Form No. (1) Higher Education Institutions (Government) - Application for Specialized Accreditation (Program)

For the Academic Institution (College/University)

Name of Institution

Address

Location:……………..    P.O. Box:………………

Fax:……………………..    Phone:………………….

Website:……………………………………………….

Type of Institution

£ University  

£ College

£ Higher Institute

£ Specialized Institute

£ Intermediate  

College/Academy affiliated

…………………………………………………………………

Establishment Date

…………………………………………………………………..

Decree No. and date

……………………………………………………………………

Representative of Institution (President/Dean)

Name: …………………………………………………………

Position: ………………………………………………………

Phone: Office…………Fax:………………………Mobile:………………

Institution has a board of directors?

£ Yes………………..£ No……………

Institution has strategy directions

£ Yes………………..£ No……………

Institution has strategic plan

£ Yes………………..£ No……………

Quality Assurance Center (Dean)

Name: …………………………………………………………

Phone: Office…………Fax:………………………Mobile:………………

Quality Assurance Unit representative

Name: …………………………………………………………

Position: ………………………………………………………

Phone: Office…………Fax:………………………Mobile:………………

About College

Name

Address

Location:……………..    P.O. Box:………………

Fax:……………………..    Phone:………………….

Website:……………………………………………….

Decree No. and date

……………………………………………………………………

Start date of College activity

……………………………………………………………………

College Dean

Name: …………………………………………………………

Phone: Office…………Fax:…………………Mobile:……………

Study cycle

£ 2 years                                            £ 4 years                         £ 5 years                                            £ 6 years                       £ credit hours

Graduate Batches

£ one     £ More (……………………) £ None

College has a council?

£ Yes………………..£ No……………

About the Department

Department Name

Address

Location:……………..    P.O. Box:………………

Fax:……………………..    Phone:………………….

Website:……………………………………………….

Decree No. and date

……………………………………………………………………

Start date of activity

……………………………………………………………………

College Head

Name: …………………………………………………………

Phone: Office…………Fax:…………………Mobile:……………

Study cycle

£ 2 years                                            £ 4 years                         £ 5 years                                            £ 6 years                       £ credit hours

Graduate Batches

£ one     £ More (……………………) £ None

Department has a council?

£ Yes………………..£ No……………

Self-assessment study

£ Available ……………£ on year …..£ 2 consecutive years……………£ 3 consecutive years £ not available

Department improvement plan available?

£ Yes………………..£ No……………

I hereby certify that all above information is valid

Institution Head

Stamp

Signature

Date

Attached:

Proof of application approval by affiliated institution (University/College)

Self-Assessment Report

Strategic Plan of Institution

Courses and Program Specification (CD or Flash memory)

To be filled by Council

Institution code

Date of Application

Application Received by

Signature