China 1-2-1 Undergraduate Admission Application
Revised November 2006
Please type or print the information below and return this form with the required essay (on a separate sheet).
PERSONAL INFORMATION (Please Print name as it will appear on your passport)
Name ______
Last/Family Name First Middle
Date of Birth _____/_____/_____ Gender Male______Female_____
Day Month Year
Permanent China Address ______
Street Apartment No
______
City/Town State/Province Postal Code
Phone (086) ______
Country Code Please enter your foreign permanent phone umber in the space provided.
Email ______
ENROLLMENT PLAN
Please check the box for your intended major – choose from one of the degrees listed in bold text below.
The Volgenau School of Information Technology and Engineering:
c Computer Science, B.S.
The College of Visual and Performing Arts:
c Dance, B.F.A.
c Music, B.M. in Performance
The College of Humanities and Social Sciences
c Geography, B.A. or B.S. degree
c Economics, B.A. or B.S
c Global Affairs, B.A
The School of Management:
c Decision Sciences and Management Information Systems, B.S.*
c Management, B.S.*
c Marketing, B.S. *
c Finance, B.S.*
*These business majors are only open to students accepted by the School of Management after meeting prerequisites at Mason. Extra coursework/time may be required for these degrees.
ENROLLMENT HISTORY
Secondary School ______
Name of School City State/Province Country
Unified National University Entrance Exam Score(s) ______
Chinese Mathematics English
Date Taken ______/______/______or ______
Day Month Year Natural Science Social Science
Postsecondary Institution
Please circle the post-secondary school that you attend. Beijing Normal University CHU 063
Chang’an University CHU 478
Chongqing University CHU 319
Communications Univ. of China CHU 205
Nanjing Normal University CHU 003
Shandong Univ. (Weihai campus) CHU 036
Southwest Jiaotong University CHU100
Suzhou University CHU 043
Wuhan Univ. of Technology CHU 051
Yunnan University CHU162
Other: ______
TEST INFORMATION
Test results should be sent to George Mason University’s Office of Admissions directly from your testing agency.
Have you taken the TOEFL or IELTS exam? Yes / No
______
Test Score Date Taken Test Score Date Taken
INTERNATIONAL INFORMATION
Country of Citizenship ______City and Country of Birth ______
Native Language ______How long have you studied the English language? ______
Have you visited the United States before? Yes / No
If Yes, When ______For what purpose: ______
GENERAL INFORMATION
Have you ever been placed on academic or social suspension or dismissed from any college, university, or other formal postsecondary educational program? (If yes, attach a statement of explanation.) Yes / No
Please list any other American schools you are applying to: ______
______
HONOR CODE
George Mason University shares the tradition of an honor system that has existed in Virginia since 1842. The Honor Code is an integral part of university life, and it is the student’s responsibility to understand the provisions of the code. Attempted cheating, plagiarism, lying, and stealing constitute Honor Code violations. In the spirit of the code, students and faculty must report all violations to the Honor Committee. The complete Honor Code is found in the University Catalog and will be fully explained during orientation.
I will read and accept the responsibility of the Honor Code if I am approved for admission to George Mason University.
Signature ______Date ______
ESSAY
The Admissions Committee is interested in learning more about you. On a separate sheet of paper, please write at least 150 words about yourself. Please use this essay to relate information about yourself that cannot be found elsewhere on your application. You may choose to write about your ambitions and goals, a special talent, or unusual interest that sets you apart from your peers, or a significant event or relationship that has influenced you during your life. Please include your name on your essay.
SIGNATURE
I certify that all information given on this application is complete, true, and correct.
Signature ______Date ______
Other Information
www.admissions.gmu.edu
Find the 1-2-1 application online to print.
www.gmu.edu/students/oips
See what services the Office of International Programs and Services offer.
ATTN: Kevin Holmes
George Mason University
Admissions Office
4400 University Drive
MS 3A4
Fairfax, VA 22030, USA
Phone (001) 703-993-2400
Fax (001) 703-993-2392