Groupe des Ecoles des Mines

APPLICATION FORM

Family name of applicant ....Li...... …………………

Given name of applicant...... Ming...... …...... ……………….

Nationality ...... Chinese...... ….....……

Date of birth ...... 12/06/1986...... ….....

Sex : Male / Female...... Male...... …………

Address

Street...... …Room 403A, 6th Building, Zijing Apartment, Tsinghua University, Haidian District………………...... ……………………......

City ...... Beijing...... ………………...... …...... ……………...

Postcode...... 100084...... ………………….

Country ...... China...... …………………….

International phone + ...... +8613811623319../.. +86-10-51531499......

E-mail address.

Fax number (if available) ……………………………………………………

  • Field of study...... Mechanical Engineering../..Industrial Engineering......
  • Program and campus preference, (7 campuses : Albi, Alès, Douai, Nancy, Nantes, Paris and Saint-Etienne) in accordance with the course offerings by campus (cf appendix 2 of the Double Diploma agreement) *. Please select at least 2 campuses.

Please mention below your 1st, 2nd and 3rd choice)

Program / Campus
1 / Industrial Engineering / Nancy
2 / Mechanical Engineering / Saint-Etienne
3

* Depending on availability of places

Use black marker or fill the form directly on your PC. Erase all errors completely.

Use only print numbers and letters in blocks provided.

To be returned to:

GEM International Office

or 158, cours Fauriel

F42023 St-Etienne Cedex 2

HIGHER EDUCATION

BACHELOR DEGREE PROGRAM AT Your university

Mechanical Engineering and Automation

Academic Year / COURSES TAKEN / Average grade all courses combined / year *
2007-2008 / Fundamentals of Control Engineering
Fundamentals of Manufacturing Engineering
Measurement and Test Technology / 77/100
2006-2007 / Fundamentals of Machine Design
Electrical and Electronic Engineering
Engineering Materials / 80/100
2005-2006 / Calculus
Linear Algebra
Fundamentals of Computer Software Techniques / 88/100

* Please count your average grade each academic year.

SECONDARY EDUCATION (High School graduation…)

Graduation Year: 2004 Field of study: ______

Name of Institution: Gaoxin No.1 High School

Town : Xi’an, Shaanxi, China

Language ability (attach certificates if appropriate)

Please indicate your proficiency in French and English.

(Rate yourself : E=Excellent, G= Good, F= Fair, P=Poor, B= Beginner)

Language / Speaking / Reading / Writing / Certificates TOEFL/DELF/DALF/Other + year and score
English / E / G / G
French / B / B / B
If work experience: mention below
Employer
/
Position
/ From / to / Type of work

Motivation Questionnaire

Question 1: Describe your course of study and explain in a few words your motivation for this academic orientation

I study in department of Precision Instrument and Mechanology in Tsinghua University, My major is mechanical engineering and automation. In our department, we learnt lots different courses which seemed not relative. But those courses made much contribution to our knowledge basis and it allow us to quickly get through other subjects. But for further education, I think I need a new sight about what I have leant, and I always interesting in this romantic country France.

Question 2: What is your career project.

If I have the chance to study in GEM, I will make great efforts to study well, and get used to the environment soon, for my greater goal, I want to take part in some research programme in some companies when I can afford my course. I will try my best to be an excellent international student and study hard to get my master’s degree successfully. I also want to be an international engineer in great companies, so I will try to get a job like it after graduation. No matter work in France or get back to China, I will spare no effort to the business between France and China.

Question 3: How will study in France, and in particular with the GEM contribute to your career project?

If I have the honour to study in one of the echoles in GEM, I will try my best to study well and to be an excellent international student , and after graduation, I hope to be an eligible engineer with international view to work in the famous international cooperation. With the study experiences in GEM, I think I will quickly make my later job easier.

Question 4: Describe the extra-curricular activities you have been involved in during the last few years. ( work experience, clubs, associations etc.)

At my spare time, I like to swimming and dancing to relax myself. Once I was a member of standard dancing team of Tsinghua student arts group. And I also like to play some games with competition. I like this feeling that you and your partners, think, strive, at last get solution to win the opposite. It is just like a battle without blood, like the competition in business nowadays.

Question 5: Are there any other points you wish to present in support of your application ?

As I always have a dream to be an international engineer, and I am very interested in this romantic country France. So I also learnt a little French before in alliance-france, and I still make progresses in French.

I certify that the information provided on this application is accurate and complete. I understand that falsified information may result in denial of admission and terminationof enrolment in the GEMProgram.

Date of Signature...... …......

Signature

REQUIRED DOCUMENTS TO ACCOMPANY YOUR APPLICATION
 -A full Curriculum Vitae
 - Certifiedtranscript of grades from your university for the last 3 years
 - Copies of certificates/diplomasreceived (High school graduation, undergraduate diploma …)
 -4 passport sized photographs
 -Letter of recommendation by the Dean of Studies or his representative (optional)
 - English language test score, if any
 - French language test score, if any
REQUIRED DOCUMENTS ON ADMISSION TO GEM
 - Photocopy of passport or ID card

- 1/5 -GEM application form