Erasmus Mundus - Application form (Step 1/3)

Application form (Step 1/3)

The application form is closed

1. PERSONAL INFORMATION

Gender*

F M

Family name* (Last Name)

First (given) Name(s)*

Date of Birth* (dd/mm/yyyy)

Place of Birth*

Country of Birth*

the list of countries is in French. If you cannot find your country in this list, please contact us (sabri.abid@u-picardie.fr)

e-mail address* (valid until September 2019 at least)

e-mail address (check)*

Telephone number* Ex. : 00 33 (0) 3 04 03 02 01

Passport number*

Full present address*

Full official address for correspondence*

Marital status*

Number of children*

University of Origin*

Do you have special needs due to any kind of disability? This information will remain confidential*

Yes No

If yes, please specify

If you have spent period(s) in Europe during the last three years, please specify where, how long and for which purpose

2. LANGUAGE SKILLS

English reading level*

No knowledge Basic Average Advanced

English writing level*

No knowledge Basic Average Advanced

English listening level*

No knowledge Basic Average Advanced

Other Languages

Explain how you acquired your linguistic skills in languages other than your mother tongue (e.g., academic curriculum in a given language and for how long; summer internships; periods abroad for study or work; etc.)

Did you recently take an English language test such as TOEFL or TOEC or IELTS? If so, specify your score and the date of the test. Please, provide a formal proof within your application

3. EDUCATION

This part of the application is very important. Provide full detailed records of your education to date, including high school, university degree(s) at or below BSc level, and any other higher education title (specialization, MSc, PhD, etc.). Also, please specify any post-graduate or training programmes you have undertaken during the last three years, even if they haven’t led you to a degree yet. Please add on a separate file a list of the main courses you attended after high school degree. Please start below with the most recent degree in course/obtained

Additional education, training in industry or research centers, publications ?

Please indicate the names and full contact addresses (including e-mels) of the 2 academic mentors who wrote the recommendation letters that you must include into your application

4. STATEMENT OF PURPOSE

State why you are applying to the M.E.S.C+ EMJMD; discuss your motivations to study abroad, your professional interests and your career goals and expectations. Indicate how you learned about the MESC+ programme and what made you decide to apply (not more than 1 page)

5. EMPLOYMENT

Describe, if any, your employment and /or professional experiences. Specify also your present status (employed, unemployed, student, part-time, ...)

6. ADDITIONAL INFORMATION

Provide any additional information that may further improve your application (1/2 page maximum)

7. REQUIRED UPLOADS

Copy of passport or ID card* Your file must be in a pdf format and must not exceed 1Mo

Curriculum Vitae Your file must be in a pdf format and must not exceed 1Mo

Official copies of transcripts Your file must be in a pdf format and must not exceed 1Mo

Essay on energy-related topic Your file must be in a pdf format and must not exceed 1Mo

English proficiency Your file must be in a pdf format and must not exceed 1Mo

First recommendation letter Your file must be in a pdf format and must not exceed 1Mo

Second recommendation letter Your file must be in a pdf format and must not exceed 1Mo

Certificate of residence Your file must be in a pdf format and must not exceed 1Mo

Only for students with special needs, medical certificate Your file must be in a pdf format and must not exceed 1Mo

* Required fields

Conception : Atelier de Développement Multimédias de l'Université de Picardie Jules Verne

M.E.S.C. European Master Course

Application form (Step 1/3)