Application Form- Incoming Students

APPLICATION FORM- INCOMING STUDENTS

(DEGREE-SEEKING STUDENTS & EXCHANGE STUDENTS)

1)Desired program (multiple choices allowed)

ICMISMINMSc

please specify acronym(s) of MSc program(s)

………………………………………………………

2)Type of application

Degree-seeking (two years for ICM, ISMIN and MSc Prospective Design; one year for others MSc)

Exchange (please specify kind of exchange on next line)

Academic onlyInternship onlyAcademic + internship

3)Is your application part of a Cooperation agreement between MINES Saint-Etienne and your home university?

Yes; please specify home university: ………………………………………………

No

Last Name: ……………………………………………………………………..…………….

First Name:......

MaleFemale

Date of birth (dd/mm/yyyy):......

Place & Country of birth:......

Nationality:......

Home address (*):......

......

Phone number (*):......

Email (*):......

(*) contact informations may be used for important messages concerning your application; personal/permanent informations are therefore preferable.

Professional situation on the date of request

StudentEmployee Job-seeker

HIGHER EDUCATION

(start by the most recent diploma obtained or in progress)

Degree / University or institution / Major / Start date / End date (*)

(*) if in progress, indicate projected end date for diploma

Have you already been studying abroad?

NO

YESInstitution:Period:

WORK EXPERIENCE (internship, industrial & lab placement, job):

(start by the most recent experience)

Type (job, internship) / Company
(name and address) / Subject / Position & responsibilities / Date and duration / Country

LANGUAGE SKILLS:

Languages / Are you currently studying this language / Years of study / Level
(CECR or official)
French / yes no
English / yes no
Other / yes no

OTHER INFORMATIONS:

If you apply for several programs, please specify your preference order:

Do you have a grant/funding for your program at MINES Saint-Etienne?

NO

YES; specify the grant/funding institution: ………………………………

Specify any other information that you consider useful for the application process

PROVISIONAL STUDY PLAN

Please complete the appropriate parts for your projected program (check boxes for courses that you want in your program; specify elective courses if requested; degree-seeking students must fill all parts for degree)

ICM PROGRAM

ICM Second year (Graduate school, first year)

Semester 7
(early September to mid January) / Semester 8 – part A
(mid January to early March) / Semester 8 – part B
(early March to end May) / Semester 8 – part C
(early June to end August)
 / Major I
(specify) /  / Intercultural issues (Core) /  / Interdiscip. specialisation part I (specify) /  / Internship (not provided by school unless specific agreement)
 / Toolbox 3
1)
2)
3) /  / Performance management (Core) /  / Toolbox 1
1)
2)
3)
 / Activity sectors (Core) /  / Toolbox 2
1)
2)
3)

Core: no choice; Major/Interdisciplinary specialisation: specify one choice;

Toolboxes 1/2/3: specify three choices.

ICM Third year (Graduate school, second year)

Semester 9
(early September to mid January) / Semester 10 – part A
(mid January to end March) / Semester 10 – part B
(early April to end September)
 / Major II
(specify) /  / Professions (Core) /  / Internship (not provided by school unless specific agreement)
 / Interdiscip. specialisation part II (specify) /  / Research project (Core)
 / Activity sectors (Core)

Core: no choice; Major/Interdisciplinary specialisation: specify one choice;

NB: degree-seeking students must choose the same topic for parts I and II of “interdisciplinary specialisation”. On the opposite, Major II should be different from Major I.

PROVISIONAL STUDY PLAN

ISMIN PROGRAM

ISMIN Second year (Graduate school, first year)

Part A (early September to mid March): Core courses

Part B (mid March to end August): Industrial project (at school)

ISMINThird year (Graduate school, second year)

Semester 9 – Part A
(early September to end November) / Semester 9 – part B
(early December to end March) / Semester 10
(early April to end September)
 / Major
(specify) /  / Specialisation (specify) /  / Internship (not provided by school unless specific agreement)
 / Engineering methods
 / Workshop

Core: no choice; Major/specialisation: specify one choice.

MSc Prospective Design (PRODE)

This MSc is a two year program, taught in French. Applicants should join to the application file a portfolio describing projects already realized (alone or with a team), during studies or professional experiences.

Semester 7: fundamentals (might be adapted to previous curriculum)

Semester 8: tools and methods

Semester 9: prospectives (technical; social; managerial; digital)

Semester 10: internship (not provided by school unless specific agreement)

PROVISIONAL STUDY PLAN

MSc Biomedical engineering and design (BMED)

Part A (first semester): Core courses