Iraqi Scholarship Registration form to American Universities
Please submit this registration form to the Iraqi Cultural Office in Washington so that we can help you gain admission to an accredited U.S. university.
المعلومات باللغة العربية
الاسم الكامل باللغة العربية *
حسب ما مذكور في القوائم المرسلة من جامعتك العراقية
Your answer
الاختصاص العام حسب الامر الوزاري / الجامعي *
باللغة العربية
Your answer
الاختصاص الدقيق حسب الامر الوزاري / الجامعي *
باللغة العربية
Your answer
مكان العمل الحالي *
Your answer
الملاحظات
Your answer
Personal Information
First Name *
in English as in Passport
Your answer
Middle Name *
in English as in Passport
Your answer
Surname *
in English as in Passport
Your answer
Gender *
Required
Date of Birth *
MM/DD/YYYY
Your answer
Place of Birth *
City, Country | Example: Baghdad, Iraq
Your answer
Marital Status *
Required
Number of Children *
Your answer
Current Residence *
City, Province | Example: Baqubah, Diyala
Your answer
Email Address *
Please provide a current email address. We will communicate with you using this email address.
Your answer
Telephone Number 1: *
Your answer
Telephone Number 2:
Your answer
Academic Information
Current Academic Degree *
Academic Degree Sponsored for *
Specialty *
Your answer
Subspecialty *
Your answer
Financial Support Letter Issued by: *
If Financial Support Letter issued from Iraqi University, which one?
Your answer
English Language and GRE
English Language Test *
English Language Test Score
Your answer
English Language Test Date
MM/DD/YYYY
Your answer
Place of English Language Test 
Your answer
GRE Test *
Educational Background / Bachelors Degree
(Bachelors Degree) University *
Your answer
(Bachelors Degree) College or School *
Example: School of Law, College of Education
Your answer
(Bachelors Degree) Date Awarded *
MM/YYYY
Your answer
(Bachelors Degree) Score *
Your answer
(Bachelors Degree) Class Rank *
Your answer
Educational Background / Masters Degree
(Masters Degree) University *
Your answer
(Masters Degree) College or School *
Example: School of Law, College of Education
Your answer
(Masters Degree) Field of Study *
Your answer
(Masters Degree) Date Awarded *
MM/YYYY
Your answer
(Masters Degree) Score *
Your answer
(Masters Degree) Class Rank *
Your answer
Publication *
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