Sm APPLICATION tl FOR ADMISSION THIS FORM IS DISTRIBUTED FREE OF CHARGE AND MAY BE PHOTOCOPIED. Instructions: + Fill in each section ofthis application as completely and clearly as possible. The information . from this application wil be used in the pre-selection of students for EARTH University. FEN + Type or print legibly in blue or black ink. RECENT + Atcach additional pages ifnecessary. PASSPORT + Carefully read the information for candidates included at the end of the application. SL First Name: Middle Name: Last Name(s) ID or Passport Number: Call phone Number: Home Phone: (Coery code) (rn cote) (Phone Nam) (Conerycade) ren coie) Prone Nem) Ir you do not have a telephone in your home, please provide a telephone number where a message can be left for you and the name of te person to whom the telephone belongs: (Country code) (Area code) Phone Num) (Fe and stra) Exmal address. Country. State or Province: City: Write your home address as completely as possible, including house or building number, street, avenue, etc Phce of Birth: Nationality Date of Birth sx MO FO Marital Status: Do you have children? IF so,how mary? Region of Origin: Main Economic Activity of Region:List secondary, technical institutions and universities that you have attended in the past: ‘Type of Years insctution Degree | Telephone Name of Institution ‘penace | From To recelved ‘Number Eaten ‘Type of institution: Academic: + Agricultura? + Technica3 + Other:specfy ‘When did you complete (or will you complete) your secondary education? Month Year: Degree received! to be received Is the institution where you studied public or private? PERSONAL INFORMATION To answer numbers one through three, prepare a draft ofeach answer on a separate paper and carefuly revise it before copying. itin the space provided below. Be clear and concise. fyou need more space, you can attach an additional page. | Explain why you wish to enroll at EARTH University. 2. Explain through examples: What experience do you have in agriculture, vestock andlor natural resources? You may refer ‘to work experiences, acquired knowledge and ski. 3.What is the most important challenge or problem that you have faced in your life? How did you overcome or resolve iv4, Have you participated in: a.Communityacvte? Yes CQNo O Exphin: bsporsacivies!) Yes QNo O opin Extracurricular activites? Yes) No ©) Bphin .Other activities? a POS @ anon cairo EARTH provides financial aid to al ofits students. Scholarships amounts are awarded based on need, Please complete the following financial information, which will be verified upon acceptance to EARTH Number of people in your family whe depend financially on your parent(s) or guardian, including yourself, Number of siblings and/or family members currently studying atthe following levels: Elementary/Middle School: High School College/University (Elementary refers to primary or basic education) e Relationship Level of education ren nm petite ate | ee cones Father Mather Applicant (you) Sting Sings Otters Monthly net income of household in US dollars (please mark a range): $0-$100 $ 101 - $350 $351 - $800 $801 - $1,200 $ 1,201 - $2,500 $ 2,501 - $4,000 $ 4,001 - $5,500 $5,501 - $7,000 $7,001 - $8,600 $8,601 or more Please cell us how you heard about EARTH University OPresentation © Fair © Website © Facebook © Graduate © Other (explain)RA io eur Una ‘The information | have provided inthis application is both complete and accurate. understand that any incomplete or inaccurate information may result in my admission to EARTH University being denied, Signature of Applicant: Date: ID or Passport number: RNeasy Please attach three (3) letters of reference written by people whio know you well and can speak to your vocation for agricultural sciences and natural resources or someone who has contributed to your academic development. Family members may not write recommendation letters. ‘The references must be completed in the EARTH format (attached). IF for some reason you do not have it, you may request the form from the Admissions Office (admisiones@earthac.r) or download it from our website wwwearth.accrfapply. aaa SUBMIT Y |. Have a personal e-mail account. 2. Complete this form in its entirety. 3. Copies of offcial Junior school (O-level) and senior high school (A-level) certificate(s) and transcripts issued by the examining body of your country. 4. Attach three (3) letters of recommendation in the EARTH format. 5. Attach a passport size photograph at the beginning of this form. 6. Ifyou have already completed high school, attach a photocopy or scanned copy of your degree. ‘To submit your application, choose from the following options: By email: By post: Sean your application and the additional documents | Send your application and the additional documents in PDF formatin the order of the list above and send | to the following address: them to admisiones@earth.ac.cr. Admissions Office No other formats will be accepted. EARTH University PO. Box: 4442-1000 San José, Costa Rica arrived, you can contact the Admissions Office at (506) 2713-0209 / (506) EARTH fis aA } To confirm that your documents have Application deadline: >) wwwearthac.erlapply J JEARTHUniversity (EJ/EARTH_Uni