Name of applicant

Birthdate

Nationality

Address

Tel

E-mail:

Summer School will be attended as

[  ] Official student                           [  ] Special student 

If applying as an official student

University:    
Department: 

If applying as a special student

Occupation:
Company:   

Courses you would like to take in Summer School (Code-Title).

1.

If the courses chosen above are full or not offered, indicate alternative courses you may consider to take.

1.
2.
3.

If either list above includes an intensive language course, have you had any previous exposure?

[  ] Yes                                            [   ] No
      If yes, indicate level:

Indicate your level of English by placing an X at the appropriate position on the scale.

__________________________________________
0                                                                                100

Are you on Bilkent Scholarship?

[  ] Yes                                            [   ] No 

Date:

Signature: