AUAP American Universities Admission Program

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Questionnaire....

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Congratulations! You are mastering your future by entering into an American university.
We will help you to select the five best universities for you according to your qualifications and tastes.
Please reply as soon as possible as it will enhance your chance of being admitted.
Be frank and express about yourself; this choice is crucial for your future and career. You may skip questions.
If you need more room to answer a question, you may continue on a separate email.
All information provided will be kept confidential by American Universities Admission Program and will be used only for purposes of rendering the services requested.
  PLEASE TELL US ABOUT YOURSELF
Preferred Entry Session:


Last Name:
First Name:
Date of Birth: dd/mm/yyyy
Nationality:
Gender: Female Male
Address:
City:
Postal code:
Country:
Phone:
Fax:
E-Mail:
Required
   
Current School or University:
Current year of study:
School/University 
Name and Address:
School/University Telephone:
School/University Fax:
High School Students
specify the curriculum you are following
University Students
list the courses you are taking
(This year)
   
Father's name 
and occupation:
Diploma,University:
Mother's name 
and occupation:
Diploma,University:
Age and name of the other children in your family
   
Have you had contact with any graduate of an American college or university? Yes No
If yes, give us his/her name and address:
For Foreign Students:
Are there any American citizens in your family? 		Yes No
If yes, give us his/her name and address:
   
How did you learn about AUAP?
Name of AUAP Representative(s) who have contacted you:
   
ADDITIONAL COMMENTS

   
  YOUR PERSONAL PREFERENCES

Please mark with Unacceptable, Acceptable or Desirable what best expresses your taste. You may skip questions if desired.
I.

Type 		University / College
Undergraduate
(after secondary school)

  Acceptable
Graduate School
Masters degree

  Acceptable
Graduate School
Doctorate or Terminal degree (Ph.D., Ed.D., Psy.D.)

  Acceptable
Public

    Unacceptable   Acceptable   Desirable
Private
(Harvard, MIT, etc.)

   Unacceptable   Acceptable   Desirable
Religious

    Unacceptable   Acceptable   Desirable
Coeducation
(both sexes)

   Unacceptable   Acceptable   Desirable
Single Sex

    Unacceptable   Acceptable   Desirable

 
II.

University Environment
A. Urban (large metropolitan area)

   Unacceptable   Acceptable   Desirable
B. City

    Unacceptable   Acceptable   Desirable
C. Suburban (close to a city)

    Unacceptable   Acceptable   Desirable
D. Rural (small town or far from a city)

    Unacceptable   Acceptable   Desirable
   
III.

University Size
A. Small (less than 1,500 students)

    Unacceptable   Acceptable   Desirable
B. Mid size (1,501 - 4,000)

    Unacceptable   Acceptable   Desirable
C. Large (4,001 - 10,000)

    Unacceptable   Acceptable   Desirable
D. Very large (10,000+)

    Unacceptable   Acceptable   Desirable
   
IV.

University Lodging
A. On campus

   Unacceptable   Acceptable   Desirable
B. Apartment, etc. off campus

    Unacceptable   Acceptable   Desirable
   
V.

Yearly Budget

Include all costs - tuition, meals, lodging and all mandatory fees. Financial aid is sometimes available for international students. Indicate the maximum yearly amount available from your family.
A. Less than $10,000/year

   
B. $10,001 - $15,000

   
C. $15,001 - $20,000

   
D. $20,001+

   
Total income of your parents last year:
   
VI.

Preferred Location
A. New England (Northeast)

    Unacceptable   Acceptable   Desirable
B. Atlantic States

    Unacceptable   Acceptable   Desirable
C. South

    Unacceptable   Acceptable   Desirable
D. West

    Unacceptable   Acceptable   Desirable
E. Northwest

    Unacceptable   Acceptable   Desirable
F. Midwest

    Unacceptable   Acceptable   Desirable
   
VII.

Religious affinity (if important)
Religion
Other (Please specify if important to you)
I would like to be with students sharing the same religion: Yes No No Preference
   
VIII.

Sports

Here is a list of sports common at American universities. Tell us which ones you already participate in at the competition or leisure level
American Football
Archery
Badminton
Baseball
Basketball
Bowling
Crew
Cross Country Running
Equestrian
Fencing 		Field Hockey
Golf
Gymnastics
Ice Hockey
Lacrosse
Riflery
Rugby
Sailing
Skiing
Soccer 		Softball
Squash
Swimming and Diving
Table Tennis
Tennis
Track and Field
Volleyball
Water Polo
Weight Lifting
Wrestling
I compete in the following sport:
(Specify the level as it may be important for undergraduate scholarship possibilities)
I would like to practice the following sport for my leisure:
   
IX.

Activities

American universites have abundant cultural and associative activities. Please indicate your preference.
 
Choral
Dance
Debate
Drama
Fraternities
Honor societies
Magazine
Newspaper 		Orchestra
Political groups
Radio / TV
Religion
Service clubs
Student Govt.
Yearbook
I would like to participate in the following activities:
   
X.

Future Career
Indicate your career goals in order of preference:
   
XI.

Favored Majors or Graduate Degree
Degrees:
   
XII.

Favored University
Name of University:
Please let us know if you already have a university in mind.
(We will advise you if it is suitable)
   
XIII.

Extracurricular activities or work experience (that is relevant to your application)
Experience:
Please list your activities such as sports, community or civic involvement, art, leadership, elective post, clubs or societies. Also list all honors and diplomas you have received.
   
XIV.

Personal Essay (Optional)
Essay:
Write a brief essay about who you are, your personality and your career goals. This helps us to assess the best choices.
   
XV.

Tests
Tests:
Various tests are required as part of the admissions process to American universities. Have you taken, or are you registered to take, any American tests (i.e., TOEFL, SAT, SMAT, GRE, etc.)? If so, please list the test, test date and scores.
   
XVI.

Referral
Referrals:
Please send us the names and addresses of three persons who may be interested in the services of AUAP. Thank you!
   
XVII.

 Academic Profile
 
In order to match you to the best universities, we need to understand your academic performance. Please write about your transcripts/exam results and subjects or send us a copy my normal mail/post or write this out on a separate email. (All American universities will require official transcripts at time of application.) Please include subjects, rank in class, grades, specializations, etc.
   
Subscription

 Yes, I want to subscribe to the following program(s):
  SELECTION PROGRAM
      $350 for 4 universities

FULL SERVICE GUARANTEED ADMISSION PROGRAM
      (includes payment of test & applications fees)
      $2500 for 4 universities

ENGLISH LANGUAGE PROGRAM
      $350

ADMISSION PROGRAM ADD-ONS
ADDITIONAL UNIVERSITY
      $300 USD per university
RUSH SERVICE
      $100 USD per university
CONTINUING SUPPORT
      $100 USD per hour
   
Payment
Amount: US $

Credit Card
VISA MasterCard / EuroCard
American Express

For credit card payment:
Card holder:
Card number:
Expires: Month / Year
Travellers Cheques in US Dollars
Bank Draft in US Dollars
      Payable to American Universities Admission Program (AUAP)
Wire Transfer
      Contact AUAP for wiring information
   
 


Download this questionnaire as TXT file for easy printing and faxing HERE



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AUAP American Universities Admission Program
5053 Ocean Blvd., Suite 19 - Sarasota FL 34242 -USA
Tel: (1) 941 346 1427 - Fax (1) 941 349 43 70 - e-mail: auap@auap.com

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