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    Application For Admission: Personal Information

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    Universidad EARTH
    This document is an application form for admission to EARTH University. It requests personal information from applicants such as name, contact details, date of birth, education history. It also includes questions about the applicant's reasons for wanting to enroll, experience in agriculture/natural resources, challenges they have faced, extracurricular activities, family/financial details, and references. Applicants are asked to submit the completed form along with transcripts and letters of recommendation by a specified deadline.

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    Application For Admission: Personal Information

    Uploaded by

    Universidad EARTH
    2K views4 pages
    This document is an application form for admission to EARTH University. It requests personal information from applicants such as name, contact details, date of birth, education history. It also includes questions about the applicant's reasons for wanting to enroll, experience in agriculture/natural resources, challenges they have faced, extracurricular activities, family/financial details, and references. Applicants are asked to submit the completed form along with transcripts and letters of recommendation by a specified deadline.

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    Original Title

    Formulario-Earth-inglés-2011-2

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    This document is an application form for admission to EARTH University. It requests personal information from applicants such as name, contact details, date of birth, education history. It also includes questions about the applicant's reasons for wanting to enroll, experience in agriculture/natural resources, challenges they have faced, extracurricular activities, family/financial details, and references. Applicants are asked to submit the completed form along with transcripts and letters of recommendation by a specified deadline.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    2K views4 pages

    Application For Admission: Personal Information

    Uploaded by

    Universidad EARTH
    This document is an application form for admission to EARTH University. It requests personal information from applicants such as name, contact details, date of birth, education history. It also includes questions about the applicant's reasons for wanting to enroll, experience in agriculture/natural resources, challenges they have faced, extracurricular activities, family/financial details, and references. Applicants are asked to submit the completed form along with transcripts and letters of recommendation by a specified deadline.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4

    Application for admission

    (This form is distributed free of charge and may be photocopied if necessary)

    Instructions

    Fill in each section of this application as completely and clearly as possible. The information from this application will be used in the pre-selection of students for EARTH University. Please type or print legibly in blue or black ink. Attach additional pages if necessary. Carefully read the information for candidates included at the end of the application.

    Please attach two recent photographs

    Personal information
    First Name: __________________ Middle Name: ___________________ Last Name: ________________
    (Country Code) (Area Code) (Phone Number) Telephone Number: ___________________________________ If you do not have a telephone in your home, plea-

    se provide a telephone number where a message can be left for you and the name of the person to whom the telephone belongs.

    E-mail address: ___________________ (If you do not have an e-mail address, it is highly recommended that you create one) Other phone numbers or E-mail addresses: ______________________________________________________
    (Country Code) (Area Code) (Tel Number) If you have access to a Fax number, please indicate it: _____________________________________________

    Home Address (Provide your complete home address) ________________________________________________________________________________________ ________________________________________________________________________________________ City: ______________________ State or Province: ______________________ Country: _______________ Place of Birth: _______________________________ Nationality: _________________________________ Region of Origin: ________________________________________________________________________
    (dd/mm/yyyy) Date of Birth: ________________________________________________

    Sex:

    Male

    Female

    Marital Status: ____________________ Do you have children? _______ If so, how many? ____________ Main Economic Activity of Region: _________________________________________________________

    Education
    List secondary, technical institutions and universities that you have attended in the past:
    Name of Institution * Type of institution Years From To Degree received

    * Type of institution: Academic: 1 | Agricultural: 2 | Technical: 3 | Other: specify

    When did you complete (or will you complete) your secondary education? Month _____________ Year ___________ Degree received/ to be received ________________________________________________

    Other information
    For the following questions, prepare a rough draft and proofread it before putting your final responses in the space provided. Please be clear and concise in your answers.

    1. Explain why you wish to enroll at EARTH University.

    2. Using concrete examples, describe your experience in relation to agriculture, livestock, and natural resources. (Make reference to work experience, knowledge, skills, and abilities that you have in these areas)

    3. What is the most important challenge or problem that you have faced in your life, and how did you overcome or resolve it?

    4. Have you participated in: a. Community activities? Explain: b. Sports activities? Explain: c. Extracurricular activities? Explain: No No No Yes Yes Yes

    d. Other activities? (specify) ______________________________

    Family and financial information


    Number of people in your family who depend financially on your parent(s) or guardian, including yourself: _______ Number of siblings and/or family members currently studying at the following levels: Elementary/Middle School: ______ High School: ______ College/University: ______ Complete the following information for each family member in your household:
    Name Identification Number
    ex. Passport Number Relationship to you Mother, Father, Sister, Aunt, etc.

    First and Last Name

    Age

    Primary, Secondary, University, Technical, etc.

    Level of education

    Etudiant, dame de Maison, profession.

    Occupation

    En dollars amricains

    Salaire mensuel

    Father Mother Applicant

    Including contributions from family and other sources, what percentage of the cost of an EARTH education would you be able to cover? 100% 75% 50% 25% None
    Please explain:

    ________________________________________________________________________________________

    How did you receive this application form? Visit from EARTH E-mail High School Fair Other: _______________ Agricultural Fair

    Sworn statement
    The information I have provided in this application is both complete and accurate. I understand that any incomplete or inaccurate information may result in my admission to EARTH University being denied. Signature of Applicant: ________________________ Signature of Witness: _________________________ Date: _____________________ Date: _____________________

    Personal references
    Please attach three (3) letters of reference written by people who know you well and have made an impact on your community in one way or another. One letter must be written by the director or a teacher at your current educational institution. Recommendation letters may not be written by family members. 1. Complete the application form in its entirety and sign the form, together with a witness. 2. Enclose a copy of your high school transcript, covering at least the last three years of studies. Also, enclose transcripts from any colleges/universities you have attended. 3. Enclose three (3) letters of recommendation. 4. Attach two current passport size photographs.

    Please send your completed application, and all additional documents, by air mail to: Oficina de Admisin, EARTH.
    Apartado 4442-1000, San Jos, Costa Rica Application must be postmarked by: June 15th Contact person in your country: ___________________________

    At EARTH we offer you the opportunity to become a leader in Agricultural Sciences and Natural Resource Management, with the potential to impact the wellbeing of your country and the world. An agent of change with the Power to: Demonstrate leadership and values Put your entrepreneurial skills into practice and start your own business Conduct applied scientific research Support the growth of small and mid-sized producers and their communities Apply sustainable production techniques to achieve a positive impact Foster social and environmental awareness What is your super POWER? EARTH University awaits you

    You may speak with our representatives in your country, or you may reach us directly at: (506) 2713-0209 (506) 2713-0000 ext. 3701 fax (506) 2713-0211 e-mail: [email protected] www.earth.ac.cr/ing/index.php

    Printed on chlorine-free, 100% post-consumer recycled paper.

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