Application System - Egyptian American Nursing Schools

Application Form

Please fill in all required information accurately

Student Information

Student Full Name (4 parts) *

Student National ID *

Date of Birth *

Gender *

Governorate *

City / Center *

Educational Information

Educational Administration *

Preparatory School *

School Type *

Preparatory Certificate Total *

Percentage (if available)

Year of Preparatory Certificate *

Address

Detailed Address *

Nearest Landmark *

Guardian Information

Guardian Full Name (4 parts) *

Relationship *

Guardian National ID (Optional)

Guardian Phone (1) *

Guardian Phone (2)

Contact Information

Student Phone *

Email (if available)

Application Details

Target School

Is the student from the same governorate? *

Applied to another school before? *

Notes