ADMISSION FORM

APPLICATION FOR ADMISSIONS GCSH

Full Legal Name: *

Date of Birth: *

City of Birth *

Country of Birth *

Age *

Gender *

Male

Female

ID/Passport *

Citizenship *

Home Address *

Phone Number 1 *

Phone Number 2 *

Emergency Contact *

By checking the box, I authorize that emergency contact person stated above to access my academic and financial records kept with the University. I understand I may withdraw the authorization at any time by calling the Office of Student Affairs.

Ever convicted of a crime??

Yes

Ever dismissed from academic institution ?

Yes

Ever treated for a mental illness or substance abuse ?

Yes

Applicant's Email Address *

Proposed Term of Enrollment *

Year *

High School (Freshman Applicants Only) *

Graduation Date *

Dates of Attendance *

Through *

High School Field *

Scientific

GCE

Bagrout

Literature

SAT

Final Grade

List all Academic awards and/or honors

Date	Award/ Honor	Brief Description

How do you plan to finance you education?

Personal Savings

Family / Parental Support

Other Sources

Other Loans

How did you first hear about GCSH? *

Online Ad

Television Ad

Friend

Search Engine

Newspaper Ad

Poster

Radio Ad

Other

I, the undersigned, hereby apply for admissions to Washington University of Health and Science and if admitted, I agree to comply with the rules of the school and to cooperate with the Faculty and Administration in maintaining high standards of scholarship and conduct. I certify that all the information provided in this application and associated materials are correct, valid and complete. .

Signature *

Date *

Submit

Course

ADMISSION FORM

APPLICATION FOR ADMISSIONS GCSH​

List all Academic awards and/or honors

APPLICATION FOR ADMISSIONS GCSH