/ MINISTERE DE L’ENSEIGNEMENT SUPERIEUR DE LA RECHERCHE ET DE L’INNOVATION
MINISTERE DE LA TRANSITION ECOLOGIQUE ET SOLIDAIRE
MUSÉUM NATIONAL D'HISTOIRE NATURELLE
Direction de l'Enseignement et de la Formation

STUDENT REGISTRATION FORM 2018-2019

Master’s degree: Evolution, Natural Heritage and Societies

Family Name
First Name
Speciality*
Degree (1st or2nd year)
Course selection (1st choice)**
Course selection (2nd choice)
Date of birth(dd/mm/yyyy)
Nationality
Mailing postal address ****
City/Province
Country
Telephone number*****
Email address / @

*Select speciality in an abbreviated form only : EBE, EDTS, MVE, MSCS, QP,SEP

**For the SEP specialty: indicate your course selection in M2 (SE, Pal, IAB, BEVT) : first course choice, second course choice.

****This is the address which we will use to contact you and whereyou reside (until September 2018).

***** Telephone number where you can be reached until September 2018.

EDUCATIONAL BACKGROUND

FamilyName:First name:

Baccalaureate/A-levels/High School Diploma or equivalent(specify year obtained and include your subjects, grades and distinctions):

Post-secondary school studies:

Year / Name of University or institution / Qualification title (degree orotherwise) / Results
anddistinctions
Situation 2017-2018
Previous years
NB: specify which years and insert as many rows as necessary

OTHER INFORMATION

Current situation :

Student

Employed (position and employer’s name)

Other, specify:

If you have applied for other master’s degree courses, please provide details below (University, degree title and the specialty):

For foreign students, (non-French speaking), indicate your French level including any official test results or certificates:

How did you find out about this program: Internet, CAIO, former students, teachers, an educational/job fair, or other?

I certify the accuracy of all the information contained in my application.

If my application is successful, I undertake to participate full time, in all the activities scheduled for the teaching units that I choose.

InSignature:

Date

WHICH DOCUMENTS TO SEND AND WHERE TO SEND YOUR APPLICATION

(one dossier per speciality)

1. Your application must include the following documents:

-the above application form, duly completed, dated and signed, including a recent picture of yourself in JPEG format (240 x 300 pixels)

- one page CV (including internships and work experience)

-a cover letter (very important)

-a copy of the grades obtained for *:

-the 3 years of your bachelor’s degree (or equivalent)

-the master 1, where applicable

and for foreign students a copy of their degree(s)

-Optionally references and any other documents you deem useful can be included.

2 - The complete application must be sent to the head of the chosen specialitybefore Tuesday, June 12, 2018:

-preferably electronically to the email addresses indicated in the table below,

- either by mail or delivered personally to the mailing addresses indicated in the table below.

In these two cases, the candidate must then send an additional email to the person in charge of the specialty:

-their application form in Word format

-an identity photo in JPEG format (240 x 300 pixels) as a separate attachment, labelled with your family name and your first name

- For the EBE specialty “Ecology, Biodiversity, Evolution” ONLY, the administrative information Excel document found on the Museum website

Specialty / Specialty Directors/Managers
Ecology
Biodiversity
Evolution
(EBE) / Alexandre Robert, MNHN, Département Homme et Environnement-UMR 7204 CESCO,
CP 135, 57, rue Cuvier 75231 Paris cedex 05
- Adresse physique : 43, rue Buffon 75005 Paris
courriel :
- web site:
SEND YOUR APPLICATION BY POST ONLY
Bruno de Reviers (pour le parcours E2F), MNHN, Département Origines et Evolution
CP 39, 57, rue Cuvier 75231 Paris Cedex 05
- Adresse physique:12, rue Buffon 75005 Paris
Courriel:
Environment
Development
Territories and Societies
(EDTS) / M1 et M2 (hors parcours DEBATs):
Serge Bahuchet et Richard Dumez (co-resp.),
Nicolas Césard (resp. M1) et Julien Blanc (resp. M2)
MNHN, Département Homme et Environnement
Site du Musée de l'Homme 17, place du Trocadéro
75016 Paris
- Adresse physique: cf. ci-dessus
Courriels : pour le M1, , pour le M2, , tél.: 01.44.05.72.66et et
M2 parcours DEBATs:
TERRIBIO (Territoires et Biodiversité)
Nathalie Machon, MNHN, Département Homme et Environnement
CP 61, 57, rue Cuvier 75231 Paris cedex 05
- Adresse physique: 61, rue Buffon 75005 Paris
Courriel : , tel : 01 40 79 38 71
URBABIO (Urbanisme et Biodiversité) Formation continue exclusivement à destination de professionnels
Philippe Clergeau,MNHN, Département Homme et Environnement
CP135, 43, rue Buffon 75005 Paris
- Adresse physique: cf ci-dessus
Courriel : , tel : 01 40 79 57 65
Mechanisms of living organisms and their environment
(MVE) / Isabelle Florent,MNHN,Département Adaptations du vivant
CP 52, 57, rue Cuvier 75231 Paris Cedex 05
- Adresse physique: 61, rue Buffon 75231 Paris cedex 05
Courriel :
Museology, Sciences
Cultures and
Societies
(MSCS)(Museology of Sciences) / Fabienne Galangau-Quérat (resp. spécialité)
Jean-Guy Michard (resp. M2)
MNHN, Département Homme et Environnement – UMR PaLoc
CP 22, 57, rue Cuvier 75231 Paris Cedex 05
- Adresse physique : Grande Galerie de l'Evolution, 36, rue Geoffroy St Hilaire 75005 Paris
Courriel :
tel : 01 40 79 39 79
Quaternary and
Prehistory
(QP) / François Sémah,MNHN, Département Homme et Environnement
1, rue René Panhard75013 Paris
Courriel : , tel : 01 40 79 27 14
Denis Vialou, MNHN, Département Homme et Environnement, 1, rue René Panhard
75013 Paris
Courriel:, tel : 01 40 79 27 35
Systematics
Evolution
Paleontology
(SEP) / Véronique Barriel,MNHN,Département Origines et Évolution
CP 38, 57, rue Cuvier 75231 Paris cedex 05
- Adresse physique: 8, rue Buffon 75005 Paris
Courriel : , tel : 01 40 79 31 71

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Case Postale n° 27, 57, rue Cuvier – F-75231 Paris Cedex 05Scolarité Master