Université Sorbonne Paris Cité
International Scholarship Programme MIEM
Application Form2015 / 2016
GENERAL CONDITIONS :
- Eligible Training at MIEM scholarship program:
- Engineers Training SupGalilée
- Master COLEDI: Language Sciences, contrastive specialty, vocabulary, speech
- Master EPOG: Economic Policies in the Age of Globalisation
- Master Mathematics, Basic Mathematics specialty
- Master MOSS: Management of health and social organizations
- The amount of the scholarship MIEM is 10 000 € for a period of one year.
- It is your responsibility to check that the file is completed with all attached documents.
- Lack of supporting documents or non-compliance of the internal policy of the University Paris 13 implies the automatic refund of any scholarship.
Documents to complete the application:
This application form
Your complete and up to date curriculum vitae
Courses attended and transcripts for the past three academic years, including the current year copies of your diplomas (NB: selected students will be asked to bring the original diplomas on arrival).
Language certificate.
Two letters of reference from academic or research staff, of which at least one belongs to your home university, with their exact and complete contact details(see annex 1).
Registration certificate for 2013-2014 (if presently enrolled in a higher education institution).
A photocopy of your passport.
Aneducation plan for Master or PHD degree (see annex 2)
Submission of applications:
The complete application files, containing this application form and the complementary documents, are to be sent in a single .pdf file to the International and European Relations Office (SREI)
Deadline:15thMay 2015. Incomplete applications will not be processed.
Contact:Emmanuel BENOIT -
Information concerning the applicant
PERSONAL INFORMATION:
Gender: F M
Last name: ______
First name: ______
Date of birth: ___ / ___ / ______Place of birth: ______Nationality: ______
Mailing Address for correspondence:______
Post code: ______City: ______Country: ______
Phone number: ______Mobile number:______
E-mail address: ______
ACADEMIC RECORD
Home institution name: ______
Department/Faculty: ______
Address:______
______
Phone number: ______E-mailaddress: ______Website: ______
Detail your education during the last 4 years. Include details of qualifications to be awarded:
College / University /Awarding body/Country/City / Name of unit / Main subject(s) studied / Degree/Diploma obtained/date of award / Marks / Rank*
2014-2015 / ... / ... / ... / ... / … / …
2013-2014 / ... / ... / ... / ... / … / …
2012-2013 / ... / ... / ... / ... / … / …
2011-2012 / ... / ... / ... / ... / … / …
* For instance 3rd out of 58, or ranked 5%, etc
Please explain the grading system (for instance A,B, C…, A being the highest mark)
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LANGUAGE SKILLS:
Your level of competence in French and English:
French / EnglishSpoken ability: / A1/A2 / B1/B2 / C1/C2 / A1/A2 / B1/B2 / C1/C2
Written ability: / A1/A2 / B1/B2 / C1/C2 / A1/A2 / B1/B2 / C1/C2
French certificate: Yes No
If yes, please include it in your application documents (DELF, DALF, TCF, TEF)
English test: Yes No
If yes, please include it in your application documents (TOEFL, IELTS)
Do you intendto take French language courses at Paris 13 ?
YESNO
INFORMATION ABOUT YOUR PERIOD OF STAY AT PARIS 13:
Graduate level at Paris 13 in 2015/2016: Master 1 Master 2
Master attendedatParis 13(full name): ______
______
Planned period of the mobility:
From : ______/ ______/ ______
Till : ______/ ______/ ______
APPLICANTS’ DECLARATION:
I hereby certify that the information contained in this application is accurate and complete.
Place______, date______Applicant’s signature preceded by the
handwritten words«lu et approuvé»
Service des Relations Européennes et Internationales
Programme de bourses MIEM:
Université Paris 13 – Bâtiment de l’IUT – Bureau L101
99, avenue Jean-Baptiste Clément
93430 Villetaneuse
Contact: ; Fax: + 33 (0) 1 49 40 39 22
ANNEX 1:
REFEREES
Please indicate at least 2 academics of which at least one from your home institution that may provide references for your application:
1.Name and position: ......
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Address: ......
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Phone number: ...... Fax number: ......
E-mail address: ...... Website: ......
2. Name and position: ......
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Address: ......
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Phone number: ...... Fax number: ......
E-mail address: ...... Website: ......
ANNEX 2:
EDUCATION PLAN
Writing about your education plan
Why did you choose France for your studies? Please explain what aspects of the selected master’s programme are most appealing to you.
After your master’s studies do you plan to undertake a PhD thesis? Yes No
If yes, please give some more details about your plans: ......
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If not, what are your future career plans? : ......
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Have you already defined the research topic for your Master internship? Yes No yet
If yes, please detail your research interests (max. 1 page).
Please explain how this master programme at Paris 13 and your previous studies could help you to achieve your goals.
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Université Sorbonne Paris Cité