APPLICATION
FORM
DAY
PROGRAMMME
nd
22 EDITION
Brussels, from 14/09/15 to 11/12/15
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 (or fixed) 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)
SDS 26 mod 01/A rev6
HOW HAVE YOU LEARNED ABOUT THE MASTER IN EUROPEAN STUDIES?
Europeanmaster.net
Poster, brochure
Masterin.it
FindAMasters.com
Eurobrussels.com
Facebook
European Voice
European Commission
other …………………………
BELGIAN-ITALIAN CHAMBER OF COMMERCE - INSTITUTE OF EUROPEAN STUDIES OF THE CATHOLIC UNIVERSITY OF LOUVAIN
APPLICATION
FORM
DAY
PROGRAMMME
nd
22 EDITION
Brussels, from 14/09/15 to 11/12/15
ENCLOSES
1. An English language knowledge certificate (if available);
2. The scholarship application form duly filled (if eligible according with the criteria stated in the
Scholarship Application Form);
3. A copy of university diploma or equivalent degree (for last year students a certificate with the
transcripts of results and grades obtained);
4. A CV (European format) in English;
5. A cover/motivation letter in English;
6. One passport-sized photo;
7. A copy of passport or other identification document.
……………………………..
………………………..……………………………
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:
European Desk – Belgian-Italian Chamber of Commerce
Day Programme International Master
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%
th
according to the assessment criteria will be directly admitted to the course before the deadline of 30
June 2015, by following chronological order.
SDS 26 mod 01/A rev6
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.
BELGIAN-ITALIAN CHAMBER OF COMMERCE - INSTITUTE OF EUROPEAN STUDIES OF THE CATHOLIC UNIVERSITY OF LOUVAIN
SCHOLARSHIP APPLICATION
FORM
DAY
PROGRAMMME
nd
22 EDITION
Brussels, from 14/09/15 to 11/12/15
The Belgian-Italian Chamber of Commerce awards 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
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
SDS 26 mod 04/A rev6
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
BELGIAN-ITALIAN CHAMBER OF COMMERCE - INSTITUTE OF EUROPEAN STUDIES OF THE CATHOLIC UNIVERSITY OF LOUVAIN
ENGLISH KNOWLEDGE
SELF-STATEMENT
DAY
PROGRAMMME
nd
22 EDITION
Brussels, from 14/09/15 to 11/12/15
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:
Fluent
I have reached this English knowledge level through the following activities:
……………………………………………………………..…. for months ……………………
ntry …………………………………………………………………………….for months ……………………
……………………………………………………. for months ……………………
country …………………………………………………………. for months ……………………
…………………………………………………………. for months/weeks ……………………
………………………………………………………….………………………………………………………….…………………………….
Faithfully,
………………………..……………………………
Date
Candidate’s signature
SDS 26 mod 03/A rev6
……………………………..
BELGIAN-ITALIAN CHAMBER OF COMMERCE - INSTITUTE OF EUROPEAN STUDIES OF THE CATHOLIC UNIVERSITY OF LOUVAIN