Interest Application Form

Student Information

Personal Details

First Name

Middle Name

Last Name

Phone Number

Email Address

Gender

Male

Female

Nationality

Egyptian

Non-Egyptian

Please Specify Nationality

Academic Background

High School Name

Graduation Year

Do you have any other programs in mind?

Certificate Type

Thanaweya Arab Country

Current Grade

Grade 10

Grade 11

Grade 12

University Transfer

University Name

Application Details

Location (Governorate)

Preferred Semester

First Trimester (September)

Second Trimester (January)

Are you interested to attend an orientation event?

Yes

No

Expected Score / Subjects

Please specify your Expected Score / Subjects (minimum 2 characters).

Parent / Guardian Information

First Name

Middle Name

Last Name

Parent's Phone Number

Parent's Email Address

Program of Interest

First Choice Program

Second Choice Program

How Did You Hear About Us? *

School / University Fair

Social Media

Referred by a Friend / Relative

Ads

Website

Call Center/Recruitment

SMS / Email

Please select at least one option.