APPLICATION FORM MASTER EDITION 2012 2014 Application deadline Application for EM3E master admission with an Erasmus Mundus scholarship: December 15 th 2011 (mid-night CET) Application for EM3E master admission without an Erasmus Mundus scholarship: February 29 th 2012 (mid-night CET) Instructions 1. Please complete all fields of this form. Any incomplete application file will be rejected. 2. Please save a scanned signed copy of the present application form and all requested documents (included in the sequence listed at the end of this form) as a single PDF file. The file must be entitled: YOURLASTNAME_APPLIC2012.pdf. 3. You must send your application via e-mail to the EM 3 E Management Office: master-em3e@univ-montp2.fr 4. After reception of your application, we will acknowledge receipt of your application by e-mail. If you do not receive this e-mail within one week after your submission, please contact us. 5. Pre-selected students will be requested to provide the originals or certified copies of all documents they have submitted in electronic form with their application and any additional document required by the EM 3 E consortium. The EM 3 E Master is supported by the Erasmus Mundus programme of the European Union. A number of Erasmus Mundus scholarships are offered to selected candidates. Details about these scholarships can be found on the Erasmus Mundus website: http://eacea.ec.europa.eu/erasmus_mundus/funding/scholarships_students_academics_en.php. Candidates should be aware that the number of scholarships offered is limited. Therefore, candidates may be admitted to the EM 3 E Master even while they are not selected for an Erasmus Mundus scholarship. Please, indicate your category: Student applying for EM 3 E master admission with an Erasmus Mundus scholarship Student applying only for EM 3 E master admission without an Erasmus Mundus scholarship If you are not awarded an Erasmus Mundus scholarship, would you still wish to join EM 3 E Master? Yes No EM3E_Application-Form_v1_2012-2014 1/12
1. PERSONAL DATA Last name: First and middle name: Date of birth (dd/mm/yyyy): / / Gender: Male Female Place of birth: Country of birth: Nationality (considered for application): 2 nd Nationality (if any): Passport number: Passport expiry date (dd/mm/yyyy): / / Marital status: Single Married Registered partnership Number of children: E-mail address: Phone number: (including international dialling code) Mobile phone: (including international dialling code) + + 2. ADDRESS FOR CORRESPONDENCE Street and number: Post code: State: EM3E_Application-Form_v1_2012-2014 2/12
3. LANGUAGE SKILLS Mother tongue: Language of instruction of your university first degree: Other Languages: Please indicate your level in other languages according to CEFR (Common European Framework of Reference): http://www.coe.int/t/dg4/portfolio/documents/assessment_grid_english.doc Language Understanding Speaking Writing Official certificates obtained / Scores / Dates Note: Pre-selected applicants might be interviewed by phone or video-conference to assess their English level. 4. MOBILITY TRACK Please rank the third-semester specializations according to your preference: indicate the highest preference with 1, the second highest preference with 2, and so on. Details about programme are given on the EM3E master website. Note: Being accepted to the EM 3 E Master does not guarantee that you will be assigned to your mobility option preference. Selected applicants will be offered a study track based on preference and availability. If an applicant cannot be offered a seat in the preferred study track an alternative track will be offered. Semester S3 specializations: Biotechnologies, Food and Health (Universidade Nova de Lisboa, Portugal) Nanoscience and Nanotechnology (Universidad de Zaragoza, Spain) Energy and Environment (University of Twente, The Netherlands) If you are not assigned to your mobility option preference, would you still wish to join EM 3 E Master? Yes No EM3E_Application-Form_v1_2012-2014 3/12
5. ACADEMIC DATA Please enter the details of your previous and current education degree(s) (University Degrees at or below BsC level and other Higher Education title (specialization, MSc, etc.), listing the most recent first. Institution (full name): Official title and subject of the degree: (i.e. Bachelor of Science in Chemical Engineering) Official minimum duration to obtain degree (months): Starting date (mm/yyyy): / (expected) Graduate date (dd/mm/yyyy): / / Cumulative GPA 1 (Grade Point Average): Rankings (out of how many students): Institution (full name): Official title and subject of the degree: (i.e. Bachelor of Science in Chemical Engineering) Official minimum duration to obtain degree (months): Starting date (mm/yyyy): / (expected) Graduate date (dd/mm/yyyy): / / Cumulative GPA 1 (Grade Point Average): Rankings (out of how many students): Institution (full name): Official title and subject of the degree: (i.e. Bachelor of Science in Chemical Engineering) Official minimum duration to obtain degree (months): Starting date (mm/yyyy): / (expected) Graduate date (dd/mm/yyyy): / / Cumulative GPA 1 (Grade Point Average): Rankings (out of how many students): 1 GPA: The cumulative GPA (Grade Point Average) is usually mentioned clearly on your academic transcript. If this is not the case, please ask your university to calculate and provide proof of your cumulative GPA. EM3E_Application-Form_v1_2012-2014 4/12
6. PROFESSIONAL EXPERIENCE, TRAINING, INTERNSHIP Please enter the details of your professional experience, training or internship, listing the most recent first. Experience 1 Organization (full name): Position Held: Start and end date (mm/yyyy): from / to / Title of the project: Main activities and responsibilities (max. 250 characters): Supervisor Contact Name: E-mail address: Phone number: + Experience 2 Organization (full name): Position Held: Start and end date (mm/yyyy): from / to / Title of the project: Main activities and responsibilities (max. 250 characters): Supervisor Contact Name: E-mail address: Phone number: + Experience 3 Organization (full name): Position Held: Start and end date (mm/yyyy): from / to / Title of the project: Main activities and responsibilities (max. 250 characters): Supervisor Contact Name: E-mail address: Phone number: + EM3E_Application-Form_v1_2012-2014 5/12
7. REFERENCES Please identify the two referees who wrote the 2 recommendation letters that you need to join to your application form. The first referee from faculty from which you obtained your degree. The second referee, from faculty or from an employer or supervisor. Referees could be contacted by the EM 3 E consortium. 1 st Referee Last Name: First Name: Organisation: Department: Position: Post code: Phone number: + E-mail address: 2 nd Referee Last Name: First Name: Organisation: Department: Position: Post code: Phone number: + E-mail address: EM3E_Application-Form_v1_2012-2014 6/12
8. SPECIAL CIRCUMSTANCES Please indicate if any physical or learning disabilities that you may suffer from. Do you foresee any personal problems (family, financial and/or cultural)? Maximum 1 000 characters. EM3E_Application-Form_v1_2012-2014 7/12
9. ADDITIONAL INFORMATION In the last 5 years, have you spent more than 12 months carrying out your main activities (work or study) in any of the EU member states or in Iceland, Liechtenstein, Norway, Croatia, FYROM and Turkey? No Yes, specify: Have you already benefited from an Erasmus Mundus scholarship in the past? No Yes, specify: Have you apply to other Erasmus Mundus Master and/or Erasmus Mundus PhD for the academic year 2011-2012? No Yes, specify: Note: Students who already benefited from an Erasmus Mundus Master scholarship in the past are not eligible for a new one. Students can apply for a maximum of 3 different Erasmus Mundus Masters Courses (EMMCs) and/or PhD Programmes (EMJDs) starting in the same academic year. Students that apply for more than 3 EMMCs and/or EMJDs will be excluded from the selection. Please let us know how you learnt about the EM 3 E Master program? EM 3 E website Contact with a partner university Advertisement in magazine/paper Education exhibition Alumni Brochure Friends Other, specify: Please, provide here any additional information that may further improve your application. Maximum 1 000 characters. EM3E_Application-Form_v1_2012-2014 8/12
10. DECLARATION AND SIGNATURE I certify that I have read all application instructions and that the information and supporting documents I have provided is true and complete. I understand that misrepresentation may be a cause for cancellation of my admission or appointment. Submission of this application in no way guarantees my right to participate in the EM 3 E Master. I understand that all documents I submit as part of this application become the property of the EM 3 E consortium. Application documents will be destroyed after the final selection of candidates has been made. I authorize the EM 3 E Consortium to treat data provided to the purpose of the student selection for the EM 3 E Master. Date: Name of applicant: Signature: EM3E_Application-Form_v1_2012-2014 9/12
11. SUPPORTING DOCUMENTS Please save the completed and signed application form with all requested documents (included strictly respecting in the sequence listed below) as a single PDF file. The document should be titled: YOURLASTNAME_APPLIC2012.pdf. Please, ensure that your application file includes the following required documents (tick the boxes and return this sheet with your application): 1. Application form dully filled out and signed. 2. Detailed Curriculum Vitae in English specifying scientific and professional experiences, academic degrees, conference presentations, publications and special skills. Maximum 3 pages. 3. Letter of motivation in English covering the following aspects: what made you decide to apply to the EM 3 E Master course, which skills and abilities make you a good candidate for EM 3 E, your motivations to study abroad, your professional interests and your career goals and expectation. For non-european candidates, your goals and interests in coming to Europe for education (statement of purpose) must be included in this letter. Maximum 1 page. The letter must be provided in two copies: one handwritten, one typed. 4. Certified copy of academic degree(s) in original language and translated into English, stating the final classification obtained. Please note that if you are in the process of obtaining your Bachelor degree, you may also apply for admission to the EM 3 E Master. Applicant should include a letter from his/her university stating the anticipated date of completion of the degree. The EM 3 E Consortium may conditionally admit you, based on requested documents in the application form and the expected date of graduation. After graduation, you have to submit the degree and official transcripts before the start of the EM 3 E Master (September 1 st 2012). 5. Certified copy of academic transcript(s) in original language and translated into English, listing the grade/rank/mark of each course attended to obtain each degree. All courses taken must be included. 6. An official document, from the last institution visited, College, University or Technical School, stating your relative position in the corresponding graduation course, i.e., top 5%, top 10% or top 20% of your Bologna 1 st cycle class or of your bachelor s course. 7. Official proof of English language proficiency. English language tests accepted are: TOEFL-iBT (required overall of at least 90); IELTS (required overall score of at least 6,5); University of Cambridge ( Certificate of Proficiency in English or Certificate in Advanced English ). Other official proof could be admitted under validation of the EM3E consortium. Exception: Candidate from English speaking countries or candidate who completed his/her bachelor degree in English as medium of instruction must provide an official letter from his/her university from which he/she graduated attesting that English is the media of instruction. 8. Official proof of other language proficiency (where applicable). 9. Two reference letters. The first letter from faculty from which you obtained your degree. The second letter, from faculty or from an employer or supervisor. The letters have to be on letterhead of the referee s organisation. 10. Copy of your international passport (preferably) or identification card. EM3E_Application-Form_v1_2012-2014 10/12
It is requested a certified translation in English when documents are not written in English. Only completed applications will be considered. If you are unable to provide a specific document with your application, please use this space to explain the reason why and indicating the reference number of the document. Maximum 1 000 characters. EM3E_Application-Form_v1_2012-2014 11/12
Publication of the results The selection for admission with a scholarship will be concluded at the end of February 2012. On February 28 th 2012, EM 3 E consortium will submit to the European Commission the main-list and reserve list of pre-selected students. - First notification to non-selected and pre-selected students: first week of March 2012 by e-mail. - Final notification to students on the main and reserve lists: May-June 2012 by e-mail. The selection for admission without a scholarship will be concluded at the end of March 2012. Candidates will be notified in May-June 2012 about the final decision. Admission Academic admission for EM3E course and selection for an Erasmus Mundus EM 3 E scholarship are two different steps: - Academic admission refers to the right to follow the course, after a review of the academic background and professional project of the candidate. Around 30 candidates may be admitted. - Selection for an Erasmus Mundus EM3E scholarship not only needs that the admission above is confirmed, but also that a number of criteria specific to the Erasmus Mundus scholarship system are observed. The minimum admission criteria are the same for all students irrespective of their country of origin or of the training track they candidate to. - Hold a Bologna 1 st cycle degree or a bachelor degree in Chemistry, Physics, Materials Engineering, Chemical Engineering, Bio-chemical Engineering, or equivalent degrees in one of the previous domains, from a College, University or Technical School with a recognised standing or alternatively, a recognised professional experience in these areas. Students in the final year of a degree may be admitted as long as they present the certificate and official transcripts before they enrol. - Excellent academic background with marks identifying the candidate among the 20% best students of his former studies. - Selection criteria include also professional experience, language skills, motivation and letters of recommendation. - Proof of good English competencies (all courses are conducted in English). EM3E_Application-Form_v1_2012-2014 12/12