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* Indicates required question
Email
*
Your email
Full Name in English (with grandfather name)
*
Your answer
Full Name in Arabic (with grandfather name)
*
Your answer
Student's Phone Number
*
Your answer
Parent's Phone Number
*
Your answer
Home Phone Number (if applicable)
Your answer
Do You Live Inside a Camp
*
Yes
No
Camp
Yes
No
Camp
Region
*
Saida
Beirut
Tripoli
Tyre
Bekaa
Region
Saida
Beirut
Tripoli
Tyre
Bekaa
Region
Detailed Address (Region-Hay-Str-Bldg)
*
Your answer
School Full Name
*
Your answer
School Type
*
Private
Public
UNRWA
School Type
Private
Public
UNRWA
School Type
Grade 12 Section
*
GS /SG
LS /SV
ES / SE
LH
other
Section
GS /SG
LS /SV
ES / SE
LH
other
Section
School Average in Grade 11 (out of 20 or 100)
*
Your answer
First term average of Grade 12 (out of 20 or 100)
*
Your answer
If you are a University student what is your Major, University, and GPA
Your answer
Indicate the year of the Bacc2 Certificate
*
2021
2020
2019
Other:
University name you are planning or planned to join
*
American University of Beirut (AUB)
Beirut Arab University (BAU)
Lebanese American University (LAU)
Lebanese University (LU)
Makassed University
Rafic Harriri University (RHU)
University of Balamand (UOB)
University of Saint Josef (USJ)
Other:
Required
Majors you will be enrolled in or you want to study at University
*
Nursing
Computer science
Other:
Required
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