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Application Form

The document is an application form for undergraduate admission to Academic City for the January 2020 entry, requiring personal information, program selection, academic history, and additional details. Applicants must provide supporting documents, including transcripts and an admission essay, along with a declaration of the accuracy of their information. The form also includes a checklist of required documents and payment information for the application fee.

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0% found this document useful (0 votes)
4 views4 pages

Application Form

The document is an application form for undergraduate admission to Academic City for the January 2020 entry, requiring personal information, program selection, academic history, and additional details. Applicants must provide supporting documents, including transcripts and an admission essay, along with a declaration of the accuracy of their information. The form also includes a checklist of required documents and payment information for the application fee.

Uploaded by

4xk7cqvp2n
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

ACADEMIC CITY

APPLICATION FOR UNDERGRADUATE ADMISSION


January 2020 Entry
(All fields must be completed for your application to be considered; where not applicable please state N/A)

PERSONAL INFORMATION

1. NAME:
FIRST MIDDLE LAST

2. DATE OF BIRTH: 3.  FEMALE  MALE


DAY / MONTH / YEAR

4. EMAIL ID: 5. NATIONALITY:

6. PHONE NUMBER: 7. HOME REGION:

8. ADDRESS:
STREET ADDRESS

TOWN/CITY STATE/PROVINCE/REGION COUNTRY

9. ID TYPE: 10. ID NUMBER:

PROGRAM DETAILS

1. PLEASE SELECT YOUR PROGRAM OF CHOICE


ENGINEERING BUSINESS
 [Link]. ELECTRONICS & COMMUNICATION ENGINEERING  BACHELOR OF BUSINESS ADMINISTRATION - ACCOUNTING
 [Link]. COMPUTER SCIENCE & ENGINEERING  BACHELOR OF BUSINESS ADMINISTRATION - BANKING &
 [Link]. MECHANICAL ENGINEERING FINANCE
 [Link]. ELECTRICAL & ELECTRONICS ENGINEERING1  BACHELOR OF BUSINESS ADMINISTRATION - HUMAN
RESOURCE MANAGEMENT
 BACHELOR OF BUSINESS ADMINISTRATION - MARKETING

INFORMATION TECHNOLOGY COMMUNICATION ARTS


 [Link]. INFORMATION TECHNOLOGY  B.A. JOURNALISM & MASS COMMUNICATION
 B.A. ADVERTISING & PUBLIC RELATIONS

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ACADEMIC HISTORY
Please submit copies of your official transcripts or report cards and result slips (other language documents translated in English)
HIGH SCHOOLS ATTENDED OR ATTENDING

Qualification School/College Name Enrolment Period


Country
(e.g. A Levels/WASSCE/HND) From (MM/YY) - To (MM/YY)

DISTINCTIONS & EXTRA-CURRICULARS

1. List any distinctions, awards or honours you received or won


Name of Award, Honour or Distinction Name of Institution Year Received

2. State most recent work experience


Employer Name Your Role/Title Employment Period No. of hours per week
From __________ (MM/YY)
To __________ (MM/YY)

HOUSING
As part of the Academic City experience, all first-year students are encouraged to live on campus.
Would you require on-campus hostel accommodation? YES NO

PARENT / GUARDIAN / SPONSOR DETAILS

PARENT / GUARDIAN / SPONSOR NAME: RELATIONSHIP:

EMAIL ID: PHONE NUMBER:

CURRENT OCCUPATION: OWN BUSINESS INDUSTRY TYPE:

EMPLOYMENT JOB TITLE: COMPANY NAME:

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ADDITIONAL INFORMATION
1. How did you hear about us?
Academic City Website Radio; Please specify: _______________________
Social Media (Facebook, Instagram, Twitter, etc.) Billboard;
Please specify: _______________________________ Please specify Location: _______________________
Newspaper; Please specify: __________________ School Visit
Educational Fair; Please specify: _______________ Television; Please specify: ____________________
Referral; Please specify who: __________________ Agent; Please specify: _______________________
Flyer / Brochure Other
Please specify where: __________________________ Please specify: ______________________________

2. Do you have any disability or learning difficulty that may affect your learning while at Academic City
NO YES If yes, please provide a brief explanation:

SHORT ESSAY RESPONSE


Submit this short essay response with your application (max. 400 words). Choose ONE of the following two options:
1. Describe an experience from your life that demonstrates your character or that helped shape who you are
(OR)
2. Describe a situation in your life when you faced a challenge and how you managed that situation
Your essay will help us get to know you better, so please be open and honest.

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APPLICATION CHECKLIST
Completed and signed Academic City application with two passport size photos signed on the back
Copy of transcripts or senior high school terminal reports / final year certificate
One admission essay
Documents to justify equivalence of qualifications (for candidates from foreign institutions)
Passport and/or non-citizen ID card copy for foreign nationals
Proof of payment of application fee: GHC 100 (Ghanaian Students), $50 (Foreign Students). Payment options below:

Ecobank Deposit or Transfer For Payment in Nigeria Only


Company Name: Academic City College (Gh) Limited
Bank Name: EcoBank Nig Plc.
Ghana Cedi Account Number: 0010134415403101
Account Name: Academic City College (GH) Limited
US Dollar Account Number: 0012104415403101
Naira Account Number: 2813061976
Bank Name: Ecobank Ghana Limited
USD Account Number: 2813063664
Bank Address: 19, Seventh Avenue, Ridge West, Accra
Swift Code: ECOCGHAC
MTN Mobile Money Number: +233 (0)242538304 (In Ghana only)
Cash at on-campus fee counter in Ghana (In Ghana only)

Candidates awaiting final exam results can apply for admission (admission to be confirmed after final results)
Mail/drop application at the Admissions Office, Academic City college (OR) email to admissions@[Link]
(P.O. Box AD 421, Adabraka, Accra)

PLEASE NOTE
- Candidates awaiting final exam results can provide all other documents to be reviewed for admission. Final exam
results must be submitted as soon as released (admission to be confirmed after final results).
- English translated copies to be submitted for supporting documents (e.g. transcripts) in other languages.
- Admissions eligibility of foreign candidates will be governed by the equivalency norms set by the National Accreditation
Board (NAB) and affiliating university.

DECLARATION BY APPLICANT
I hereby solemnly affirm and declare that the information provided in this form is correct and the supporting documents
submitted are genuine in all respects. In case any information or document is found to have been falsified, then the same
shall render the application form null and void, and shall result in automatic cancellation of my admission, and liable to
disciplinary action by Academic City. I understand that my admission and continuous enrolment are governed by the
statutes of Academic City. I shall abide by all rules and regulations applicable to Ghanaians / foreign nationals in Ghana.

DATE: SIGNATURE OF APPLICANT:

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