Web Id Get after web admission ID Number For office use only Office of Admissions Attach Recent Photograph here Application for Admission to Undergraduate Study For the Academic Year 2015–2016 1. Full Legal Name [Full name as it appears on passport or identity card] In English First Name Middle Name In Arabic Last Name إسم العائلة إسم األب اإلسم األول 2. Gender Male Female  Blood Type 3. Marital status Married Other (e.g., 18-OCT-1995) 4. Date of Birth 5. Place of Birth Single Day City Month Year Nationality Country 6. For Lebanese Students only Sector Place )(مكان السجل County Sector Number )(رقم السجل State )(القضاء )(المحافظة 7. Permanent Address Building floor County )(القضاء Street City State )(المحافظة Country 8. Telephone Home Country code Area code Number Mobile Country code Cell code 9. Email address @ 10.Father’s name Living Occupation Company/Business Mobile Email address Yes 11.Mother’s maiden name Living Occupation Company/Business Mobile Email address Yes No No Number 12.Guardian’s information (if both parents are deceased) Full Name Relationship Occupation Company/Business 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) LebaneseL.S. Non Lebanese (specify section) G.S. S.E. Technical (specify) L.H. 15.Name of secondary (high) school from which you graduated Public School Mailing address Street City Private School Country 16.Have you taken the TOEFL, IELTS or SAT1(Writing Section) Exam? If yes, please indicate score and date taken Score Exam Month/Year 17.Have you previously applied to, been accepted, or enrolled at BAU? Yes If yes:Applied Accepted Enrolled No ID Number Academic year 18.Emergency Contact Relationship Name Telephone Home Country code Area code 19.Do you have any physical disabilities? Yes Mobile Country code Number Area code Number 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 1. 2. 3. 4. Major Campus BAU Faculties and Majors Faculty of Arts Design & Arts Programs (DEB,TRI) Faculty of Pharmacy -General Arts (BEI) -Sociology -Psychology -Mass Communication -Arabic Language & Literature (BEI) -English Language & Literature (BEI) - Graphic Design - Interior Design - Landscape Design -Pharmacy (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) Faculty of Medicine 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) -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) Faculty of Science -General Science (DEB,TRI) -Chemistry -Mathematics -Physics -Computer Science -Biology (DEB,TRI) -Biochemistry 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
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