ONLINE APPLICATION FORM

MANHATTAN INTERCONTINENTAL UNIVERSITY
APPLICATION FOR ADMISSION

PERSONAL DATA

Family Name:*

Given Name(s):*

Mailing Address:

Telephone Number:

Email Address (1):*

Email Address (2):

Country of Citizenship:

Passport Number:

Identification Number:

EDUCATION

High School Attended:

Name of Institution:

Country:

Dates of Attendance:

Degree Earned:

COLLEGES AND UNIVERSITIES ATTENDED

Name of Institution:

Country:

Dates of Attendance:

Degree Earned:

Name of Institution:

Country:

Dates of Attendance:

Degree Earned:

Name of Institution:

Country:

Dates of Attendance:

Degree Earned:

LANGUAGE

Native Language:

Intermediate
Advanced
Near Native
Native

Which MIU degree program would you like to apply for?*

Please fill out all lines marked with *