APPLICATION FORM MASTERS OF SCIENCE

Administration only :
Accepted :
Yes
If Yes :
A
B
No
C
APPLICATION FORM
MASTERS OF SCIENCE
CIVIL STATUS
Family Name:
First name or Given Name:
Nationality:
Female
Date of Birth:
Town:
/ Male
Country:
I APPLY FOR
Select only one program for each application
ANWM
Post Master in Advanced Nuclear Waste Management
EMOOSE
European Master in Object Component and Aspect – Oriented Software Engineering
ME3
European Joint Masters in Management and Engineering of Environment and Energy
Give a preference for your pedagogical option:
Option 1 - Sustainable Energy Engineering in KTH
Option 2 - Rational Design and Use of Energy Technologies in EMNantes
MLPS
Master of Science in Industrial Engineering and Management of logistics and Production Systems
PM3E
Master of Science in Project Management for Environmental and Energy Engineering
HOW DID YOU KNOW US ?
Website
Exhibition Fair
University partner
Alumni Network
Relationship
Recruiting Agent
Advertisement
Other
Details: :
DO YOU WISH TO APPLY FOR A GRANT OR A SPONSOR ?
EIFFEL
ERASMUS MUNDUS (only for the European joint masters ME3)
INDUSTRIAL SPONSORING
Revised February 09
ECOLE DES MINES DE NANTES – Graduate School
LA CHANTRERIE. 4, RUE ALFRED KASTLER. B.P.20722 – 44307 NANTES CEDEX 3 - FRANCE. TELEPHONE (33) 2 51 85 81 00 – TELECOPIE (33) 2 51 85 81 99
http://www.emn.fr
MEMBRE DU GROUPE DES ECOLES DES MINES (GEM)
MEMBRE DU PÔLE DE RECHERCHE ET D’ENSEIGNEMENT SUPERIEUR NANTES ATLANTIQUE UNIVERSITE
ADRESS OF THE APPLICANT
N°:
Street:
Post Code:
Town:
Phone Number:
Country:
International Code:
Email Address:
HIGHER EDUCATION
Your last University Name:
Address of your University:
Academic Year
University
Diploma-Degree-Date
GPA
LANGUAGE HABILITY
Please indicate your proficiency in each specified language (Rate yourself : E=Excellent, G=Good, F=Fair, P=Poor, B=Beginner)
Language
Speaking
Reading
Writing
Certificates
Score
Revised February 09
ECOLE DES MINES DE NANTES – Graduate School
LA CHANTRERIE. 4, RUE ALFRED KASTLER. B.P.20722 – 44307 NANTES CEDEX 3 - FRANCE. TELEPHONE (33) 2 51 85 81 00 – TELECOPIE (33) 2 51 85 81 99
http://www.emn.fr
MEMBRE DU GROUPE DES ECOLES DES MINES (GEM)
MEMBRE DU PÔLE DE RECHERCHE ET D’ENSEIGNEMENT SUPERIEUR NANTES ATLANTIQUE UNIVERSITE
RESEARCH AND INDUSTRIAL EXPERIENCE
Employer
Address
Position
From to / Duration
Activities-Responsabilities
LETTERS OF RECOMMENDATIONS
Refer to the enclosed forms
Names, contact details and job titles of the two persons writing the letters of recommendation
1
2
Revised February 09
ECOLE DES MINES DE NANTES – Graduate School
LA CHANTRERIE. 4, RUE ALFRED KASTLER. B.P.20722 – 44307 NANTES CEDEX 3 - FRANCE. TELEPHONE (33) 2 51 85 81 00 – TELECOPIE (33) 2 51 85 81 99
http://www.emn.fr
MEMBRE DU GROUPE DES ECOLES DES MINES (GEM)
MEMBRE DU PÔLE DE RECHERCHE ET D’ENSEIGNEMENT SUPERIEUR NANTES ATLANTIQUE UNIVERSITE
FINANCIAL RESSOURCES
Company (contact & address)
Yourself - parents
Loans
Institutional grants (Give the name of the institution and the detailed contact) (Ex : French Embassy - Governmental Grants)
Other, to be specified
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 termination of enrolment in my study program.
Signed ................................................................................................. Date ...................................................................
DID YOU APPLY FOR ANOTHER PROGRAM ?
Name of the program
Country
Revised February 09
ECOLE DES MINES DE NANTES – Graduate School
LA CHANTRERIE. 4, RUE ALFRED KASTLER. B.P.20722 – 44307 NANTES CEDEX 3 - FRANCE. TELEPHONE (33) 2 51 85 81 00 – TELECOPIE (33) 2 51 85 81 99
http://www.emn.fr
MEMBRE DU GROUPE DES ECOLES DES MINES (GEM)
MEMBRE DU PÔLE DE RECHERCHE ET D’ENSEIGNEMENT SUPERIEUR NANTES ATLANTIQUE UNIVERSITE
CHECKLIST FOR SUBMISSION OF YOUR APPLICATION
The following items* must be submitted together in order for EMNantes to process your application to study on our programs.
We won’t study your application if it is incomplete, except for the proof of the degree you are in progress and if you didn’t get
yet your English certificate.
Complete Application in English*
A full curriculum vitae in English*
Copy of your transcripts, with translation in English, for the last 4 years of your higher education (done by your
educational institution or by an official institution) *
Copy of your degrees, with translation in English education (done by your educational institution or by an official
institution) *
2 letters of recommendation in English*
An essay in English to present your career project and motivate your application (2 pages max)*
English certificate(s) or other Proof of English Proficiency (if you are a native English speaker or if you did all your
studies in English) *
Copy of passport information page (should include the passport number, your name, and your photo) (or copy of
your identity card and a proof of request for a new passport)*
2 recent photos
Publication list and Patents in English if research experience
For the ME3 program only:
Form according to the Erasmus Mundus Scholarship application (www.mastereurope-me3.org)
SUBMISSION OF YOUR APPLICATION
Programs
The complete application has to be sent to:
MSc. EMOOSE - Requests: [email protected]
MSc. MLPS - Requests: [email protected]
MSc. PM3E - Requests: [email protected]
MSc. ANWM - Requests: [email protected]
Ecole des Mines de NANTES
International Students Office
Graduate School
4, rue Alfred Kastler, B.P. 20722
44307 NANTES Cedex 03
FRANCE
For all questions, do not forget to write the name of the master
program you are interested in, in the subject of your email.
European Joint Master ME3 - Requests: [email protected]
For all questions, do not forget to write the name of the master
program you are interested in, in the subject of your email.
Ecole des Mines de NANTES
DSEE/ME3
4, rue Alfred Kastler, B.P. 20722
44307 NANTES Cedex 03
FRANCE
For more information
Web : www.emn.fr/ « International website in English »
Revised February 09
ECOLE DES MINES DE NANTES – Graduate School
LA CHANTRERIE. 4, RUE ALFRED KASTLER. B.P.20722 – 44307 NANTES CEDEX 3 - FRANCE. TELEPHONE (33) 2 51 85 81 00 – TELECOPIE (33) 2 51 85 81 99
http://www.emn.fr
MEMBRE DU GROUPE DES ECOLES DES MINES (GEM)
MEMBRE DU PÔLE DE RECHERCHE ET D’ENSEIGNEMENT SUPERIEUR NANTES ATLANTIQUE UNIVERSITE
Recommendation for admission
Name of the applicant: _________________________________________________________________________________
First name or given name: ______________________________________________________________________________
Title, name and position: _______ _______________________________ ________________________________________
Name of the University/Company: _______________________________________________________________________
Address of the University/Company: ____________________________________________________________________
Phone number: _______________________________________________________________________________________
Email address: _______________________________________________________________________________________
Detailed appreciation on the candidate:
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
__________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
__________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Revised February 09
ECOLE DES MINES DE NANTES – Graduate School
LA CHANTRERIE. 4, RUE ALFRED KASTLER. B.P.20722 – 44307 NANTES CEDEX 3 - FRANCE. TELEPHONE (33) 2 51 85 81 00 – TELECOPIE (33) 2 51 85 81 99
http://www.emn.fr
MEMBRE DU GROUPE DES ECOLES DES MINES (GEM)
MEMBRE DU PÔLE DE RECHERCHE ET D’ENSEIGNEMENT SUPERIEUR NANTES ATLANTIQUE UNIVERSITE
Recommendation for admission
Name of the applicant: _________________________________________________________________________________
First name or given name: ______________________________________________________________________________
Title, name and position: _______ _______________________________ ________________________________________
Name of the University/Company: _______________________________________________________________________
Address of the University/Company: ____________________________________________________________________
Phone number:
_____________________________________________________________________________________
Email address: _______________________________________________________________________________________
Detailed appreciation on the candidate:
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
__________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
__________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Revised February 09
ECOLE DES MINES DE NANTES – Graduate School
LA CHANTRERIE. 4, RUE ALFRED KASTLER. B.P.20722 – 44307 NANTES CEDEX 3 - FRANCE. TELEPHONE (33) 2 51 85 81 00 – TELECOPIE (33) 2 51 85 81 99
http://www.emn.fr
MEMBRE DU GROUPE DES ECOLES DES MINES (GEM)
MEMBRE DU PÔLE DE RECHERCHE ET D’ENSEIGNEMENT SUPERIEUR NANTES ATLANTIQUE UNIVERSITE