Preliminary Application Form(1)

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Preliminary Application Form(1) Powered By Docstoc
					Faculty of Arts and Social Sciences

Master on European Public Affairs EPA

APPLICATION FORM

MASTER PROGRAMME AT UNIVERSITEIT MAASTRICHT

Application Form Maastricht University for entry in September 2010

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Faculty of Arts and Social Sciences

Application form UM master programmes

ID-NUMBER

Do not fill out

Please read the instructions carefully before completing the form

A

PERSONAL INFORMATION

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

1. Names

Last name__________________________________

First name ____________________________________

Middle name(s) __________________ ___________  Female  Male

Prefer to be called ______________________________

2. Gender:

3. 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 ______________________________________

Application Form Maastricht University for entry in September 2010

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Faculty of Arts and Social Sciences

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

Number and street __________________________________________________________________________

City ____________________________________________________ Postal (Zip) Code _____________________

Country ___________________________________________________________________________________

Telephone _______________________________________ Fax ______________________________________

C

MASTER PROGRAMME
Please indicate the Master programme you wish to apply for:  Master in European Public Affairs

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 _____________________________________________________

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. (See 'How to fill out the application form' for instructions).

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

Application Form Maastricht University for entry in September 2010

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Faculty of Arts and Social Sciences

E

LANGUAGES

12. What is your mother tongue? __________________________________________________________________

13. English language proficiency: Compulsory for non-native English speaking candidates: Please give your IELTS test score below or TOEFL internetbased score, and include a photocopy of the results: (For instructions please see ‘How to fill out the application form’)

_____________________________________________________________________________________________

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

Language French German Spanish Italian
Other

Speaking

Writing

Reading

F

MOTIVATION LETTER

15. Please explain on a separate sheet the motivation underlying your choice for the EPA Master programme at the Faculty of Arts and Culture of Universiteit Maastricht. (See 'How to fill out the application form' for instructions).

G

LETTERS OF RECOMMENDATION

16. Please include 2 letters of recommendation from professors and/or employer (current or previous). See‘How to fill out the application form’.

Application Form Maastricht University for entry in September 2010

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Faculty of Arts and Social Sciences

H

FINANCIAL SUPPORT

17. How do you plan to finance your education?     by myself (please note: non-EU students need a bank guarantee for the visa procedure) through my institute/employer I have obtained a fellowship (please include a copy of confirmation) I have applied for a fellowship from……………………………………………

I

OTHER INFORMATION AND FINANCIAL SUPPORT

18. How did you first learn about the EPA programme?  Friends/Family  Website  UM student  School counsellor  Information fair  Advertisement

Please give details: _____________________________________________________________________________________________

J

ADDITIONAL INFORMATION (OPTIONAL)

Please use this box for any additional information you would like the Board of Admission to take into consideration and you feel is not sufficiently reflected in this application. If you need additional space you can attach a separate sheet of paper that clearly states your name. Please try to be brief.

Application Form Maastricht University for entry in September 2010

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Faculty of Arts and Social Sciences

K

APPLICATION CHECKLIST

Please make sure you have done all of the following before sending in your application:          

Answered all questions on the application form Included a copy of your valid passport Included a copy of your bachelor certificate and/or list of grades Included a copy of your IELTS/TOEFL iBT results (if applicable) Included a motivation letter Included your letters of recommendation Included your curriculum vitae Included information on financial support Signed the application form Made copies of the application both for the university and myself total number of pages __________ total number of pages __________ total number of pages __________ total number of pages __________ total number of pages __________ total number of pages __________ total number of pages __________

L

SIGNATURE

I certify that all the statements I have made on this application form are correct and complete.

Date ______/______/________

Signature ____________________________________

Application Form Maastricht University for entry in September 2010

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Faculty of Arts and Social Sciences

CONFIDENTIALITY
MAASTRICHT UNIVERSITY WILL TREAT ALL APPLICATIONS WITH THE GREATEST CONFIDENTIALITY

Application Form Maastricht University for entry in September 2010

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