Form No. H-1.01.2.2 Application PDF
Document Details
Орігівський фаховий коледж Таврійського державного агротехнічного університету імені Дмитра Моторного
2024
Shirin Vitaliy Henadiiovych
Tags
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Summary
This document is an application form for admission to the Orihivskyi Fakhovyi Koledz. It contains personal details, course preferences and other information required for the application process. The form is used for admission to an undergraduate program at the college 2024.
Full Transcript
ɁȺɌȼȿɊȾɀȿɇɈ ɇɚɤɚɡɆɿɧɿɫɬɟɪɫɬɜɚɨɫɜɿɬɢ ɿɧɚɭɤɢɍɤɪɚʀɧɢ...
ɁȺɌȼȿɊȾɀȿɇɈ ɇɚɤɚɡɆɿɧɿɫɬɟɪɫɬɜɚɨɫɜɿɬɢ ɿɧɚɭɤɢɍɤɪɚʀɧɢ ɱɟɪɜɧɹɪɨɤɭʋ Ɏɨɪɦɚʋɇ ȼɿɞɨɤɪɟɦɥɟɧɢɣɫɬɪɭɤɬɭɪɧɢɣɩɿɞɪɨɡɞɿɥɈɪɿɯɿɜɫɶɤɢɣɮɚɯɨɜɢɣɤɨɥɟɞɠɌɚɜɪɿɣɫɶɤɨɝɨ Ʉɟɪɿɜɧɢɤɭ ɞɟɪɠɚɜɧɨɝɨ ɧɚɣɦɟɧɭɜɚɧɧɹɡɚɤɥɚɞɭɨɫɜɿɬɢ ɚɝɪɨɬɟɯɧɨɥɨɝɿɱɧɨɝɨɭɧɿɜɟɪɫɢɬɟɬɭɿɦɟɧɿȾɦɢɬɪɚɆɨɬɨɪɧɨɝɨ ɜɫɬɭɩɧɢɤɚ ɒɢɪɿɧȼɿɬɚɥɿɣȽɟɧɧɚɞɿɣɨɜɢɱ ɩɪɿɡɜɢɳɟɜɥɚɫɧɟɿɦ ɹɩɨɛɚɬɶɤɨɜɿ ɡɚɧɚɹɜɧɨɫɬɿ Ɂɚɹɜɚ ɉɪɨɲɭɞɨɩɭɫɬɢɬɢɦɟɧɟɞɨɭɱɚɫɬɿɜɤɨɧɤɭɪɫɧɨɦɭɜɿɞɛɨɪɿɧɚɧɚɜɱɚɧɧɹɡɚ Ⱦɟɧɧɚ ɮɨɪɦɨɸɡɞɨɛɭɬɬɹɨɫɜɿɬɢ ɨɱɧɚ ɞɟɧɧɚɜɟɱɿɪɧɹ ɡɚɨɱɧɚɞɢɫɬɚɧɰɿɣɧɚɦɟɪɟɠɟɜɚ ɞɥɹɡɞɨɛɭɬɬɹɨɫɜɿɬɧɶɨɩɪɨɮɟɫɿɣɧɨɝɨɫɬɭɩɟɧɹɮɚɯɨɜɨɝɨɦɨɥɨɞɲɨɝɨɛɚɤɚɥɚɜɪɚɧɚɨɫɧɨɜɿɩɨɜɧɨʀɡɚɝɚɥɶɧɨʀɫɟɪɟɞɧɶɨʀɨɫɜɿɬɢ ȾɨɞɚɬɤɨɜɚɫɟɫɿɹɉɟɪɲɚɯɜɢɥɹɈɛɥɿɤɿɨɩɨɞɚɬɤɭɜɚɧɧɹȾɟɧɧɚɉɨɜɧɚɡɚɝɚɥɶɧɚ ɤɨɧɤɭɪɫɧɚɩɪɨɩɨɡɢɰɿɹ , ɫɟɪɟɞɧɹɨɫɜɿɬɚɤɭɪɫɫɤɨɪɨɱɟɧɢɣɬɟɪɦɿɧɧɚɜɱɚɧɧɹ ɄɈɇɌɊȺɄɌ ɧɚɡɜɚɤɨɧɤɭɪɫɧɨʀɩɪɨɩɨɡɢɰɿʀɞɟɪɠɚɜɧɨɸɦɨɜɨɸ ɫɩɟɰɿɚɥɶɧɿɫɬɶ Ɉɛɥɿɤɿɨɩɨɞɚɬɤɭɜɚɧɧɹ , ɤɨɞɬɚɧɚɣɦɟɧɭɜɚɧɧɹɫɩɟɰɿɚɥɶɧɨɫɬɿɩɪɟɞɦɟɬɧɢɯɫɩɟɰɿɚɥɶɧɨɫɬɟɣɚɛɨɫɩɟɰɿɚɥɿɡɚɰɿʀɫɩɟɰɿɚɥɶɧɨɫɬɟɣ ɉɪɟɬɟɧɞɭɸɧɚɭɱɚɫɬɶɭɤɨɧɤɭɪɫɿɧɚɦɿɫɰɟɞɟɪɠɚɜɧɨɝɨɚɛɨɪɟɝɿɨɧɚɥɶɧɨɝɨɡɚɦɨɜɥɟɧɧɹɿɧɚɭɱɚɫɬɶɭɤɨɧɤɭɪɫɿɧɚɦɿɫɰɹ ɡɚɤɨɲɬɢɮɿɡɢɱɧɢɯɬɚɚɛɨɸɪɢɞɢɱɧɢɯɨɫɿɛɭɪɚɡɿɧɟɨɬɪɢɦɚɧɧɹɪɟɤɨɦɟɧɞɚɰɿʀɡɚɰɿɽɸɤɨɧɤɭɪɫɧɨɸɩɪɨɩɨɡɢɰɿɽɸɡɚ ɤɨɲɬɢɞɟɪɠɚɜɧɨɝɨɚɛɨɦɿɫɰɟɜɨɝɨɛɸɞɠɟɬɭ ɡɚɞɟɪɠɚɜɧɢɦɚɛɨɪɟɝɿɨɧɚɥɶɧɢɦɡɚɦɨɜɥɟɧɧɹɦ X ɉɪɟɬɟɧɞɭɸɧɚɭɱɚɫɬɶɭɤɨɧɤɭɪɫɿɜɢɤɥɸɱɧɨɧɚɦɿɫɰɹɡɚɤɨɲɬɢɮɿɡɢɱɧɢɯɬɚɚɛɨɸɪɢɞɢɱɧɢɯɨɫɿɛɩɨɜɿɞɨɦɥɟɧɢɣɩɪɨ ɧɟɦɨɠɥɢɜɿɫɬɶɩɟɪɟɜɟɞɟɧɧɹɜɦɟɠɚɯɜɫɬɭɩɧɨʀɤɚɦɩɚɧɿʀɧɚɦɿɫɰɹɡɚɤɨɲɬɢɞɟɪɠɚɜɧɨɝɨɚɛɨɪɟɝɿɨɧɚɥɶɧɨɝɨɡɚɦɨɜɥɟɧɧɹ ɉɪɨɫɟɛɟɩɨɜɿɞɨɦɥɹɸ Ɉɫɜɿɬɧɶɨɤɜɚɥɿɮɿɤɚɰɿɣɧɢɣɪɿɜɟɧɶɦɨɥɨɞɲɨɝɨɫɩɟɰɿɚɥɿɫɬɚɨɫɜɿɬɧɶɨɩɪɨɮɟɫɿɣɧɢɣɫɬɭɩɿɧɶɮɚɯɨɜɨɝɨɦɨɥɨɞɲɨɝɨɛɚɤɚɥɚɜɪɚ ɡɚɛɸɞɠɟɬɧɿɤɨɲɬɢ ɧɿɤɨɥɢɧɟɡɞɨɛɭɜɚɜɫɹ X ; ɜɠɟɡɞɨɛɭɬɢɣɪɚɧɿɲɟ ; ɜɠɟɡɞɨɛɭɜɚɜɫɹɪɚɧɿɲɟ ɧɚɜɱɚɧɧɹɧɟɡɚɜɟɪɲɟɧɨ Ɂɚɤɿɧɱɢɜ ɥɚ ȾɟɪɠɚɜɧɢɣɧɚɜɱɚɥɶɧɢɣɡɚɤɥɚɞɁɚɩɨɪɿɡɶɤɢɣɩɪɨɮɟɫɿɣɧɢɣɥɿɰɟɣɡɚɥɿɡɧɢɱɧɨɝɨɬɪɚɧɫɩɨɪɬɭ ɩɨɜɧɟɧɚɣɦɟɧɭɜɚɧɧɹɡɚɤɥɚɞɭɨɫɜɿɬɢɪɿɤɡɚɤɿɧɱɟɧɧɹ ȱɧɨɡɟɦɧɚɦɨɜɚɹɤɭɜɢɜɱɚɜ ɥɚ ʋ ʋ ȼɫɬɭɩɧɟɜɢɩɪɨɛɭɜɚɧɧɹ Ɋɿɤ Ȼɚɥ ɋɤɥɚɞɨɜɚɤɨɧɤɭɪɫɧɨɝɨɛɚɥɚ Ȼɚɥ ɡɩ ɡɩ 1. 3. 2. 4. ɋɩɟɰɿɚɥɶɧɢɦɢɭɦɨɜɚɦɢɳɨɞɨɭɱɚɫɬɿɭɤɨɧɤɭɪɫɧɨɦɭɜɿɞɛɨɪɿɩɿɞɱɚɫɜɫɬɭɩɭɞɥɹɡɞɨɛɭɬɬɹɨɫɜɿɬɢ ɤɨɪɢɫɬɭɸɫɶ ; ɧɟɤɨɪɢɫɬɭɸɫɶ X ɋɩɟɰɿɚɥɶɧɢɦɢɭɦɨɜɚɦɢɧɚɡɞɨɛɭɬɬɹɨɫɜɿɬɧɶɨɩɪɨɮɟɫɿɣɧɨɝɨɫɬɭɩɟɧɹɮɚɯɨɜɨɝɨɦɨɥɨɞɲɨɝɨɛɚɤɚɥɚɜɪɚɡɚɞɟɪɠɚɜɧɢɦ ɡɚɦɨɜɥɟɧɧɹɦɤɨɪɢɫɬɭɸɫɶ ; ɧɟɤɨɪɢɫɬɭɸɫɶ X Ɂɚɪɟɽɫɬɪɨɜɚɧɢɣɭɫɿɥɶɫɶɤɨɦɭɧɚɫɟɥɟɧɨɦɭɩɭɧɤɬɿɿɡɞɨɛɭɜɩɨɜɧɭɡɚɝɚɥɶɧɭɫɟɪɟɞɧɸɨɫɜɿɬɭɜɡɚɤɥɚɞɿɨɫɜɿɬɢɳɨ ɡɧɚɯɨɞɹɬɶɫɹɧɚɬɟɪɢɬɨɪɿʀɫɿɥɭɪɿɤɜɫɬɭɩɭ ɬɚɤ ɧɿ X ɇɚɱɚɫɧɚɜɱɚɧɧɹɩɨɫɟɥɟɧɧɹɜɝɭɪɬɨɠɢɬɨɤɩɨɬɪɟɛɭɸ ɧɟɩɨɬɪɟɛɭɸ X ɋɬɚɬɶɱɨɥɨɜɿɱɚ X ɠɿɧɨɱɚ Ƚɪɨɦɚɞɹɧɫɬɜɨɍɤɪɚʀɧɚ X ; ɿɧɲɚɤɪɚʀɧɚ Ⱦɚɬɚɿɦɿɫɰɟɧɚɪɨɞɠɟɧɧɹ 31.07.1998 Ɇɿɫɰɟɩɪɨɠɢɜɚɧɧɹ ɜɭɥɢɰɹ ɛɭɥɶɜɚɪɩɪɨɫɩɟɤɬɩɥɨɳɚɩɪɨɜɭɥɨɤ , ɛɭɞɢɧɨɤ ɤɜɚɪɬɢɪɚ ɦɿɫɬɨɫɟɥɢɳɟɫɟɥɨɫɦɬ ɪɚɣɨɧ , ɨɛɥɚɫɬɶ ɿɧɞɟɤɫ ɧɨɦɟɪɢɞɨɦɚɲɧɶɨɝɨɦɨɛɿɥɶɧɨɝɨɬɟɥɟɮɨɧɿɜ +380(66)-793-81-25 ɚɞɪɟɫɚɟɥɟɤɬɪɨɧɧɨʀɩɨɲɬɢ [email protected] Ɇɿɫɰɟɩɪɨɠɢɜɚɧɧɹɡɚɪɟɽɫɬɪɨɜɚɧɟ ɡɚɞɟɤɥɚɪɨɜɚɧɟ ɭɧɚɫɟɥɟɧɨɦɭɩɭɧɤɬɿɧɚɬɟɪɢɬɨɪɿʀɚɤɬɢɜɧɢɯɛɨɣɨɜɢɯɞɿɣɬɟɪɢɬɨɪɿʀ ɦɨɠɥɢɜɢɯɛɨɣɨɜɢɯɞɿɣɬɟɪɢɬɨɪɿʀɬɢɦɱɚɫɨɜɚɨɤɭɩɚɰɿɹɹɤɨʀɊɨɫɿɣɫɶɤɨɸɎɟɞɟɪɚɰɿɽɸɡɚɜɟɪɲɢɥɚɫɶɩɿɫɥɹɥɸɬɨɝɨ ɪɨɤɭɬɢɦɱɚɫɨɜɨɨɤɭɩɨɜɚɧɿɣɬɟɪɢɬɨɪɿʀɬɟɪɢɬɨɪɿʀɧɚɫɟɥɟɧɢɯɩɭɧɤɬɿɜɧɚɥɿɧɿʀɡɿɬɤɧɟɧɧɹɬɚɚɞɦɿɧɿɫɬɪɚɬɢɜɧɨʀ ɦɟɠɿɚɛɨɩɟɪɟɫɟɥɢɥɢɫɹɡɧɟʀɩɿɫɥɹɫɿɱɧɹɪɨɤɭ ɬɚɤ ɧɿ X ɭɪɚɡɿɨɛɪɚɧɧɹ«ɬɚɤ», ɡɚɡɧɚɱɚɽɬɶɫɹɦɿɫɰɟɪɟɽɫɬɪɚɰɿʀɹɤɳɨɜɨɧɨɜɿɞɪɿɡɧɹɽɬɶɫɹɜɿɞɦɿɫɰɹɩɪɨɠɢɜɚɧɧɹ Ⱦɨɞɚɬɤɨɜɚɿɧɮɨɪɦɚɰɿɹ ɉɨɩɟɪɟɞɠɟɧɢɣ ɚ ɳɨɩɨɞɚɧɧɹɦɧɨɸɧɟɞɨɫɬɨɜɿɪɧɢɯɩɟɪɫɨɧɚɥɶɧɢɯɞɚɧɢɯɞɚɧɢɯɩɪɨɡɞɨɛɭɬɭɪɚɧɿɲɟɨɫɜɿɬɭ ɩɪɨɯɨɞɠɟɧɧɹɡɨɜɧɿɲɧɶɨɝɨɧɟɡɚɥɟɠɧɨɝɨɨɰɿɧɸɜɚɧɧɹɩɪɚɜɨɧɚɜɫɬɭɩɡɚɫɩɿɜɛɟɫɿɞɨɸɿɫɩɢɬɚɦɢɤɜɨɬɨɸɽɩɿɞɫɬɚɜɨɸɞɥɹ ɫɤɚɫɭɜɚɧɧɹɧɚɤɚɡɭɩɪɨɦɨɽɡɚɪɚɯɭɜɚɧɧɹɞɨɱɢɫɥɚɫɬɭɞɟɧɬɿɜ Ɂɉɪɚɜɢɥɚɦɢɩɪɢɣɨɦɭɥɿɰɟɧɡɿɽɸɬɚɫɟɪɬɢɮɿɤɚɬɨɦɩɪɨɚɤɪɟɞɢɬɚɰɿɸɧɚɩɪɹɦɭɩɿɞɝɨɬɨɜɤɢɫɩɟɰɿɚɥɶɧɨɫɬɿ ɨɫɜɿɬɧɶɨʀɩɪɨɝɪɚɦɢɨɡɧɚɣɨɦɥɟɧɢɣ ɚ Ɉɡɧɚɣɨɦɥɟɧɢɣ ɚ ɳɨɨɛɪɨɛɤɚɩɟɪɫɨɧɚɥɶɧɢɯɞɚɧɢɯɩɟɪɟɞɛɚɱɟɧɢɯɞɥɹɜɫɬɭɩɭɧɚɧɚɜɱɚɧɧɹɬɚɨɬɪɢɦɚɧɧɹɨɫɜɿɬɧɿɯ ɩɨɫɥɭɝɜɬɨɦɭɱɢɫɥɿɜȯɞɢɧɿɣɞɟɪɠɚɜɧɿɣɟɥɟɤɬɪɨɧɧɿɣɛɚɡɿɡɩɢɬɚɧɶɨɫɜɿɬɢɚɬɚɤɨɠɿɧɮɨɪɦɚɰɿʀɳɨɫɬɨɫɭɽɬɶɫɹɭɱɚɫɬɿ ɜɤɨɧɤɭɪɫɧɨɦɭɜɿɞɛɨɪɿɞɥɹɿɧɮɨɪɦɭɜɚɧɧɹɝɪɨɦɚɞɫɶɤɨɫɬɿɩɪɨɩɟɪɟɛɿɝɜɫɬɭɩɧɨʀɤɚɦɩɚɧɿʀɞɨɡɚɤɥɚɞɿɜɨɫɜɿɬɢ ɡɞɿɣɫɧɸɽɬɶɫɹɜɿɞɩɨɜɿɞɧɨɞɨɡɚɤɨɧɨɞɚɜɫɬɜɚɩɪɨɡɚɯɢɫɬɩɟɪɫɨɧɚɥɶɧɢɯɞɚɧɢɯ « 26 » ɜɟɪɟɫɧɹ 2024 ɪɨɤɭ ɩɿɞɩɢɫ