APPLICATION FORM MONETARY HISTORY AND NUMISMATICS SUMMER SCHOOL
After submitting the application form online, please send the following documents to oyanardag@ku.edu.tr
Email address *
Deadline for applications: 27 April 2018
1. Application form (Online submission)
2. Copy of your ID or passport
3. Resume
4. Official transcript (If you are undergraduate or graduate student)
5. 1 passport size photo
6. 1 Reference Letter
PERSONAL INFORMATION
First Name : *
Your answer
Middle Name (if any):
Your answer
Last Name: *
Your answer
Date of Birth: *
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Nationality: *
Your answer
Gender: *
ID Number: *
Your answer
CONTACT INFORMATION
Home Address: *
Your answer
Correspondence Address: *
Your answer
Home Phone (please include international dialling code):
Your answer
Mobile Phone (please include international dialling code): *
Your answer
Contact name and phone number in case of emergency: *
Your answer
EDUCATION
Name of School: *
Your answer
Department: *
Your answer
Your level: Graduate or Undergraduate? *
Your answer
Date of Graduation: (If you are an undergraduate student, please enter the date you expect to graduate) *
MM
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DD
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YYYY
Are you a Koç University student?: *
PREVIOUS STUDIES
(please list the names of the higher education institutions you have attended, including the field of study, the date of entry, and date of the graduation):
Your answer
CREDITS OR CERTIFICATE
Students wishing to receive ECTS credits need to check if their university has a contract with Koç University. In case there is no contract between the two universities the student should inform their Dean or Office of Student Affairs that they will be taking a Summer School course.
Students wishing to receive ECTS credits need to check if their university has a contract with Koç University. In case there is no contract between the two universities the student should inform their Dean or Office of Student Affairs that they will be taking a Summer School course. *
Required
DO YOU WISH TO APPLY FOR SCHOLARSHIP? *
PLEASE STATE YOUR LEVEL OF ENGLISH *
Your answer
NUMISMATIC BACKGROUND IF ANY
Your answer
STATEMENT OF PURPOSE (150-250 WORDS) *
Your answer
HAVE YOU APPLIED BEFORE? *
IF YES, WHEN?
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YYYY
WHERE DID YOU HEAR ABOUT THE PROGRAM? *
Required
DO YOU HAVE ANY DIETARY REQUIREMENTS? *
Your answer
DO YOU HAVE ANY MEDICAL CONDITION YOU WOULD LIKE TO LET US KNOW ABOUT?
Your answer
DO YOU HAVE A DISABILITY YOU WOULD LIKE TO LET US KNOW ABOUT? (Koç University is committed to providing Barrier Free Education and ensuring all services are accessible to students with disabilities).
Your answer
For a detailed information and requirements about the program please visit;
https://akmed.ku.edu.tr

Academic questions: Tarkan Kahya tkahya@ku.edu.tr
Administrative or logistic questions: Tuba Demirtaş tdemirtas@ku.edu.tr


I hereby affirm that the information given on this form is correct.

A copy of your responses will be emailed to the address you provided.
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