STATEMENT OF PURPOSE AND MOTIVATION

Application Form

I am applying for the Programme Master’s course „Mechatronic Engineering“, offered by the EU4M-Consortium under the ERASMUS Mundus Brand Name. The objective is to obtain a double-degree in Master of Science, delivered by the two chosen Partner Institutions of EU4M-Consortium.

I am applying as self-paying student

I am applying for a scholarship myself

I would like to get offers about scholarships from EU4M

Partner Institutions	Germany	Spain	France	Russia	Egypt
	Hochschule Karlsruhe Technik und Wirtschaft	Universidad de Oviedo	E.N.S. de Mйcanique et des Microtechniques	Ivanovo State Power Engineering University	Nile University

PERSONAL INFORMATION

Fields marked with * are required.

Family Name *:

First Name *:

Sex *: F M

Date of Birth *: Month mm Day dd Year yyyy

Place of Birth *:

Country of Birth *:

Nationality *:

E-mail *:

Permanent e-mail address valid until September at least.

(VERY IMPORTANT as we will contact you mostly by e-mail)

Passport Number *:

(or other valid document; please specify what kind)

Date of Expiry *: Month mm Day dd Year yyyy

Marital Status: Single Married

Number of Children:

Present Personal Status: Employed Unemployed Student Part-time

PERMANENT PERSONAL ADDRESS IN YOUR HOME COUNTRY

Street Name and Number *:

City *: City code:

Country *:

Phone *: Cell Phone:

(Int. Code) – Number

PERMANENT ADDRESS FOR ALL CORRESPONDENCE, IF DIFFERENT FROM ABOVE

Street Name and Number:

City: City code:

Country:

Phone: Cell Phone:
(Int. Code) – Number

LANGUAGE SKILLS

Describe your language skills with the marks: 0=”no knowledge”, 1=”basic”, 2=”average”, 3=”advanced”. Also indicate your level in that language according to the scale defined by the Common European Framework Reference for Languages (CEFR). Please include your mother tongue.

Mother Tongue:

Arabic: Reading Writing Speaking Listening Level

French: Reading Writing Speaking Listening Level

German: Reading Writing Speaking Listening Level

Russian: Reading Writing Speaking Listening Level

Spanish: Reading Writing Speaking Listening Level

Specify further language skills

: Reading Writing Speaking Listening Level

: Reading Writing Speaking Listening Level

: Reading Writing Speaking Listening Level

: Reading Writing Speaking Listening Level

EDUCATION

Last qualifications completed or certified

Provide full records of your education up to date, including University degree(s) at or below Bachelor of Science level, and any other Higher Education title (specialization, MSc, Ph.D., etc.). Also specify any post-graduate or training programmes you have undertaken during the last three years, even if they haven’t led you to a degree.

From: Year To: Year

Degree Obtained:

Date of Award (DD.MM.YYYY):

Specialty or Subject:

Marks Obtained Out of Max:

(e.g. 98/120)

Rankings:

(out of how many students, e.g. 1/327)

From: Year To: Year

Degree Obtained:

Date of Award (DD.MM.YYYY):

Specialty or Subject:

Marks Obtained Out of Max:

(e.g. 98/120)

Rankings:

(out of how many students, e.g. 1/327)

From: Year To: Year

Degree Obtained:

Date of Award (DD.MM.YYYY):

Specialty or Subject:

Marks Obtained Out of Max:

(e.g. 98/120)

Rankings:

(out of how many students, e.g. 1/327)

Qualifications NOT yet completed or certified

Students should be able to provide an official certification of the degrees indicated below in June the latest.

From: Year To: Year

Specialty or Subject:

Marks Obtained Out of Max:

(e.g. 98/120)

Rankings:

(out of how many students, e.g. 1/327)

From: Year To: Year

Specialty or Subject:

Marks Obtained Out of Max:

(e.g. 98/120)

Rankings:

(out of how many students, e.g. 1/327)

From: Year To: Year

Specialty or Subject:

Marks Obtained Out of Max:

(e.g. 98/120)

Rankings:

(out of how many students, e.g. 1/327)

Other courses or seminars attended

STATEMENT OF PURPOSE AND MOTIVATION

Personal statement in one of the EU4M languages (Spanish, French, German, English). Maximum 1.350 characters.

Describe your aspirations, interests, experience, talents, professional academic and personal motivation, why you chose the EU4M programme, why your skills and abilities make you a good candidate.

Date: 2015-12-18; view: 574