european desk of the belgian-italian chamber of commerce
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____________________ Pag 1/2 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
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