APPLICATION FORM MASTER EDITION 2012 2014eeas.europa.eu/archives/delegations/ghana/... · EM3E_Application-Form_v1_2012-2014 5/12 ERASMUS MUNDUS MASTE European Master R IN MEMBRANE

EM3E_Application-Form_v1_2012-2014 1/12

European Master

ERASMUS MUNDUS MASTER IN MEMBRANE ENGINEERING

APPLICATION FORM

MASTER EDITION 2012 – 2014

Application deadline

Application for EM3E master admission with an Erasmus Mundus scholarship:

December 15th 2011 (mid-night CET)

Application for EM3E master admission without an Erasmus Mundus scholarship: February 29th 2012 (mid-night CET)

Instructions

1. Please complete all fields of this form. Any incomplete application file will be rejected. 2. Please save a scanned signed copy of the present application form and all requested documents

(included in the sequence listed at the end of this form) as a single PDF file. The file must be entitled: YOURLASTNAME_APPLIC2012.pdf.

3. You must send your application via e-mail to the EM3E Management Office:

[email protected]

4. After reception of your application, we will acknowledge receipt of your application by e-mail. If you do not receive this e-mail within one week after your submission, please contact us.

5. Pre-selected students will be requested to provide the originals or certified copies of all documents

they have submitted in electronic form with their application and any additional document required by the EM3E consortium.

The EM

3E Master is supported by the Erasmus Mundus programme of the European Union. A number of Erasmus

Mundus scholarships are offered to selected candidates. Details about these scholarships can be found on the Erasmus Mundus website: http://eacea.ec.europa.eu/erasmus_mundus/funding/scholarships_students_academics_en.php.

Candidates should be aware that the number of scholarships offered is limited. Therefore, candidates may be admitted to the EM

3E Master even while they are not selected for an Erasmus Mundus scholarship.

Please, indicate your category:

Student applying for EM3E master admission with an Erasmus Mundus scholarship

Student applying only for EM3E master admission without an Erasmus Mundus scholarship

If you are not awarded an Erasmus Mundus scholarship, would you still wish to join EM3E Master?

Yes

No

EM3E_Application-Form_v1_2012-2014 2/12

European Master

ERASMUS MUNDUS MASTER IN MEMBRANE ENGINEERING

1. PERSONAL DATA

Last name:

First and middle name:

Gender: Male Female

Date of birth (dd/mm/yyyy): / /

Place of birth:

Country of birth:

Nationality (considered for application):

2nd Nationality (if any):

Passport number:

Passport expiry date (dd/mm/yyyy): / /

Marital status: Single Married Registered partnership

Number of children:

E-mail address:

Phone number: (including international dialling code)

+

Mobile phone: (including international dialling code)

+

2. ADDRESS FOR CORRESPONDENCE

Street and number:

City:

Post code:

State:

Country:

EM3E_Application-Form_v1_2012-2014 3/12

European Master

ERASMUS MUNDUS MASTER IN MEMBRANE ENGINEERING

3. LANGUAGE SKILLS

Mother tongue:

Language of instruction of your university first degree:

Other Languages: Please indicate your level in other languages according to CEFR (Common European Framework of Reference): http://www.coe.int/T/DG4/Portfolio/documents/assessment_grid_english.doc

Language Understanding Speaking Writing Official certificates obtained /

Scores / Dates

Note: Pre-selected applicants might be interviewed by phone or video-conference to assess their English level.

4. MOBILITY TRACK

Please rank the third-semester specializations according to your preference: indicate the highest preference with 1, the second highest preference with 2, and so on. Details about programme are given on the EM3E master website.

Note: Being accepted to the EM3E Master does not guarantee that you will be assigned to your mobility option

preference. Selected applicants will be offered a study track based on preference and availability. If an applicant cannot be offered a seat in the preferred study track an alternative track will be offered.

Semester S3 specializations: Biotechnologies, Food and Health (Universidade Nova de Lisboa, Portugal)

Nanoscience and Nanotechnology (Universidad de Zaragoza, Spain)

Energy and Environment (University of Twente, The Netherlands)

If you are not assigned to your mobility option preference, would you still wish to join EM3E Master?

Yes

No

EM3E_Application-Form_v1_2012-2014 4/12

European Master

ERASMUS MUNDUS MASTER IN MEMBRANE ENGINEERING

5. ACADEMIC DATA

Please enter the details of your previous and current education degree(s) (University Degrees at or below BsC level and other Higher Education title (specialization, MSc, etc.), listing the most recent first.

Institution (full name):

Address:

City:

Country:

Official title and subject of the degree: (i.e. Bachelor of Science in Chemical Engineering)

Official minimum duration to obtain degree (months):

Starting date (mm/yyyy): /

(expected) Graduate date (dd/mm/yyyy): / /

Cumulative GPA1 (Grade Point Average):

Rankings (out of how many students):

Institution (full name):

Address:

City:

Country:

Official title and subject of the degree: (i.e. Bachelor of Science in Chemical Engineering)

Official minimum duration to obtain degree (months):

Starting date (mm/yyyy): /

(expected) Graduate date (dd/mm/yyyy): / /

Cumulative GPA1 (Grade Point Average):

Rankings (out of how many students):

Institution (full name):

Address:

City:

Country:

Official title and subject of the degree: (i.e. Bachelor of Science in Chemical Engineering)

Official minimum duration to obtain degree (months):

Starting date (mm/yyyy): /

(expected) Graduate date (dd/mm/yyyy): / /

Cumulative GPA1 (Grade Point Average):

Rankings (out of how many students): 1 GPA: The cumulative GPA (Grade Point Average) is usually mentioned clearly on your academic transcript. If this is not the case,

please ask your university to calculate and provide proof of your cumulative GPA.

EM3E_Application-Form_v1_2012-2014 5/12

European Master

ERASMUS MUNDUS MASTER IN MEMBRANE ENGINEERING

6. PROFESSIONAL EXPERIENCE, TRAINING, INTERNSHIP

Please enter the details of your professional experience, training or internship, listing the most recent first.

Experience 1

Organization (full name):

Address:

City:

Country:

Position Held:

Start and end date (mm/yyyy): from / to /

Title of the project:

Main activities and responsibilities (max. 250 characters):

Supervisor Contact Name: E-mail address: Phone number: +

Experience 2

Organization (full name):

Address:

City:

Country:

Position Held:

Start and end date (mm/yyyy): from / to /

Title of the project:

Main activities and responsibilities (max. 250 characters):

Supervisor Contact Name: E-mail address: Phone number: +

Experience 3

Organization (full name):

Address:

City:

Country:

Position Held:

Start and end date (mm/yyyy): from / to /

Title of the project:

Main activities and responsibilities (max. 250 characters):

Supervisor Contact Name: E-mail address: Phone number: +

EM3E_Application-Form_v1_2012-2014 6/12

European Master

ERASMUS MUNDUS MASTER IN MEMBRANE ENGINEERING

7. REFERENCES

Please identify the two referees who wrote the 2 recommendation letters that you need to join to your application form. The first referee from faculty from which you obtained your degree. The second referee, from faculty or from an employer or supervisor. Referees could be contacted by the EM

3E consortium.

1st Referee

Last Name:

First Name:

Organisation:

Department:

Position:

Address:

City:

Post code:

Country:

Phone number: +

E-mail address:

2nd Referee

Last Name:

First Name:

Organisation:

Department:

Position:

Address:

City:

Post code:

Country:

Phone number: +

E-mail address:

EM3E_Application-Form_v1_2012-2014 7/12

European Master

ERASMUS MUNDUS MASTER IN MEMBRANE ENGINEERING

8. SPECIAL CIRCUMSTANCES

Please indicate if any physical or learning disabilities that you may suffer from. Do you foresee any personal problems (family, financial and/or cultural)? Maximum 1 000 characters.

EM3E_Application-Form_v1_2012-2014 8/12

European Master

ERASMUS MUNDUS MASTER IN MEMBRANE ENGINEERING

9. ADDITIONAL INFORMATION

In the last 5 years, have you spent more than 12 months carrying out your main activities (work or study) in any of the EU member states or in Iceland, Liechtenstein, Norway, Croatia, FYROM and Turkey?

No

Yes, specify: Have you already benefited from an Erasmus Mundus scholarship in the past?

No

Yes, specify: Have you apply to other Erasmus Mundus Master and/or Erasmus Mundus PhD for the academic year 2011-2012?

No

Yes, specify:

Note: Students who already benefited from an Erasmus Mundus Master scholarship in the past are not eligible for a new one. Students can apply for a maximum of 3 different Erasmus Mundus Masters Courses (EMMCs) and/or PhD Programmes (EMJDs) starting in the same academic year. Students that apply for more than 3 EMMCs and/or EMJDs will be excluded from the selection.

Please let us know how you learnt about the EM3E Master program?

EM3E website

Contact with a partner university

Advertisement in magazine/paper

Education exhibition

Alumni

Brochure

Friends

Other, specify:

Please, provide here any additional information that may further improve your application. Maximum

1 000 characters.

EM3E_Application-Form_v1_2012-2014 9/12

European Master

ERASMUS MUNDUS MASTER IN MEMBRANE ENGINEERING

10. DECLARATION AND SIGNATURE

I certify that I have read all application instructions and that the information and supporting documents I have provided is true and complete. I understand that misrepresentation may be a cause for cancellation of my admission or appointment. Submission of this application in no way guarantees my right to participate in the EM3E Master.

I understand that all documents I submit as part of this application become the property of the EM3E consortium. Application documents will be destroyed after the final selection of candidates has been made. I authorize the EM3E Consortium to treat data provided to the purpose of the student selection for the EM3E Master. Date:

Name of applicant:

Signature:

EM3E_Application-Form_v1_2012-2014 10/12

European Master

ERASMUS MUNDUS MASTER IN MEMBRANE ENGINEERING

11. SUPPORTING DOCUMENTS

Please save the completed and signed application form with all requested documents (included strictly respecting in the sequence listed below) as a single PDF file. The document should be titled: YOURLASTNAME_APPLIC2012.pdf.

Please, ensure that your application file includes the following required documents (tick the boxes and return this sheet with your application):

1. Application form dully filled out and signed.

2. Detailed Curriculum Vitae in English specifying scientific and professional experiences, academic degrees, conference presentations, publications and special skills. Maximum 3 pages.

3. Letter of motivation in English covering the following aspects: what made you decide to apply to

the EM3E Master course, which skills and abilities make you a good candidate for EM3E, your motivations to study abroad, your professional interests and your career goals and expectation. For non-European candidates, your goals and interests in coming to Europe for education (statement of purpose) must be included in this letter. Maximum 1 page. The letter must be provided in two copies: one handwritten, one typed.

4. Certified copy of academic degree(s) in original language and translated into English, stating the

final classification obtained.

Please note that if you are in the process of obtaining your Bachelor degree, you may also apply for admission to the EM3E Master. Applicant should include a letter from his/her university stating the anticipated date of completion of the degree. The EM3E Consortium may conditionally admit you, based on requested documents in the application form and the expected date of graduation. After graduation, you have to submit the degree and official transcripts before the start of the EM3E Master (September 1st 2012).

5. Certified copy of academic transcript(s) in original language and translated into English, listing

the grade/rank/mark of each course attended to obtain each degree. All courses taken must be included.

6. An official document, from the last institution visited, College, University or Technical School,

stating your relative position in the corresponding graduation course, i.e., top 5%, top 10% or top 20% of your Bologna 1st cycle class or of your bachelor’s course.

7. Official proof of English language proficiency. English language tests accepted are: TOEFL-iBT

(required overall of at least 90); IELTS (required overall score of at least 6,5); University of Cambridge (“Certificate of Proficiency in English” or “Certificate in Advanced English”). Other official proof could be admitted under validation of the EM3E consortium.

Exception: Candidate from English speaking countries or candidate who completed his/her bachelor degree in English as medium of instruction must provide an official letter from his/her university from which he/she graduated attesting that English is the media of instruction.

8. Official proof of other language proficiency (where applicable).

9. Two reference letters. The first letter from faculty from which you obtained your degree. The

second letter, from faculty or from an employer or supervisor. The letters have to be on letterhead of the referee’s organisation.

10. Copy of your international passport (preferably) or identification card.

EM3E_Application-Form_v1_2012-2014 11/12

European Master

ERASMUS MUNDUS MASTER IN MEMBRANE ENGINEERING

It is requested a certified translation in English when documents are not written in English.

Only completed applications will be considered.

If you are unable to provide a specific document with your application, please use this space to explain the reason why and indicating the reference number of the document. Maximum 1 000 characters.

EM3E_Application-Form_v1_2012-2014 12/12

European Master

ERASMUS MUNDUS MASTER IN MEMBRANE ENGINEERING

Publication of the results

The selection for admission with a scholarship will be concluded at the end of February 2012. On February 28th 2012, EM3E consortium will submit to the European Commission the main-list and reserve list of pre-selected students.

- First notification to non-selected and pre-selected students: first week of March 2012 by e-mail.

- Final notification to students on the main and reserve lists: May-June 2012 by e-mail. The selection for admission without a scholarship will be concluded at the end of March 2012. Candidates will be notified in May-June 2012 about the final decision.

Admission

Academic admission for EM3E course and selection for an Erasmus Mundus EM3E scholarship are two different steps:

- Academic admission refers to the right to follow the course, after a review of the academic background and professional project of the candidate. Around 30 candidates may be admitted.

- Selection for an Erasmus Mundus EM3E scholarship not only needs that the admission above is confirmed, but also that a number of criteria specific to the Erasmus Mundus scholarship system are observed.

The minimum admission criteria are the same for all students irrespective of their country of origin or of the training track they candidate to.

- Hold a Bologna 1st cycle degree or a bachelor degree in Chemistry, Physics, Materials Engineering, Chemical Engineering, Bio-chemical Engineering, or equivalent degrees in one of the previous domains, from a College, University or Technical School with a recognised standing or alternatively, a recognised professional experience in these areas. Students in the final year of a degree may be admitted as long as they present the certificate and official transcripts before they enrol.

- Excellent academic background with marks identifying the candidate among the 20% best students of his former studies.

- Selection criteria include also professional experience, language skills, motivation and letters of recommendation.

- Proof of good English competencies (all courses are conducted in English).