Scholarship 2010 by wishvam

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									                          School of engineering
              Supported by the Chamber of Commerce and Industry of Rouen
                                       FRANCE


                       APPLICATION FORM

                           Master of Science

               Business Information Systems

               ACADEMIC YEAR 2010 / 2011

Student’s Family name : …………………………………

First name : ……….…………………………….……                                            Photograph
Country :……….. ……………………………



                        Please return this application to

            ESIGELEC – Programmes « Masters of Science »

                          Technopôle du Madrillet
                          Avenue Galilée, BP10024
                76801 Saint Etienne du Rouvray – FRANCE
            Tél : +33 (0)2 3291 5858 – Fax : +33 (0)2 3291 5859
                             E mail : marteaux@esigelec.fr

DEADLINE

 September 10th, 2010
STUDENT’S PERSONAL DATA (to be completed by the student applying)

Family name: ……………………………..                           First name (s) : …………………………………
Date of birth: ……………………………...                        Place of Birth: ………………………….……….
Sex: ............Nationality:………………....
Current address:                                     Permanent address (if different):
…………….……………………………….                                  ..........................................................................
……………………………………………..                                  ..........................................................................
Country : …………………………………                              ..........................................................................
Current address is valid until:                      Country :...........................................................
………………………................................ Tel.: ……….......................................................
Tel.: ……………………………………….                               Fax : ……………………………………………….
E-mail: …………………………………….                              E-mail.:..............................................................

LANGUAGE COMPETENCE

Mother tongue: ……………………………………………………………………………………

Language of instruction at home institution (if different): ...................................................

   Languages             I am currently           I have sufficient                 I would have sufficient
                          studying this         knowledge to follow               knowledge to follow lectures
                            language                  lectures                        if I had some extra
                                                                                           preparation
                         Yes         No             yes              no                yes                     No
.English...........

.French………

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


PREVIOUS AND CURRENT STUDY

Diploma/degree for which you are currently studying: …………………………………………
Number of higher education study years prior to departure abroad: ..................................
Have you already been studying abroad ?                            Yes                               No
If Yes, when ? at which institution ?
……………………………………………………………………………………………………..
RECOMMANDATION LETTERS (Name of Referee you have asked to fill in a
Recommandation Letter)

Name and full address: ...................................................................................................

...............................................................................................................................................
Position :............………………………………………………….

Employer :…………………………………………………………

Full contact details (telephone, fax and e-mail)

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

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

Date : ……………………………………………….

Student’s Signature………………..………………




Please enclose

   1. Personal Resume (benefit from the Master you are expecting, how do you see your
      career progressing, your major strengths and weaknesses, adaptation to new
      situations, do you consider yourself to be international in outlook, personal interests,
      any additional information which could help in understanding your motivations)
   2. Curriculum Vitae
   3. Copies of previous degrees
   4. Your official academic transcripts
   5. TOEFL score, or equivalent (If not possible, anyhow there will be an interview to
      evaluate your level of English and your motivation)
   6. Copy of the passport or ID card
   7. 2 letters of recommendation (to be sent with your application form or separately)
                School of engineering
    Supported by the Chamber of Commerce and Industry of Rouen
                             FRANCE


    ESIGELEC offers courses in the following fields:
            Telecommunications
            Electronics
            Information technologies,
            Networks
            Computer engineering
            Embedded systems
            Automation and robotics
            Electrical engineering and transport
            Mecatronics
            Finance & Engineering
            Business Engineering
            Biotechnologies




FRANCE

                                         Normandy




                    ESIGELEC ROUEN
                     www.esigelec.fr

                 Technopôle du Madrillet
                Avenue Galilée, BP10024
      76801 Saint Etienne du Rouvray – FRANCE
   Tél. +33 (0)2 3291 5858 - Fax +33 (0)2 3291 5859
                                       School of engineering
                       Supported by the Chamber of Commerce and Industry of Rouen
                                                FRANCE




               Confidential letter of Recommendation

                                        Master of Science

                        Business Information Systems

                         ACADEMIC YEAR 2010 / 2011

Dear Madam, Dear Sir,

The student who has provided you with this letter is in the process of applying for a place in a Master of Science
Programme at ESIGELEC Rouen School of Engineering. This is a high level educational course which serves to
complete a strong initial education and/or a first professional experience. Therefore, if you would fill in this letter
of recommendation and address it directly to us, we would be very grateful.
Sincerely.


                                    Please return this application to

                     ESIGELEC – Programmes “Masters of Science”

                                 Technopôle du Madrillet
                                 Avenue Galilée, BP10024
                       76801 Saint Etienne du Rouvray – FRANCE
                   Tél : +33 (0)2 3291 5858 – Fax : +33 (0)2 3291 5859
                              E mail : marteaux@esigelec.fr
                                             What are his/her strongest points?
Student’ s name:
                                             ..........................................................................
……………………………..
                                             ..........................................................................
How long have you known the
                                             ..........................................................................
candidate, and in what situation did you
                                             What are the areas in which the candidate
meet? ……………………………...
                                             could improve?
…………….……………………………….
                                             ..........................................................................
……………………………………………..
                                             ..........................................................................
……………………………………………..
                                             ..........................................................................
……………………………………………..
                                             ..........................................................................
……………………………………

EVALUATION OF THE CANDIDATE

                   Remarkable    Very good              Good                  Average                 Below
                                                                                                     average


 Analytical
 skills

 Creativity

 Summary
 skills

 Ability to
 communicate

 Sociability

 General
 assessment

Your surname, First Name :

Profession :                      Company name :

Professional address :

Post code :                       Town :       Country :

Phone number                      Email :

Signature and Stamp :

								
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