Application for Admission to PhD Program
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École des Neurosciences de Paris Ile-de-France - ENP
Supported by
Université Pierre et Marie Curie (Paris-6), Université Paris Sud (Paris-11), CEA, CNRS, and Inserm
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Biographical information
First name Last (family) name
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Marital status Married Single Number of children
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Gender Male Female
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Date of birth City of birth Country
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Citizenship
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Correspondence address
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Street
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City
State (if applicable)
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Postal code
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Country
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Academic information
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Application level PhD or Pre-PhD
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Training and title(s)
> Please indicate the highest level of education you have earned, including the title of the degree or qualification.
> List below the universities at which you have taken courses for credits.
> List the names of courses taken and grades earned.
> Please have an official transcript of your university education sent as soon as possible (see address below).
> Include a certified translation if the transcripts are not in French, English, or Spanish.
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Field of study School Year from/to Title Year of graduation
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Awards and Honors
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Native and Foreign Language Information
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Native language please type here
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Foreign languages
> Please indicate ability levels
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High (H) Fluency, accuracy, range of an educated native speaker of the language
Moderate (M) Able to read non-technical materials and technical writings in one’s field and carry on an exchange of ideas.
Low (L) Able to read simple prose with difficulty, follow simple conversation but not as means of exchanging ideas.
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French H M L keep the letter that indicates your ability level
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English H M L
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Other H M L
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Work Experience
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Please list jobs you have held during the past three years (including summer employment).
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Laboratory experience
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Practical training
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Publications
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Extracurricular activities, interests, skills, hobbies
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Letters of Reference
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> Please, give names and addresses of three people who will write a recommendation letter in support of your application. (Confidential letters should be sent directly to École des Neurosciences de Paris Ile-de-France, see postal and e-mail addresses below.)
1 - Last name First initial
University or Organization
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Address
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2 - Last name First initial
University or Organization
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Address
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3 - Last name First initial
University or Organization
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Address
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Specific interest for PhD studies
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> Please describe briefly your motivation for PhD studies in Neuroscience and your specific interests in research and potential plans for the future (from 500 to 1000 words).
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Address correspondence to
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École des Neurosciences de Paris IDF - ENP, Doctoral studies
17 rue du Fer à Moulin – bâtiment Inserm
75005 Paris
France
E-mail:
web www.enp-neuroscience.fr
I certify that the information provided on this application is, to the best of my knowledge, complete and accurate. I understand that any misrepresentation may be cause for being denied admission.
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