Last Name	First	E-Mail Address
		Citizenship
Current Adress	Permanent Address
Telephone	Telephone
Date of Birth	Place of Birth	Marital Status
If employed, Occupation	Employed by
College & University Studies
1. Institution Dates to	Adress Degree Major
2. Institution Dates to	Adress Degree Major
3. Institution Dates to	Adress Degree Major
Proposed entrance date
Proposed academic area	Proposed degree
Health
Are there any conditions of your present physical or mental health that you feel we should be aware of in considering your application ?  (if "YES", please descrive on a separate attachment.)
Emergency Information
In the unlikely event that you are hospitalized or in an accident abroad, whom, do you want notified ?
Name	Home Address and Phone	Relationship
Work adress	Work Phone	Usual Working Hours
Supporting Materials :
1. Official transcripts from each institution higher learning you have attended, officially certified copies of your diplomas and other academic records. Please have all academic record sent to: UNIVERSITY OF ECOFORUM FOR PEACE, Office of the Scientific Counselor, Via Foletti 20, 6900 Lugano-Massagno (Switzerland)
2. At least two references from individuals with recent knowledge of your academic capacities and professional experience. Please list below the individuals you have asked to write us:
3. A biographical statement designed to help the admissions committee get to know you and your goals, and, if you are accepted, to serve as the beginning of your degree planning process. Please tell us about your background and about the kind of academic program you want, why you think you are ready to do it, and how and where you might want to carry it out.
4. Two passport-size photos to be used for office use and for identification documents if you plan to travel outside your home country.