STUDENT APPLICATION FORM – PAGE 1
Erasmus Mundus - Action 2 - STRAND 1 Partnership Programme
ELARCH project
APPLICATION FORM
APPLICANT’S PERSONAL DATA
Family name: ……………………………………… / First name (s): ………………………………….Date of birth: ……………………………………… / ………………………………………………………
Sex: …M/F…. / Nationality[1]………………………………………
Place of birth:………………………………………
e-mail address:……………………………………… / ………………………………………………………
Current address: ………………………………….. / Permanent address (if different): …………
………………………………………………………... / ………………………………………………………
………………………………………………………... / ………………………………………………………
………………………………………………………… / …………………………………………………….
Current address is valid until: ……………….…. / ………………………………………………………
Tel. no (incl. country code nr.): ………………… / Tel: ………………………………………………
SENDING INSTITUTION (fill in only the section related to the target group you belong to):
TG1: EU students/persons registered at one of the EU Countries Higher Education Institution within the partnership and LA students/persons registered at one of the LA Countries Higher Education Institution within the partnership, at the time of submitting the application.Sending Institution name and full address: ______
______Country: ______
TG2: EU students/persons registered in a EU higher Education Institution not included in the partnership or holder of a university degree or equivalent of a EU Higher Education Institution of any EU country, LA students/persons registered in a LA higher Education Institution not included in the partnership or holder of a university degree or equivalent of a LA Higher Education Institution of any LA country of any LA country concerned by the lot.
Sending Institution name and full address: ______
______Country: ______
TG3: national students of one of the Latin American country targeted by the lot and part of the vulnerable groups for social and political reasons[2].
Sending Institution name and full address: ______
______Country: ______
Vulnerable status description (please specify):______
An official proof of the student’s vulnerable status/condition must be enclosed to this application
LIST OF INSTITUTIONS WHERE YOU WISH TO APPLY (IN ORDER OF PREFERENCE):
Host University / Courses and/or study/work programme at host university / Level of studies/mobility(BA, PhD, MS, Staff)
1.
2.
3.
4.
5.
Study/research project (max 500 words) :
………………………...…………………… …………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
LANGUAGE COMPETENCE
A proof of knowledge of the receiving institution’s language of instruction should be submitted
Mother tongue: …………………Language of instruction at home institution (if different): ……………….
Other languages
/ Level(Basic, Intermediate, Advanced) / Certificate and grade
(i.e.: Toefl, Ielts, etc)
1.
2.
3. / 1.
2.
3. / 1.
2.
3.
WORK EXPERIENCE RELATED TO CURRENT STUDY/WORK (if relevant)
Work experience / position
……………………………………………………………………………………… /Firm /organization
……………………………………………….……………………………………………………………………………………………… /Dates
……………………………………………………………… /Country
………………...……………………………….PREVIOUS AND CURRENT STUDY AS WELL AS ACADEMIC TITLE AWARDED (IF APPLICABLE)
Diploma/degree for which you are currently studying: ……………………………………………………Name of Institution: ……………………………………………………………
Number of higher education study years prior to departure abroad: …………………………………..
Have you already been studying abroad? Yes o No o
if yes, when? at which institution?......
______
Diploma/degree awarded (only for graduate students):……………………………………………………..
Issued by (name of Institution): ……………………………………………………………
Number of higher education study years necessary to obtain the academic title (according to the national law): ……………………………………………………
In addition and only for Latin American candidates:
Have you already resided in a European Country for more than 12 months (in total) over the last five years at the time of submitting this application? Yes o No o
if yes, when? Where?......
Have you already studied/worked in a European Country for more than 12 months (in total) over the last five years at the time of submitting this application? Yes o No o
if yes, when? Where? At which Institution/organization? ......
Date ______Signature of the applicant
______
COMPULSORY DOCUMENTS TO BE UPLOADED THROUGH THE APPLICATION TOOL
To support your admission application you must provide the following documents:
DOCUMENTS REQUIRED TO ALL CANDIDATES:
1. scanned copy of Application form (signed by the applicant)
2. scanned copy of the passport (or other official identity document with specification of nationality)
3. CV in the Europass format;
4. Motivation Letter (maximum one page), including reasons to apply, particular skills and abilities, academic interests, work experience, commitment to return to the home country, benefits of the mobility for the grant holder and his/her environment;
5. Letter of Reference /Recommendation (max two) preferably from academics or other persons who have had an academic or work relation with the applicant;
6. Proof of disadvantaged conditions (if applicable): any official document proving disability or disadvantage conditions (economic, social or other)[3];
7. Declaration of honour signed by the applicant of not having received an Erasmus Mundus – action 2 – scholarship for the same purposes and, for third Country nationals (this rule does not apply to TG3 candidates), of not having resided and nor having carried out their main activity (studies, work, etc.) for more than a total of 12 months over the last five years in any of the eligible European countries at the time of submitting the application to the partnership.
Undergraduate TG1 AND TG3
A. Transcript of records of all years of university study including average mark; any additional Academic Certification required for the specific course at the University you are applying for;
B. Proof of registration: a certificate signed and stamped by the Home University proving that you are currently enrolled in an Undergraduate course programme and that you have successfully completed at least one years of studies by the time of application;
C. Learning agreement: preliminary study plan signed by the candidate and home Institution;
D. Language certificates (compulsory if required by the host university);
E. TG3 students (only for students applying under TG3): description and proof of vulnerable situation.
Masters TG1, TG2 AND TG3
A. Academic Certification and Transcripts of records of all years of University studies including undergraduate and/or graduate studies or Diploma Supplement (if applicable);
B. Language certificates (compulsory if required by the host university);
C. TG3 students (only for students applying under TG3): description and proof of vulnerable situation.
D. TG1 mobility from EU (9 month’s mobility only)
E. Proof of registration: a certificate signed and stamped by the Home University proving that you are currently enrolled in a Master course programme;
F. Learning agreement: preliminary study plan signed by the candidate and home Institution.
Post-Doctorate TG1 AND TG2
A. Academic Degrees (Bachelor, Master and Doctoral degree or equivalent) and Transcripts of records of all years of University studies including undergraduate, graduate and PhD studies or Diploma Supplement (if applicable);
B. Language certificates (compulsory if required by the host university);
C. Letter of interest by the host University (In order to complete the Letter of Interest, the applicant needs toestablish contact witha potentialsupervisor at the host universityalready during the application process.By signing the Letter of Interest, the contact person at the host university confirms his/herinterest in hosting the candidateif a scholarship is granted. At the same time, the Letter of Interest guarantees that the profile of the applicant matches thethematic expertiseof the host university;
D. Work Plan agreement: preliminary work plan already signed by the parties involved.
Staff TG1
A. Work Plan agreement: preliminary work plan already signed by the parties involved;
B. Letter of interest by the host University (In order to complete the Letter of Interest, the applicant needs toestablish contact witha potentialsupervisor at the host universityalready during the application process.By signing the Letter of Interest, the contact person at the host university confirms his/herinterest in hosting the candidateif a scholarship is granted. At the same time, the Letter of Interest guarantees that the profile of the applicant matches thethematic expertiseof the host university;
C. CV+ list of publications.
STUDENT APPLICATION FORM - PAGE 2
[1] Candidate with multiple nationality must choose under which one nationality would apply. A specific proof is requested to TG3 students and it must be enclosed to this application.
[2] For example: having a refugee status or asylum beneficiaries (international or according to the national legislation of one of the European recipient countries) or it can be proved that they have been the object of unjustified expulsion from university on racial, ethnic, religious, political, gender or sexual inclination or they belong to an indigenous population targeted by a specific national policy or IDPs (Internally Displaced Persons)
[3] The Erasmus Mundus ELARCH Partnership is committed to supportingapplicants in adisadvantaged situation(disabledoreconomicallydisadvantaged) by giving thempreferential statusin the selection process. If you find yourself in a disadvantaged situation due to a disability or economic reasons,indicate this in the online application form. In addition, you are required toupload documents(e.g. medical reports,declaration of financial resources below national average, long-termunemployment offamily provider, etc.)proving that you belong to a disadvantaged group. Once the selection procedure has started, theSelection Committee will take a look at the uploaded documents and determine whether these are sufficient proof ofthe applicant’s disadvantaged situation. In case the selection committee considersthe supportingdocuments as insufficient proof,the application will be evaluated as an application without the disadvantaged status. IMPORTANT:There is a difference between disadvantaged groups and vulnerable groups (=target group3): The former refers to cross-cutting issues and will be taken into consideration forthe selection of candidates fromall three target groups; the latter refers exclusively to the selection of candidates under target group3.