R - MYCOLLEGE

Query Form
Request Number
Personal Id or Passsport Number

Personal Id

Passport Number

Migration Status

First Name

Last Name 1

Last Name 2

Nationality

Gender

Civil State

Date Of Birth

Blood

Religion

Address 1

Address 2

Province

City

Sector

Place

Phone

Mobile

Fax

Email Personal

Illnesses

Allergies

Do you have any treatment or are you regularly medicated? Please indicate:

Emergency Note

Father Information

First Name

Last Name

Nivel de Estudio

Tipo de Trabajo

Phone

Mobile

Mother Information

First Name

Last Name

Nivel de Estudio

Tipo de Trabajo

Phone

Mobile

Has couple

First Name

Last Name

Nivel de Estudio

Tipo de Trabajo

Phone

Mobile

INGRESOS FAMILIARES MESUALES (SOLTEROS O CASADOS, DE ACUERDO A SU NÚCLEO FAMILIAR)

Is post grade?

Level

Tenant

Career

Pensum

Add

Career	Pensum	New Ingress	Actions
{{sc.mcCareers.name}}	{{sc.mcPensums.name}}	Yes No

Do your request with bedroom and services included (singles only)?

Do you wish enter as Transfered Student?

Origin College

Add Hight School

High School	Provincia	Year From	Year To	Degree	Actions
{{hs.highSchool}}	{{hs.mcProvinces.name}}	{{hs.yearFrom}}	{{hs.yearTo}}	{{hs.mcCollegeDegrees.name}}

Has previous university studies

Agregar Carreras Anteriores

Career	College	Provincia	Degree	Actions
{{hs.mcCareers.name}}	{{hs.mcColleges.name}}	{{hs.mcProvinces.name}}	{{hs.collegeDegree}}

Add Coment

Comment Type	Comentario
{{come.mcCommentTypes.name}}	{{come.comment}}

Información de Motivación

Entry Motivation to Enter to Unad

Specify Motive

Si un estudiante le recomendó esta Universidad indentífiquelo aquí (Opcional)

Enrollment

hola Elias

1. ¿Tiene dificultad para ver, incluso cuando usa lentes?

2. ¿Tiene dificultad para oír, incluso cuando usa un audífono?

3. ¿Tiene dificultad para caminar o subir escalones?

4. ¿Tiene dificultad para recordar o concentrarse?

5. ¿Tiene dificultad para lavarse o vestirse (gestionar su autosuficiencia para el cuidado personal)?

6. ¿Tiene dificultad para comunicarse, por ejemplo, entender a los demás o que lo entiendan a usted, cuando se usa un lenguaje normal (habitual)?

Descargar Documento Compromiso Estudiantil

I certify that I have red the Instructions and Observations section of the application forms, and I accept them.

I promise to comply with each and every one of the regulations of the Dominican Adventist University.

I certify that all the information I have provided is correct and true.