APPLICATION FORM FOR DOCTORAL STUDIES

This form should be completed in order to apply for admission as a PhD student at Atılım University

A1: About the programme of study that you are applying to
Programme Title
Choose and tick the graduate school
Choose and tick the programme type
Term of the study you want to start
Status
Doctoral Degree Program*
If you are applying for MODES PhD Program, please specify the area of study.
A2: Personal Information
First Name (Given Name)*
Middle Name/s
Last Name (Family Name)*
Gender
Date of Birth*
Place of Birth
Citizenship*
Passport No*
Marital Status
Father’s Name
Mother’s Name
Blood Type
Do you have a second citizenship?
If yes, please state
PHOTO
A3: Contact Information
Your home address (Residence address)*
Postal Code
City*
Country*
Home Tel
Fax
Mobile*
Your address in Turkey (If any)
Postal Code
City
Country
Home Tel
Fax
Mobile
e-mail (1)*
e-mail (2)
A4: Residence Permit
Do you have a residence permit in Turkey?
If yes, residence permit no
Expiry date of your residence permit
If no, date of last entrance to Turkey (If you are in Turkey now)
A5: Health and Safety
If you are handicapped and/or need special treatment, please state
B1: Educational Backgroud
1. University*
City / Country*
Faculty / Institute*
Department / Programme*
Degree*
Entrance Date*
Graduation Date*
Score (CGPA)*
2. University
City / Country
Faculty / Institute
Department / Programme
Degree
Entrance Date
Graduation Date
Score (CGPA)
3. University
City / Country
Faculty / Institute
Department / Programme
Degree
Entrance Date
Graduation Date
Score (CGPA)
B2: Examinations (Please provide information about the national or international scientific examinations you’ve taken)
1. Examination Name
Country
Exam Date (month/year)
Total Score
Validity
2. Examination Name
Country
Exam Date (month/year)
Total Score
Validity
B3: Language Skills
IELTS (month/year)
Total Score
Validity
Exam Type
TOEFL (month/year)
Total Score
Validity
Exam Type
If you’ve studied in an English spoken country for 3 years or more, please indicate
If you’ve got a certificate of Turkish Language please indicate
C: Work Experiences (Please start with your latest job)
1. Company / Institution
City / Country
Position
Date of Start
Date of Leave
2. Company / Institution
City / Country
Position
Date of Start
Date of Leave
3. Company / Institution
City / Country
Position
Date of Start
Date of Leave
D: References (People who can provide information about your past performances of study and/or work)
1. Name / Surname / Title
Company / Institution
Position
Telephone
e-mail
2. Name / Surname / Title
Company / Institution
Position
Telephone
e-mail
3. Name / Surname / Title
Company / Institution
Position
Telephone
e-mail
E: Doctoral Degree Programmes (Please select only one programme and tick the respective box in column S)
F: Financial Details (How do you plan to finance your stay and study in Turkey?)
How do you plan to finance your stay and study in Turkey?
I have already been awarded a scholarship/grant. (Please state the source and duration)
G: Statement of Purpose (Please indicate your research interests/area of study and provide summary information about your aspirations/intentions. Try to explain the reasons why you prefer Atılım University and this field of study. Also note that, the information provided below will have a great influence on acceptance decision.)
Summary Information
H: Required Documents
How did you hear about Atılım University?
If you hear about Atılım University from a student, please enter the reference student's university ID number
Application form (Completed and photo affixed)
Copy of transcript/s*
Copy of diploma/s (i.e. graduation certificate)*
Passport copy (Photo affixed page and ID page in English, if different.)*
Recognition Letter
Certificate of Language Proficiency
Recommendation Letter/s
Resume (cv)
Supporting documents (e.g. various certificates, proof of financial support, publications, etc.)
Application Date
I: Justification (Name, Surname, Date and Signature)
  • I hereby certify and confirm that all of the information provided on this application form and the supporting documents attached to this form are true, genuine and complete.
  • I recognize that the submission of any false information or fake documents will render this application null and void.
  • I am aware of my responsibility to submit a recognition letter (taken from the Higher Education Council in Turkey, YÖK) and fulfill the language requirement (Turkish and/or English) in order to be admitted as a regular student. In case of failure to fulfill my obligation, I will not claim to be awarded a degree or diploma.

I agree that after the evaluation of the application, $1.000 deposit should be received by Atılım University to issue and send the official acceptance letter. Deposit will be regarded as tuition fee, if the applicant is registered.

I understand that my application and enrollment can be cancelled if the information and / or documents supplied are found to be incorrect, false or distorted.

Full Name*
Application Date
I Agree*
  

Atılım University

Kızılcasar Mah. 06836 Incek – Ankara – TURKEY

Tel: +90 (312) 586 82 70   Fax: +90 (312) 586 80 91

e-mail: ic@atilim.edu.tr

http://ic.atilim.edu.tr

http://www.atilim.edu.tr

Applications via e-mail, fax, air-mail or hand-delivery are not acceptable

Atılım Üniversitesi