H Other information AND FINANCIAL SUPPORT

Application form UM master programme

Please read the instructions carefully before completing the form

A PERSONAL INFORMATION

(Please enclose a photocopy of your valid passport or EU ID-card)

Names

Last name__________________________________ First name ____________________________________

Middle name(s) __________________ ___________ Prefer to be called ______________________________

2. Gender:c Female c Male3. Date of birth (day/month/year) ______/______/________

4. Place of birth: City __________________________ Country ______________________________________

5. Nationality:_____________________________________________________________________________

B AdDRESS(es)

6. Mailing address (This address will be used for all admission correspondence)

Number and street __________________________________________________________________________

City ____________________________________________________ Postal (Zip) Code _____________________

Country ___________________________________________________________________________________

Telephone _________________________________ E-mail address ______________________________________

7. Permanent (home) address (if different from above)

C master programme

Please indicate the Master programme you wish to apply for:

c Master in European Studies

D EducAtion

8. Educational institution you currently attend or have attended last:

Name _____________________________________________________________________________________

City________________________ Country________________________

Date of entry (day/month/year) ______/______/______ (Expected) date of graduation ______/______/______

9. Language of instruction at this institution ______________________________________________________

10. Name of the degree received or expected _____________________________________________________

10a. Additional degrees: ________________________________________________________________________

11. Please include certified (bearing the seal of the institution and the signature of the Head or the Registrar) photocopies of your diploma and/or (if you have not yet graduated) the last transcript indicating subjects taken and grades or credits earned.

11.a. Please include on a separate sheet a typed (!) curriculum vitae, which gives an overview of your educational and professional experiences.

E Languages

12. What is your mother tongue? __________________________________________________________________

13. English language proficiency:

Compulsory for non-native English speaking candidates (holders of a BA or MA degree of an English language programme are exempted): Please give your (academic) below or TOEFL internet-based score, and include a copy of the results:

____________________________________________________________________________________________

Other languages

Please indicate your proficiency in other languages using the following scale: native/good/reasonable/poor/none

F Motivation letter

G letters of recommendation

16. Please include two typed (!) letters of recommendation in sealed envelopes.

H Other information AND FINANCIAL SUPPORT

17. How did you first learn about this master programme?

c Friends/Family c Website c UM student c School counsellor c Information fair c Advertisement

Please give details:

____________________________________________________________________________________________

18. Financial support. How do you plan to finance your education?

cby myself (please note: non-EU students need a bank guarantee for the visa procedure)

c through my institute/employer

c I have obtained a fellowship

c I have applied for a fellowship from……………………………………………

19. Computer experience. Are you familiar with the use of computers and software?

Word for windows: Internet:

c yes c no c yes c no

Excel: e-mail:

c yes c no c yes c no

Date: 2015-12-24; view: 867