MASTER APPLICATION FORM YEAR 2020-2021 · - IFP School «INGÉNIERIE DES POLYMÈRES ET MATÉRIAUX...

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centralelille MASTER APPLICATION FORM YEAR 2020-2021 FIELD OF SCIENCES, TECHNOLOGIES, HEALTH Master correspondant’s decision Accepted signature PHOTO 35 x 45 mm 1 Date of examinaon Students coming from the following countries must submit an applicaon only through the website hp://www.campusfrance.org/fr. This form is not intended for them. Algeria, Argenna, Benin, Brazil, Burkina Faso, Cameroon, Chile, China, Columbia, Comores, Congo Brazzaville, South Korea, Ivory Coast, Egypt, USA, Gabon, Guinea, India, Indonesia, Iran, Japan, Lebanon, Madagascar, Mali, Morocco, Maurice, Mauritania, Mexico, Peru, Senegal, Russia, Syria, Togo, Taiwan, Tunisia, Turkey, Vietnam Space reserved for Administraon Refused Reserved Reason: Decision of the commiee for validang applicaons Accepted signature Refused Reason: Date of examinaon LAST NAME : ................................................. FIRST NAME : .............................................. CHOICE OF MASTER (further informaon pp 6-7) Automac Control and Electrical Systems Electrical Energy and Sustainable Development course Systems, autonomous machines and terrain networks course (research course) Chemistry Sustainable Industrial Processes Civil Engineering Geo-materials and structures in civil engineering course Mechanics Mechanical sciences and R&D materials and structures engineering course Networks and Telecommunicaons Communicang systems course Telecommunicaons course «Chimie et ingénierie de la formulaon» «Ingénierie des polymères et matériaux pour l’environnement»

Transcript of MASTER APPLICATION FORM YEAR 2020-2021 · - IFP School «INGÉNIERIE DES POLYMÈRES ET MATÉRIAUX...

Page 1: MASTER APPLICATION FORM YEAR 2020-2021 · - IFP School «INGÉNIERIE DES POLYMÈRES ET MATÉRIAUX POUR L’ENVIRONNEMENT» Master jointly accredited by the following 4 institutions:

centralelille

MASTER APPLICATION FORM YEAR 2020-2021

FIELD OF SCIENCES, TECHNOLOGIES, HEALTH

Master correspondant’s decision

Accepted signature

PHOTO

35 x 45 mm

1

Date of examination

Students coming from the following countries must submit an application only through the website http://www.campusfrance.org/fr. This form is not intended for them.

Algeria, Argentina, Benin, Brazil, Burkina Faso, Cameroon, Chile, China, Columbia, Comores, Congo Brazzaville, South Korea, Ivory Coast, Egypt, USA, Gabon, Guinea, India, Indonesia, Iran, Japan, Lebanon, Madagascar, Mali, Morocco, Maurice, Mauritania, Mexico, Peru, Senegal, Russia, Syria, Togo, Taiwan, Tunisia, Turkey, Vietnam

Space reserved for Administration

Refused Reserved

Reason:

Decision of the committee for validating applications

Accepted signatureRefused

Reason:

Date of examination

LAST NAME : ................................................. FIRST NAME : ..............................................

CHOICE OF MASTER (further information pp 6-7)

Automatic Control and Electrical SystemsElectrical Energy and Sustainable Development courseSystems, autonomous machines and terrain networks course (research course)

ChemistrySustainable Industrial Processes

Civil EngineeringGeo-materials and structures in civil engineering course

MechanicsMechanical sciences and R&D materials and structures engineering course

Networks and TelecommunicationsCommunicating systems courseTelecommunications course

«Chimie et ingénierie de la formulation»«Ingénierie des polymères et matériaux pour l’environnement»

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LAST NAME: FIRST NAME:

............................................................. .................................................................

PLACE OF BIRTH: DATE OF BIRTH:

............................................................. .................................................................

NATIONALITY: NATIVE LANGUAGE:

............................................................. .................................................................

MARITAL STATUS: CURRENT SITUATION:

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ADDRESS (please notify of any change):

...............................................................................................................................................

...............................................................................................................................................

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E-MAIL : TELEPHONE NUMBER :

............................................................. .................................................................

English diploma (grade): for example: TOEIC, TOEFL

...............................................................................................................................................

For foreign students:French diploma (grade/level): for example : DELF level B2

...............................................................................................................................................

(Please write in capital letters)

Personal Details

Foreign Language

Student Employed Unemployed

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LanguageReading Writing Speaking Bilingual

Level: beginner/intermediate/good/bilingual

INE NUMBER (for French candidates):

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Academicyears

NOTA BENE: Any year not included will be considered as failed

If you ceased or interrupted your studies, please indicate when and why and include any supporting documents:

...............................................................................................................................................

...............................................................................................................................................

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University studies

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Exact name of academic course Institution (name and place) Year of graduationand grade

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TOTAL NUMBER OF MONTHS WORKED:

YOUR SITUATION:

Grant Non-grant Awaiting decision

If you are a foreign student, are you in possession of (include any justfying document):

. a grant from your country yes no awaiting decision

. a grant from the French government yes no awaiting decision

. a grant from the European Union yes no awaiting decision

. any other financial aid yes no awaiting decision

FOR ALL APPLICANTS, PLEASE STATE:

The origin of all resources: .........................................................................................................

The duration of financing: .......................................................................................................

The annual total in euros: ..................................................................................................

Professional experience

Financial support - grant

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Period Occupied position Employer Address

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FOR ALL APPLICANTS:

A cover letter in French stating your professional project, and, where necessary, the desired fields of research

A detailed curriculum vitæ

An identity photo to be affixed

A certificate of financial support, if applicable

Certificates of your language level (DELF, TOEIC, TOEFL, ...)

FOR STUDENTS WHO ARE NOT ENGINEERING STUDENTS FROM CENTRALE LILLE:

A photocopy (front and back) of your identity card or passport in the case of foreign students

Photocopies of all degrees and diplomas awarded, including Baccalaureate or any diploma pertaining to end of secondary studies or access to university. For foreign students, these photocopies must be translated and certified by a consular agent.

Photocopies of all transcripts obtained for all years of higher education with an indication from the institute of the grading system used. For foreign students, these photocopies must be translated and certified by a consular agent.

A recommendation letter from a Professor in your sending institution in the field of the chosen Master.

Only for the « Electrical Energy and Sustainable Development » course: Internship reports and/or end of year thesis.

DOCUMENTS TO INCLUDE WITH APPLICATION FORMPLEASE NOTE: ANY INCOMPLETE FORM WILL NOT BE EXAMINED

SEND YOUR APPLICATION FORM TO:

Centrale LilleCandidature Master 2 – Pôle scolarité

Cité Scientifique – CS 2004859651 Villeneuve d’Ascq Cedex – France

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Supplementary information

NOTA BENE:It is possible to enrol in these Masters in any of the jointly accredited institutions BUT only one application form may be submitted.

MASTER AUTOMATIQUE ET SYSTEMES ELECTRIQUESPARCOURS ÉNERGIE ÉLECTRIQUE ET DÉVELOPPEMENT DURABLE

PARCOURS SYSTÈMES, MACHINES AUTONOMES ET RÉSEAUX DE TERRAINMaster jointly accredited by the following 2 institutions:- Centrale Lille- Université de Lille

Centrale Lille only proposes research courses. The following modules are complulsory:Command, robotics and mobile robotics (S3); Integrated design of supervision systems (S3); Dynamic systems (S4); Decision aid (S4).

Master jointly accredited by the following 3 institutions:- Centrale Lille- Université de Lille- Ecole Nationale Supérieure des Arts et Métiers (ENSAM)

MASTER IN CHEMISTRYSUSTAINABLE INDUSTRIAL PROCESSES

«CHIMIE ET INGÉNIERIE DE LA FORMULATION»Master jointly accredited by the following 2 institutions:- Centrale Lille- Université de Lille

Master jointly accredited by the following 3 institutions:- Centrale Lille- Université de Lille- IFP School

«INGÉNIERIE DES POLYMÈRES ET MATÉRIAUX POUR L’ENVIRONNEMENT»Master jointly accredited by the following 4 institutions:- Centrale Lille- Université de Lille- Université d’Artois- IMT Lille Douai

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MASTER IN CIVIL ENGINEERINGGEO-MATERIALS AND STRUCTURES IN CIVIL ENGINEERING COURSEMaster jointly accredited by the following 2 institutions:- Centrale Lille- Université de Lille

MASTER IN MECHANICSMECHANICAL SCIENCES AND R&D MATERIALS AND STRUCTURE

ENGINEERING COURSE

Master jointly accredited by the following 3 institutions:- Centrale Lille- Université de Lille- Ecole Nationale Supérieure des Arts et Métiers (ENSAM)

MASTER IN NETWORKS AND TELECOMMUNICATIONSTELECOMMUNICATING SYSTEMS COURSE

TELECOMMUNICATIONS COURSEMaster jointly accredited by the following 2 institutions:- Centrale Lille- Université de Lille

Master jointly accredited by the following 2 institutions:- Centrale Lille- Université de Lille

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Master jointly accredited by the following 3 institutions:- Centrale Lille- Université de Lille- Ecole Nationale Supérieure des Arts et Métiers (ENSAM)

Master jointly accredited by the following 2 institutions:- Centrale Lille- Université de Lille

Centrale Lille only proposes research courses. The following modules are complulsory:Command, robotics and mobile robotics (S3); Integrated design of supervision systems (S3); Dynamic systems (S4); Decision aid (S4).

Master jointly accredited by the following 3 institutions:- Centrale Lille- Université de Lille- Ecole Nationale Supérieure des Arts et Métiers (ENSAM)

Centrale LilleCité scientifique - CS 20048 - 59651 Villeneuve d’Ascq Cedex - France

[email protected] http://centralelille.fr

centralelilleA U D A C E E X I G E N C E R E S P E C T