Specify program attended:
 Fulbright
 CASP
 STT (Short Term Training)
 Bicommunal workshop
 Other. Please specify:  

Name of university/institution attended under our program:

Field of study:

Degree obtained under our sponsorship-if applicable (BA, BS, MS, MBA etc):

Other degrees obtained:
 Degree obtained:  University:  Major:  Dates of study:

First name:*

Last name:*

Father's full name:

Maiden/Previous name (if applicable):

Marrital status:
Single Married Divorced Widowed

Birth date:

Birth city:

Birth country:

Home address (Include postal code):

Mailling address (if other than home address):

Home phone:

Work phone:

Mobile phone:

Fax number:

Email:*

Current employer:

Position/Title:

Work address:

Work type:
Other Public Semigovernment Private

If you are not currently working, please let us know what you are doing now eg:Attending MS program in Cyprus
at x institution, or Searching for employment etc...

I would like to be on your email distribution list.
(We will periodically send you information on our programs/events that may interest you).