(either) National Identification Card Number

Academic Bridge Program
Admission Application Form
Academic Year 2015-2016
Fall 2015 Semester
Early Admission DEADLINE: 30th April 2015
Standard Admission DEADLINE: 15th July 2015
Application Instructions:
 All sections of this application must be fully completed in ENGLISH.
 The following documents must be submitted with the completed
application form:
1. Official copy of High School Certificate scores.
2. Application fee of QR 500 (non-refundable) to be submitted with the
application.
3. Two recent passport-size photographs.
4. Copy of ID card and passport.
5. Copy of iBT TOEFL/IELTS score report
 If you need Education City housing facilities please contact ABP
Student Services to fill the forms and learn more about housing fees
payment.
 Corporation and the Higher Education Institute sponsorship is
available for Qatari students. The current tuition for Qatari students
who prefer Family Sponsorship is 52,250QAR per year. Current
tuition for non-Qatari students is 63,250QAR per year. A 2000 QAR
deposit is required from private payers after they are admitted.
PART 1
STUDENT INFORMATION:
(Be sure to write your name and identification number exactly as they appear on your
National Identification Card.)
Full Legal Name: _____________________________________________________
(First)
(Second)
(Last Name)
(either) National Identification Card Number: _____________________________
(and) Passport Number: _________________________________________________
Date of Birth:
MM / DD / YYYY
Male
Female
__________________________________________________________________
Country of Origin/Nationality : Mother:_____________Father:______________
Country of Current Residence:
Qatar
Other (Please specify)
_____________________________
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Permanent Mailing Address:
Street Address / PO Box: ________________________________________________
City: ___________________________________ Country: _____________________
Home Telephone Number: __________________ Fax Number: _________________
E-Mail Address: _____________________ Mobile Phone: _____________________
Address in Qatar (If different from permanent mailing address):
P O Box: __________________ City: ________________Country:_______________
Home Telephone Number: _______________ Fax Number: ____________________
Mobile Phone: ________________ Email Address: ___________________________
Educational Data:
Name of High School Attended: _____________________________________
Number of Years Completed: _______________ Year of Completion: ____________
State School
Independent
International Baccalaureate
British
American
Other (please specify) _____________________
Have you done any studies since graduating from High School? Yes
No
If yes, where___________________________________ ; for how long _________
What is your preferred major?
Business
Engineering
Design Arts
Medicine
Government/Law
Journalism/Communication
Other (please specify) _______________
Where do you want to study at University?
Education City
America
How did you learn about the ABP?
School
Family
Friends
Britain
Other (please specify) _________
ABP Website
Radio/TV
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Newspapers
Social Media (Facebook/Twitter)
PART II
PARENT OR LEGAL GUARDIAN INFORMATION:
Full, Legal Name ____________________________________________________
(First)
(Second)
(Last Name)
Relationship: Father
Mother
Guardian
Telephone Number: _____________________ Fax Number: ____________________
Mobile Phone: ____________________ Email Address: _______________________
Signature: ____________________________
Student lives with:
Father
Mother
Guardian
Other
PART III
SPONSORSHIP:
If you are admitted to the Academic Bridge Program, your tuition will be paid by:
Higher Education Institute
Family (Please complete Part IV below)
Other : Please specify ……………………………………………
PART IV
SPONSORS INFORMATION (To be filled by family sponsored students only):
1) Sponsor’s Name: ___________________________________________________
2) Full Address: _____________________________________________________
Telephone Number: ________________ Fax Number: ________________________
Mobile Phone: ____________________ Email Address: ______________________
5) Signature: __________________________________
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PART V
ASSESSMENT/PLACEMENT PROCESS:
All applicants must undergo an assessment process that includes an English exam, a writing
assessment, a math placement test and a computer placement test. The data collected through
these tests will be used to evaluate applicants’ abilities and their commitment to the
Academic Bridge Program. Scores on these assessments will determine the level at which
students begin the program.
Placement testing is a requirement for admission into the Academic Bridge Program.
These assessments will be scheduled before the start of the semester.
PART VI
CERTIFICATION STATEMENT:
My signature below indicates that all the information contained in this application is
complete and correct. I further affirm that I will meet all my financial obligations and comply
with ABP’s regulations.
Signature: ________________________________ Date: _______________________
When returning this completed application package, please make sure that the
following items are enclosed:
Official copy of General Secondary Education Certificate (GSEC) scores
Application fee of QR 500 non-refundable
Recent passport size photographs (2)
Copy of ID card and passport (if applicable)
Copy of iBT TOEFL/IELTS scores
Submit to:
Academic Bridge Program
Office of Admissions and Records
PO Box 24404
Doha, Qatar
Telephone: (+974) 4454 2121 – Reception
(+974) 4454 2131 - Admissions
Fax: (+974) 4481 9928
Email: [email protected]
Our enrollment forms and information will be on the ABP website
www.abp.edu.qa
DEADLINE : 16th July 2015
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