1 Start 2 Submit form 3 Complete Page 1 of 3 Before you start Before proceeding to fill this form, please make sure that you have a recommendation letter from your advisor. First (given) name * Last name (surname) * ID (or if you do not have one, passport) number * Phone * Email at huji * Study track * - Select -4071 - Chemistry with specialization in Nanoscience and Nanotechnology track5042 - Master’s Degree in Chemistry for foreign students5043 - Specialization in Organic, Inorganic and Bio(in)organic chemistry5044 - Specialization in Physical and theoretical chemistry5045 - Specialization in Material chemistry and Applied nanotechnologyOther First year of your MA studies * In what year did you start your studiesDay12345678910111213141516171819202122232425262728293031 Day MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Year20212022202320242025 Year Advisor name * Requested duration of extension * first semester starting in [select year]one additional year [Select year] Day12345678910111213141516171819202122232425262728293031 Day MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Year202520262027 Year Justification of requested extension * Explain in your own words, in Hebrew or English, why you are requesting this extension to complete your studies. Remaining courses to be completed * Specify the courses that you will still need to take during the extension. Give the course number, course name, and number of credits for each course. Letter of recommendation * Upload a signed letter from your thesis adviser specifically recommending this extension and the reasons for supporting this request. More informationFiles must be less than 12 MB. Allowed file types: pdf. Upload Next Page >
