Master Mind Scholarships

Application form Academic year 2016-17

Vrije Universiteit Brussel

This word version application is only for reference.

Only on-line submission by the Vrije Universiteit Brussel is eligible.

Applicant

last name
first name(s)
date of birth (dd/mm/yy)
gender / male / female
civil status / single / married
nationality
email address
personal email address
international passport number*
international passport
date of issue (dd/mm/yy)
international passport
place of issue
international passport
expiry date (dd/mm/yy)
country of the home institution
name of the home institution
international contact person of the home institution
e-mail international contact person
phone number international contact person
current student status / bachelor / master / other
current study field
current study programme
study start date (dd/mm/yy)
expected graduation date (dd/mm/yy)
number of ECTS already awarded **
grade point average
academic awards (if applicable)
previous scholarships
publications

* Please submit a copy of your passport

**Please submit a transcript of records, and your acquired diploma(s) if applicable.

Language scores (more information about the language requirements can be found at http://www.vub.ac.be/en/studying-at-the-vub/language-requirements )

type of language test taken
date test taken (dd/mm/yy)
writing
reading
listening
speaking

Please submit your official language test results

Flemish Host Institution

Information about the Master programmes taught at the Vrije Universiteit Brussel can be found at http://www.vub.ac.be/en/study/masters . Please note that, for the following joint programmes, you cannot apply for a Master Mind scholarship via the Vrije Universiteit Brussel but have to contact the partner institution:

-  Universiteit Gent (UGent):

o  International Master in Biomedical Engineering

o  Master in Physical Land Resources – option Soil Sciences

-  Katholieke Universiteit Leuven (KUL)

o  Master in Water Resources

name of Flemish Host institution / Vrije Universiteit Brussel
department
official name of the master programme you want to follow
number of credits of the master programme you want to follow
contact person name / Hilde De Haseleer
email /
telephone number / 32 2 614 80 91

Permanent address details

street
country
post code
city
mobile phone number

Bank details

Bank name
BIC/SWIFT
IBAN/bank account number
name of the account holder

Certification of authenticity

The undersigned states on his / her honor that the information provided in this application is correct and complete.

date of submission
signature of applicant
signature of contact person at host institution
official stamp of host institution

The application needs to be submitted to the Vrije Universiteit Brussel – International Relations and Mobility Office by 29th February 2016, with the exception of the European master of science in Photonics and the Master of Science in Urban Studies for which the application deadline is 3rd February 2016.

Questions and the application files can be directed to

Documents to submit with the application:

-  copy of passport

-  official transcript of records. If written in another language than Dutch, French or English, enclose a certified translation

-  official language test results

-  letter of motivation (from 1 to maximum 2 A4 pages)

-  a letter of recommendation from 2 professors of your Home Institution

-  a statement issued by your home institution that you are a last year’s Bachelor student

-  if applicable: a copy of acquired diploma(s). If written in another language than Dutch, French or English, enclose a certified translation

These forms should be renamed with your last name and date of birth

(surname_ddmmyy).

A Flemish selection committee awards the scholarships in cooperation with the Flemish Department of Education and Training. The results are announced in May.