Ben-Gurion University Of The Negev

Ben-Gurion University Of The Negev - Application Form

Save my progress and resume later | Resume a previously saved form

Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Your Email:

A Password:

Confirm Password:

Personal Information

First Name

Middle Name

Last Name (Surname)

Gender

Email:

Phone Number

Date of Birth in format DD/MM/YYYY

Country of Citizenship

Passport Number

Please enter your passport number and not your ID number. For US students: If you don't currently possess a passport, please insert the last 4 digits of your SSN

Permanent Address:

Please include full address, City, Country and Zip Code

Education

Home University /College/ School

In case you are not currently enrolled, please fill out the last institution you were enrolled in to proceed.

University Location

Level Of Study

Major

Education History

Please list all secondary schools and colleges/universities you have attended in chronological order, from newest (most current) to oldest:

Institution 1

Institution 2

Institution 3

Institution 4

Do you currently attend a university associated with the University of California school system?

YesNo

Have you ever transfered or withdrawn from any school for any reason?

YesNo

Please explain

Have you ever been dismissed, suspended, or denied readmission to any school?

YesNo

Please explain

Have you ever been placed on probation (academic, disciplinary, etc.) by a school?

YesNo

Please explain

Academic and Extracurricular Activities

List academic honors, awards or scholarships recieved

List your principle extracurricular activities inluding leadership positions held

List your community activities (student groups, religious and civic organization, etc.)

Program of Interest

The summer programs: Data Mining and BI, Entrepreneurship & Robotics and Internationale Sommeruniversität, will not be offered in summer 2021.

Program

Please note: Select only one program.

Academic-Year

Academic Year

Semester of Study

Semester of study

International office representative name

study abroad office representative name

International office representative Email

study abroad office representative Email

Semester of Study

Short Term

Requested internship Start Date (DD/MM/YYYY)

Requested Internship End Date (DD/MM/YYYY)

Override

yes

Internship field of interest (up to 100 characters)

How did you hear about us?

Please specify

Advisor

Finding a Host at BGU

To apply for the Internship program, you are requested to find an academic host / advisor at BGU.

1. Please review the following link and contact a relevant host / advisor:

BGU Scholars database: https://scholars.bgu.ac.il/

2. Coordinate the Internship with the selected host /advisor

3. Only after receiving consent from a BGU host / advisor, submit your application.

Please note that only applications with host / advisor information will be reviewed.

Advisor's Name

Advisor's Email

Home Institution Study Abroad Contact Information

Study Abroad Contact Name

Study Abroad Contact Job Title

Study Abroad Contact Email

Study Abroad Contact Office Phone

Exchange information

Student's Home Department

Full Name of Student Exchange Representative

Representative in-charge of student nomination

Email of Student Exchange Representative

Which fields of study are you interested in at BGU?

Study Plan

Planned Arrival Date (DD/MM/YYYY)

Planned Departure Date (DD/MM/YYYY)

Name of Advisor at BGU

Email of Advisor at BGU

Please upload BGU's advisor consent letter

Upload BGU's advisor consent letter

Please upload the formal Nomination letter in PDF, Word, HTML, JPG, PNG, or Email format.

Upload the formal nomination letter in PDF, Word, HTML, JPG, PNG, or Email format.

Recommendations

An Email will be sent to the recommender on your behalf asking to upload the recommendation letter.

Professional recommendation - from a supervisor of a volunteering\Internship\extracurricular experience.

	Salutaion	Name	Email
Academic
Professional

Required Documents

It is possible to upload an unofficial copy for your transcript and send the official copy to the New York office at: AABGU 1001 6th ave New York, NY 10018 ATT: Ben Blachman

Upload an official copy of your Transcript of Study

Upload an Academic Recommendation Letter

Upload an 1 Academic Recommendation Letter

Upload a Personal Statement/Motivation Letter

Upload an Personal Statement/Motivation Letter

Upload your Research plan

Upload a Resume/CV

Upload an Resume/CV

Upload a scanned copy of your Passport

Upload an A scanned copy of your Passport

Upload a digital photograph (JPG)

Upload an A digital photograph (JPG)

Have you been nominated as an exchange student by your University?

YesNoIf selected "Yes", please make sure you chose "Exchange Program" in the Program of Your Choice field above.

I am interested in the following:

Pre-Semester Hebrew Language UlpanOn-Campus Housing (for more information click here)

Application

True

Are you interested in on-campus housing? (for more information click here)

YesNo

Program type

OSP

Scholarships

The scholarships offered for this program are merit-based (excellence scholarships). If you would like to apply for a scholarship please upload a letter specifying your academic excellence and background.

Scholarship request

accessibility statement

Save my progress and resume later | Resume a previously saved form

Contact Information

Accessibility Statement