(BLIMUN)
American University in Bulgaria
February 07-09 2014
Application Form
Please complete all parts of this application form.
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PERSONAL DETAILSFamily/last name:
First name(s):
Title (Mr/Miss/Mrs/Ms/Dr) Mr. Sex: Male o Female ÿ
Contact address:
City:
Country:
Telephone number:
Email address:
Age:
Date of birth (dd/mm/yy):
Nationality:
Passport Number:
ACADEMIC DETAILSPlease give details of your educational background, including current study and degrees achieved:
Studying for BA ÿ (year____) Studying for MA ÿ (Year _____)
ÿ Concentration: ______
Name of the university: ______
ENGLISH LANGUAGE QUALIFICATIONSIf your first language is not English, please indicate your level of English language proficiency
Excellent/Professional o Good/Working ÿ Elementary ÿ Limited ÿ
IELTS/TOEFL/Cambridge CAE scores are not a requirement for this application. If you have taken one of these tests in the last 3 years please indicate the score you received:
IELTS ÿ (score) ______TOEFL ÿ (score) ______Cambridge CAE ÿ (score) ______
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PERSONAL STATEMENTIn the space provided below, please explain why you wish to attend the BLIMUN conference. In particular tell us what you hope to achieve, including what skills you hope to acquire. Use this page for any additional information you would like to give us about yourself.
Previous MUN or MEU experience:Which committee are you applying for:
General Assembly o Security Council ÿ
List 5 countries you wish to represent:SPECIAL REQUIREMENTS
We do not discriminate against people with disabilities or medical needs and make all reasonable efforts to accommodate their needs. Do you have any special physical, medical or food needs? No o Yes ÿ If yes, we will contact you for further details.
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PUBLICITYHow did you find out about the BLIMUN 2014 conference? Recommendation ÿ My institution (please specify) ______Internet (site?) ______Publication (title?)______
APPLICATION SUBMISSION DETAILSAlong with this application, please attach a copy of your CV.
Please email this application and supporting documents by December 20th 2013 to