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Application Form

TURKISH ROTARY CLUBS

GRADUATE SCHOLARSHIP PROGRAM

R.I. DISTRICTS 2420, 2430, 2440

APPLICATION FORM

(Please type or print in English) SECTION I - PERSONAL DATA
Name *
Surname *
Permanent Address
City/town
Country
Postal/zip Code
Phone
Fax
e-mail
Place of Birth
Birthday
Marial Status *
Citizenship
Sex

EMERGENCY CONTACT PERSON
Emergency Contact Fullname
Emergency Contact Relation
Emergency Contact Address
Emergency Contact Phone
Emergency Contact Fax
Emergency Contact e-mail
Have you been to Turkey before?
If your answer is yes:
The Purpose
Duration
The application is for

SECTION II - EDUCATIONAL HISTORY (List the schools attended)
Secondary
Post Secondary / University
Post Secondary / University Degree
Are you still a student?
If your answer is yes:
When will you graduate?

If your answer is no:
What is your position?
What are your plans after the completion of your studies?
In what major discipline would you prefer to study? (If available)

Candidates should have successfully completed GRE or GMAT test.
Applicants from non-English speaking countries are required to take TOEFL.
If the test is to be taken at a later date, please indicate the date.
Candidates with knowledge of Turkish should apply to Cultural Attaché offices of
Turkish Embassies and receive documents certifying the level of their knowledge of Turkish.

GRE Date		GRE Score
GMAT Date		GMAT Score
TOEFL / ELTS Date		TOEFL / ELTS Score

SECTION III - ACCEPTANCE - ROTARY CLUB ENDORSMENT
Rotary Club of
Address of Club
Club President
Club President Phone
Club President Fax
Club President Date
Disctrict Governer
Disctrict Governer No
Disctrict Governer Phone
Disctrict Governer Fax
Disctrict Governer Date

Attachments:

Yeni Sayfa 1


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