B EL G IA N - IT AL IA N
I N ST IT U T E
C H AM BE R OF C OM M E R CE
OF EU ROP E AN ST U D I E S O F T HE U N I VE R S IT É CA T H OL I Q U E D E L OU V A IN
INTERNATIONAL MASTER IN EUROPEAN STUDIES
POLICY ADVISOR AND PROJECT CONSULTANT
22nd EDITION
Brussels, from 14th September 2015 to 11th December 2015
APPLICATION FORM
Name ___________________________________________Surname _____________________________________ sex: M or F
Place of birth _____________________________ Date of birth ___/___/___ Nationality________________________________
Address (street, square...)___________________________________________________________________________ n. _______
ZIP code _______________ City/Town ______________________________Country _____________________________________
ID/Passport n. _________________________________________________________ Expiry date ___________________________
E-mail:_________________________________________________________________________________________________________
Cell phone number (with country code): ______________________________________________________________________
Phone number (with country code):___________________________________________________________________________
DECLARES
to have obtained or
will obtain
the university degree in ______________________________________________________________________________________
at the University of / Institute of______________________________________________________________________________
on the (date) _____/_____/_____, with the following degree mark _______out of _______(indicate the maximum)
to have obtained or
will obtain
the post-university degree in ___________________________________________________________________
at the University of / Institute of_________________________________________________________________
on the (date) _____/_____/_____, with the following degree mark _______out of _______(indicate the maximum)
HOW HAVE YOU LEARNED ABOUT THE MASTER IN EUROPEAN STUDIES?
Europeanmaster.net
FindAMasters.com
European Voice
SDS 26 mod 01/A rev5
Poster, brochure
Eurobrussels.com
European Commission
Masterstudies.com
Facebook
other____________________
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ENCLOSES
1. A copy of university diploma or equivalent degree (for last year students a certificate with the transcripts
of results and grades obtained);
2. A CV (European format) in English;
3. A cover/motivation letter in English;
4. An English language knowledge certificate (if not available, please attach a self-statement where you
indicate the knowledge level of the foreign language and how you gained it);
5. One passport-sized photo;
6. A copy of passport or other identification document;
7. The scholarship application form duly filled (only for students who are eligible for applying for a
scholarship, according with the criteria stated in the Scholarship Application Form).
______________________
Date
__________________________________
Candidate’s signature
Only the application forms sent by 30th June 2015 will be considered.
The application package shall be sent by registered post to:
CCITABEL – International Master
European Desk
Avenue Henri Jaspar 113
1060 Brussels – Belgium
Or by email (all the documents shall be signed and scanned) to:
[email protected]
The selection’s criterions are illustrated in the web-site www.europeanmaster.net
IMPORTANT: due to the high number of applications, candidates who reach an evaluation of 75% according
th
to the assessment criteria will be directly admitted to the course before the deadline of 30 June 2015, by
following chronological order.
The list of the selected candidates, drawn up on the base of the documents received, will be formulated by
the Belgian-Italian Chamber of Commerce and the Institute of European Studies of the University of Louvain.
Personal data will be exclusively used for organizing the course’s enrolments.
The tuition fee to attend the Master is 5.500 € (or 3.500 € if a scholarship is awarded). The application form
shall be sent together with the scholarship application form.
st
If you are selected, you shall confirm your enrolment by transferring the 1 instalment of the tuition fee
(1.000 €) within 5 days.
This Master degree does not provide university credits.
SDS 26 mod 01/A rev5
Pag 2/2
B EL G IA N - IT AL IA N
I N ST IT U T E
C H AM BE R OF C OM M E R CE
OF EU ROP E AN ST U D I E S O F T HE U N I VE R S IT É CA T H OL I Q U E D E L OU V A IN
INTERNATIONAL MASTER IN EUROPEAN STUDIES
POLICY ADVISOR AND PROJECT CONSULTANT
22nd EDITION
Brussels, from 14th September 2015 to 11th December 2015
SCHOLARSHIP APPLICATION FORM
The Belgian-Italian Chamber of Commerce awards about 10 scholarships of 2.000€ each, to partially cover
the tuition fees of the Master. If you are awarded of a scholarship, your tuition fees will be reduced to
3.500€. Please, note that you will not be transferred directly any cash; the scholarship consists of a reduction
of the Master’s fees.
IMPORTANT: Indicate either your personal income (if you are independent) or your family’s income (if you
are financed by your family). Note that scholarships are given on the basis of income and merit. To be
admitted as candidate for a scholarship you need to satisfy the following criteria:
o Yearly personal income not higher than 8.000 € or yearly family income not higher than 30.000 €;
o A score of at least 60 % in the evaluation of your Master’s application.
Please, note that you need to satisfy both criteria to be admitted as a candidate for the scholarship.
I, the undersigned, ___________________________________, applicant for the 22
nd
edition of the International
Master in European Studies, declare that (cross and fill only one choice):
1
I am independent and my yearly personal income is € ___________________________
Family in charge ______________________________________________________
Disabilities ___________________________________________________________
Other relevant info ___________________________________________________
2
I depend financially from my family and my yearly family income is € ____________________
Single parent family
YES
NO
Number of brothers/sisters ____________
Disabilities____________________________________________________________
Other relevant info____________________________________________________
I fully understand that any information furnished above, if proved incorrect or false will render me liable for
any penal action or other consequences as may be prescribed in law or otherwise warranted. Any false
declaration on my part will as well result in the cancellation of my application form. I acknowledge that the
Belgian-Italian Chamber of Commerce reserves the right to request supporting documents or certificates at
any time to prove the information provided above.
______________________
Date
__________________________________
Candidate’s signature
Indicate the net yearly income resulting from the most recent available tax declaration. The amount must be
expressed in Euros.
2
Indicate the sum of the net yearly income resulting from the most recent available tax declaration of the
members of the family. The amount must be expressed in Euros.
1
SDS 26 mod 04/A rev5
Pag 1/1
B EL G IA N - IT AL IA N
I N ST IT U T E
C H AM BE R OF C OM M E R CE
OF EU ROP E AN ST U D I E S O F T HE U N I VE R S IT É CA T H OL I Q U E D E L OU V A IN
INTERNATIONAL MASTER IN EUROPEAN STUDIES
POLICY ADVISOR AND PROJECT CONSULTANT
22nd EDITION
Brussels, from 14th September 2015 to 11th December 2015
LANGUAGE KNOWLEDGE SELF-STATEMENT
I, the undersigned, ___________________________________, declare that I am able to understand spoken and
written English as well as interact in this language.
My knowledge of this language is:
I have reached this English knowledge level through the following activities:
_________________________ for months ___________
_______________________ for months ___________
_______________________ for months ___________
country _________________________________________________ for months ____________
____________________ for months/weeks __________
_______________________________________________
Faithfully,
______________________
Date
SDS 26 mod 03/A rev5
__________________________________
Candidate’s signature
Pag 1/1