attach official transcripts and result slips where appropriate. Each transcript should contain grades for all subjects taken in each term. Information about class rank, for each subject, is also helpful. Provide your Index Number: Senior Secondary Certificate of Education (SSCE) Date Taken Grade English Language Core Mathematics Integrated Science Social Studies International Baccalaureate (IB) Date Taken Grade H/L H/L H/L S/L S/L S/L A-Levels Date Taken Grade Have you taken the SAT? Yes No If you have taken the SAT, complete the information below and attach a copy of your result slip. Date taken: SAT score: Verbal Math: To which other universities or colleges do you intend to apply? In Ghana: Outside of Ghana (please include the name of the university and country where the university is located): Application for Undergraduate Admission 4 Ashesi University College

Extracurricular, Personal and Volunteer Activities (including community service) Please list your extracurricular activities, community service and hobbies in the order of their interest to you. Include specific events and/or major accomplishments such as musical instruments played, athletic awards earned, etc. Feel free to describe additional activities on a separate sheet. Activity Year Position held, honours won, etc. Work Experience List any job (including vacation, voluntary, family and unpaid employment) you have held during the past three years. Specific nature of work Employer Approx. dates of employment From To Approx. number of hours per week In the space provided below please describe which of these activities (extracurricular and personal activities or work experience) has had the most meaning for you, and why. Application for Undergraduate Admission 5 Ashesi University College

Personal Statements The ability to write clearly is an important element of an Ashesi education. In this section, we would like you to write and tell us about yourself. Your personal statement(s) will help us become acquainted with you as an individual. The first essay is required, and we encourage you to submit essays for questions II and III as well. We strongly recommend that you submit essays typed on A4 size paper. Remember to identify each page with your name. Ensure that the statements you submit are your own work. Borrowed, plagiarized or non-factual submissions will lead to rejection of an application or dismissal from the college. 1. (Required) We want to give you an opportunity to tell us something we do not already know from all the factual information you have given us in your application. Please write an essay that will help us to know you better. It may be about your goals in life, your family, intellectual interests, conflicts you have had, or any other significant experience that sheds light on your personality. 600-work limit. 2. (Optional) Why Ashesi University? Tell us why you have decided to apply to Ashesi. 250-word limit. 3. (Optional) Describe a hobby or activity that has been of particular interest to you. 400-word limit. Signature My signature below indicates that all information in my application is complete, factual and represents my own work. Applicant's Signature Date Ashesi University College is committed to administering all educational policies and activities without discrimination on the basis of race, colour, religion, national or ethnic origin, age, handicap, or gender. Note: Any misrepresentation of information will lead to a termination of your application, or dismissal from the college. Notification Kindly select the preferred means of communication through which you would like to be informed about Ashesi University s final decision. By E-mail Please write your email address clearly, if different from that on page 2. By Mail (P.O.Box) If different from that on page 2. Application for Undergraduate Admission 6 Ashesi University College