University of Rennes1 - IGR – IAE de Rennes

Graduate SchoolofBusiness Administration

Rennes, France

PERSONAL DETAILS

Surname/ Family name ______Maiden name______

First-names______Title: Mrs Mr Miss

Forenames are to be given in full and in the order in which they normally appear

Date of birth (day/month/year) __/__/ 19____Town and country of birth ______

Nationality ______Sex: Male Female Marital Status: Single Married

Full permanent home address

(Postal addresses should be writtenin FULL in BOTH English and in your local language ex Chinese):

Street / Road/ Blvd/ building______

______

Town______Postcode/ zipcode______Country ______

Home telephone(include international dialling code)______Mobile/cellular______

email (obligatory)______@______

State clearly

CURRENT DETAILS

What is your current situation? ______

______

______

PAYMENT OF FEES

Who is expected to pay your fees?

Full Sponsorship/ ScholarshipMyself Parents Partial Sponsorship/Scholarship

Bank loanOther, please specify______

Please provide your scholarship and sponsorship details

Have you applied for sponsorship from an organization for your study? Yes No

Please state the name of the organization: ______

Please state the type of Scholarship applied for:______

Has this sponsorship been confirmed/awarded? Yes No

HIGHER EDUCATION AND/OR PROFESSIONAL QUALIFICATIONS TO DATE

(most recent first)

Dates attended

from – to (dd/mm/aaaa)

/

Mode of study

Full-time / Part-Time / Distance learning etc

/ Institution’s full name and address / Course title / Core modules / Qualification / Award received
Ex: Economics BA (Hons) 2:1

EMPLOYMENT HISTORY

Employer’s full name and address

/

From month– year

/

To month - year

/

Full title of position held

/

Full-time / Part-time

/

Brief outline of duties

1.
2.
3.

ENGLISH LANGUAGE PROFICIENCY - National and International tests

Test taken

/

Date at which test was taken

/

Result (score)

IELTS
TOEFL
TOEIC
OTHER (please state)

FRENCH LANGUAGE PROFICIENCY

Have you studied French before? YesNo
If Yes, state thetotal number of hours of French taken:______
Name and location of the institution where you learnt French: ______
Method (Book) used to study French (obligatory):______
Test taken / Date of test / Result (score)
TEF
Test d’évaluation de français
TCF
Test de connaissance du français
DELF/ DALF
Diplômes du Ministère de l’Education Nationale
CECR
Cadre européen commun de référence
OTHER
(please state)

COMPUTING SKILLS

Software

/

List and Level: elementary, intermediary, advanced

Word – Excel - Access
Programming software
Other(please state)

ACADEMIC REFEREES

Surname – Forename(s)

/

University

/

Contact details (email, telephone)

1
2

APPLICANT DECLARATION

I declare that the information contained in this application is accurate to the best of my knowledge. I understand that any false declaration will result in the withdrawal of my application and consequently render any offer void.
Signature (obligatory): ______Date:______
APPLICATION CHECKLIST
All documents listed below MUSTbe submittedwith application form
All enquiries should be sent to the following email address:
In order for any admission request to be processed, applicants must ensure that all the documents listed below are addressed to the International Officeas soon as possible and before theApril 30th2013 deadlineat the following postal address:
Odile Soulard
International Office
University of Rennes1 - IGR-IAE de Rennes - 11 rue Jean Macé – CS 70803
35708 RENNES CEDEX 7 - FRANCE
Application Form, fully completed and signed. This form can be downloaded from the university’s website: (see english version)
Certified copy of the Bachelor’s degree and accompanying certified transcriptsall translated in French or English
Evidence of English language proficiency. All applicants must submit official international scores of one of the following tests :
TOEFL score of at least 550 paper test (80 IBT)
TOEIC 750 or above
IELTS overall band score of 6 for the Academic version
Proof of prior Higher Education in English speaking country (GPA of 2.00 or 4.00 scale)
Four passport sized photos (format 4cm x 4cm)
Copy of all passport pages and “Carte de Séjour” if you are in France
Certified translation of Birth Certificate in French
Detailed Curriculum Vitae in English
Motivation letter written in English explaining the reasons why you are applying to the Program.
All payments from overseas must be sent by international money order (Contact your bank or local post office for details): Please do not send money viaWestern Union.
Documents written in languages other than French or English must be accompanied by certified translations into French

*******************************************

Université de Rennes1- IGR / IAE de RENNES - 11 rue Jean Macé - CS 70803 - 35708 RENNES Cedex 7 - FRANCE

Fax: (+33) 2 23 23 7845 Email: bsite: