STUDY LOGISTICS AND SCM AT ISEL spring 2014
Transcription
STUDY LOGISTICS AND SCM AT ISEL spring 2014
STUDY LOGISTICS AND SCM AT ISEL spring 2014-Student Profile Sheet.doc MERCI DE COLLEZ VOTRE PHOTO ICI PLEASE ATTACH PHOTO HERE Profile sheet Nom / Surname: ............................................................................................................................ Prénom / First name: ..................................................................................................................... Sexe / Sex: F r M r Date de naissance / Date of birth: Jour/Day Mois/Month Année/Year Lieu de naissance / Place of birth :................................................................................................. Nationalité / Nationality : …………………………………….. Pays / Country : .............................. Etudiant en échange / Exchange student i: r (merci de cocher si concerné / please tick if appropriate) Etudiant hors échange/ Direct entry student ii Nom de votre université actuelle / Name of your current university : ...................................................... Adresse permanente (à laquelle seront adressés tous les documents de l’ISEL) Permanent home address (ISEL correspondence will be sent to this address) N° & rue / N° & street: .................................................................................................................... Ville / Town: .................................................................................................................................... Pays / Country: ................................................................... Code postal / Post code : ................. Téléphone / Phone Number : Courriel / Email : ............................................................................................................................ Durée de votre scolarité à iSEL* / Length of stay at ISEL, university of Le Havre, France : 2ème semestre (janvier à juin) / 2nd semester – Spring semester * Merci de vous référer au programme (Programmes proposés aux étudiants internationaux) * Please refer to the program (Programs offered to international students) i (under exchange agreement between institutions) ii (with no exchange agreement between institutions) 1 STUDY LOGISTICS AND SCM AT ISEL spring 2014-Student Profile Sheet.doc Etudes antérieures / Previous studies Année scolaire Academic Year Etablissement / Ville / Pays University / City / Country 2010 – 2011 2011 - 2012 2012 - 2013 Quel est votre niveau d’études actuel validé ? / Years of completed university study : r Bac+2 / 2 r Bac+3 / 3 r Bac+4 / 4 r Autres (Préciser) .................................................................................................................... r Others (specify) ..................................................................................................................... Level of French (beginners, intermediate, advanced) F Reading : ............................................. .... F Written : ..................................................... F Spoken : .................................................... Level of English (beginners, intermediate, advanced) F Reading : .................................................. F Written : ..................................................... F Spoken : .................................................... F TOEFL/TOEIC Score (if applicable) : ........ 2 STUDY LOGISTICS AND SCM AT ISEL spring 2014-Student Profile Sheet.doc Documents à fournir / Required Documents F Bulletins de notes (années universitaires) F Academic transcripts (from universities) F Curriculum vitae F Curriculum Vitae F Lettre de motivation en anglais F Letter of motivation in English F Photocopie TOEFL/TOEIC (if applicable) F Copy of the last diploma obtained (original must be shown upon arrival) F Copy of TOEFL/TOEIC score Ce dossier d’admission, accompagné des pièces demandées, est à retourner à Please return first this form by email: [email protected] …before sending hard copy with required documents to: ISEL International Quai Frissard B.P. 1137 76063 LE HAVRE CEDEX France Fax + 33 2 32 74 49 11 3