Web Id:__________________ ID Number: _________________

Get after web admission For office use only

Office of Admissions

Application for Admission to Undergraduate Study

For the Academic Year 2014–2015

1 . Full Legal Name: [Full name as it appears on passport or identity card]

In English: ______________________ / ________________________ / _______________________ First Name Middle Name Last Name

In Arabic: ______________________ /_________________________ / ________________________ االسم االول اسم األب اسم العائلة

2 . Gender: Male Female Blood Type: ___________________________

3 . Marital status: Single Married Other _________________

4 . Date of Birth: ______ / ________ / __________ (e.g., 18-OCT-1995)

Day Month Year

5 . Place of Birth: _____________/________________ Nationality: _________________________ City Country

6 . For Lebanese Students only

Sector Place(مكان السجل):_______________________ County(القضاء):_______________________

Sector Number(رقم السجل):______________________ State(المحافظة):_______________________

7 . Permanent address:

_________________ /_______ ___________________ _________________________ Building floor Street City

_________________________ ____________________ _________________________ State (القضاء) County (المحافظة) Country

8 . Telephone (Home): ________ / ______ / _____________ (Mobile): _______ / ______ / __________ Country code Area code Number Country code Cell code Number

9 . Email address: ______________________________________ @ ____________________________

10 .Father’s name:_______________________ Living: Yes No

Occupation:__________________________ Company/Business:_______________________

Mobile:______________________________ Email address:__________________________

Attach Recent Photograph here.

11. Mother’s maiden name:_______________________ Living: Yes No

Occupation:__________________________ Company/Business:_____________________

Mobile:_____________________________ Email address:_________________________

12 . Guardian’s information (if both parents are deceased (

Full Name: _________________________________ Relationship: _____________________

Occupation/Business name:_____________________ Mobile:__________________________

Email address:_____________________________________________________________________

13 . List the full name(s) of relatives currently employed by BAU:

Full Name Relationship to you Department Employee Number

____________________ / _____________________ / __________________ / ___________________

____________________ / _____________________ / __________________ / ___________________

14 . Secondary diploma/certificate (Year received):______________

Lebanese: L.S. G.S. S.E. L.H. Technical(specify):________________

Non Lebanese(specify section):__________________________

15. Name of secondary (high) school from which you graduated:

______________________________________ Public School Private School

Mailing address: ______________________ / __________________ / ________________________ Street City Country

16. Have you taken the TOEFL, IELTS or SAT1(Writing Section) Exam? If yes, please indicate score and date taken:

_________________________________ / ________________________ / _____________________________ Exam Score Month/Year

17 . Have you previously applied to, been accepted, or enrolled at BAU? Yes No

If yes: Applied Accepted Enrolled: ____________________________ / _________________________________ Academic year ID Number

18 . Emergency Contact

______________________________________________/ __________________________________ Name Relationship

Telephone (Home): ______ / ______ / _____________ (Mobile): ________ / ______ / __________ Country code Area code Number Country code Cell code Number

19 . Do you have any physical disabilities? Yes No

if yes, please describe. The information is requested only to enable the University to better serve students.

________________________________________________________________________________

20 . What is your first foreign language? English French

21. Indicate your choice of Faculty, Major and Campus in order of preference: An applicant may not apply to more than four choices (Major No.1 is your first choice).

Campuses: Beirut (BEI ) Debbieh (DEB) Tripoli (TRI)

Faculty Major Campus

1. _____________________________________ / _____________________________ / ______________________

2. _____________________________________ / _____________________________ / ______________________

3. _____________________________________ / _____________________________ / ______________________

4. _____________________________________ / _____________________________ / ______________________

BAU Faculties and Majors

Faculty of Arts

General Arts (BEI)

- Sociology

- Psychology

- Mass Communication

Arabic Language & Literature (BEI)

English Language & Literature (BEI)

French Language & Literature (BEI)

Faculty of Law & Political Science

Law (BEI)

Faculty of Business Administration

Accounting (BEI,DEB,TRI)

Management (BEI,DEB,TRI)

Economics (BEI, DEB)

Marketing (BEI, DEB)

Banking & Finance (BEI,DEB,TRI)

Hospitality & Tourism Management (BEI, DEB, TRI)

Management Information Systems (BEI, DEB, TRI)

Faculty of Architecture

Architectural Engineering (DEB,TRI)

Prospective Majors 2014-2015

Graphic Design

Interior Design

Landscape Design

Faculty of Engineering

Civil & Environmental Engineering (DEB,TRI)

Mechanical Engineering (DEB,TRI)

Industrial & Engineering Management (DEB)

Electrical Power & Machines Engineering

(DEB,TRI)

Communications & Electronics Engineering

(DEB,TRI)

Petroleum Engineering (DEB)

Faculty of Science

General Science (DEB,TRI)

- Chemistry

- Mathematics

- Physics

- Computer Science

Biology (DEB,TRI)

- Biochemistry

Faculty of Pharmacy

- Pharmacy (BEI)

Faculty of Medicine

- Medicine (BEI)

Faculty of Dentistry

- Dentistry (BEI)

Faculty of Health Sciences

- Nursing (BEI,TRI)

- Nutrition & Dietetics

(BEI,TRI)

- Medical Lab Technology

(BEI,TRI)

- Physical Therapy (BEI)

I declare that I have answered all questions completely and accurately. I understand that it is my responsibility to keep the office of admissions informed of any changes to the information in my application materials.

Date:__________________________ Signature:____________________

For Administrative Use Only

Reviewer Name: __________________________ Date:____________________ Signature: _______________________