2015 Application for AIV Master

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1 2015 Application for AIV Master Welcome to the 2015 AIV Master Program Application! Please fill out this application carefully and completely. Unless otherwise noted, all responses should be in English. Required fields are denoted by *. T he application is separated into several sections: Personal Information Education Previous research experience (Internships) Potential future research internship Scientific questions that motivate you Subjects and methodologies you wish to study Your motivation About interdisciplinarity About AIV program Mandatory uploads All required fields must be completed before the form can be submitted. We recommend that you first download the PDF of the application so that you can prepare your responses and documents ahead of time. T hen you may enter the system to submit your application after you have collected all of the necessary information. Download Application Questions After submission, you will receive a confirmation with a link to edit your application and modify it if needed. You may edit your responses until the deadline of May, 31 at midnight, then the submissions will be locked. Only your last sumission will be considered and we will not merge information from multiple submissions for the same applicant. If you have questions about the application, please contact us at masteraiv@cri-paris.org. Please indicate the type of submission : * New submission Editing a previous submission

2 Application type * Master 1 Master 2 Personal Information Full Name * First Name Last Name Civility Birth Date * Birth place * Nationality * Social Security Number Gender *

3 Please select INE Number * ex: myname@example.com Phone Number * +33 XX XX XX XX XX Address * Street Address Street Address Line 2 City State / Province Postal / Zip Code Country * Time zone * Skype ID LinkedIN Public Profile Link ResearchGate Profile Link

4 Education Add up previous degrees, starting with the BSc degree (licence) or equivalent : Degree 1 Type of degree * Degree earned * Name of University * Country * Major field * Minor field Entry date * Exit date *

5 Degree 2 Type of degree Degree earned Name of University Country Major field Minor field Entry date Exit date Degree 3 Type of degree Degree earned

6 Name of University Country Major field Minor field Entry date Exit date Language proficiency Please note that English is mandatory, as all the courses are in English. English * Please select level of proficiency French * Please select level of proficiency

7 Other languages Please select level of proficiency Please select level of proficiency Please select level of proficiency Previous research experience (Internships) - not mandatory Add your previous research experiences, including internships, starting with the earliest I don't have any previous research experience Previous research experience 1 Subject Country Institute/University Laboratory Director of Laboratory

8 Entry date Exit date Describe your previous research experience 5000 words m ax 0/5000 Previous research experience 2 Subject Country Institute/University Laboratory Director of Laboratory Entry date

9 Exit date Describe your previous research experience 5000 words m ax 0/5000 Previous research experience 3 Subject Country Institute/University Laboratory Director of Laboratory Entry date Exit date Describe your previous research experience

10 5000 words m ax 0/5000 Potential future research internship Name labs in which you would like to spend an internship during the Master year. This is not a decisive choice, it can be changed later during the year. it is just to know your interests in order to help an orient you in your choices. Int ernship choice 1 Laboratory Subject 5000 words m ax 0/5000 Int ernship choice 2 Laboratory

11 Subject 5000 words m ax 0/5000 Int ernship choice 3 Laboratory Subject 5000 words m ax 0/5000 Scientific Questions and Interests - Subjects and methodologies you wish to study List three scientific questions that motivate you : Question 1 * 100 words m ax 0/100

12 Question 2 * 100 words m ax 0/100 Question 3 * 100 words m ax 0/100 Question words m ax 0/100 Question words m ax 0/100 Describe up to three topics you wish you study : Topic 1 Description * 100 words m ax 0/100 Categorize subject of topic 1: Subject keywords If other, please specify Tools & methodology keywords If other, please specify

13 Topic 2 Description * 100 words m ax 0/100 Categorize subject of topic 2 : Subject keywords If other, please specify Tools & methodology keywords If other, please specify Topic 3 Description * 100 words m ax 0/100 Categorize subject of topic 3: Subject keywords If other, please specify Tools & methodology keywords If other, please specify Tell us more about you, your interests, hobbies, etc.

14 Interest words m ax 0/200 Interest words m ax 0/200 Interest words m ax 0/200 Your motivation About Int erdisciplinarit y What is your motivation for pursuing research studies at the interface with Life Sciences? What is your personal interest in interdisciplinary approaches to research? Describe previous interdisciplinary internships/training/interest you experienced, and what you learned from them. Please share with us any other information that you deem important for your application. * 500 words m ax 0/500 Describe your motivation for participation in AIV *

15 500 words m ax 0/500 About AIV program Describe your understanding of the pedagogical project of the AIV program. Why are you interested to join this program? * 500 words m ax 0/500 How did you hear about the AIV Program? Select all that apply. * From an AIV student From a French Embassy From a poster/flyer in my university From an FDV PhD student From an igem student From my lab From my university From the AIV staff and teachers I am an AIV student online : campusfrance.org online : google adwords online : Letudiant.fr online : Master Portal (StudyPortal) Other Upload documents

16 T he following documents are required to complete the submission of you application to the AIV Master program. All must be in PDF format except for the photo, which can be pdf, jpg, jpeg, png, or gif. Each file may be at most 1MB (1024KB). - Your Curriculum Vitae - 2 letters of recommendation - A certified copy of your last diploma (in English or in French) - A certified grades transcript of your last diploma (in English or in French) - A recent photo Curriculum Vitae * Choose File No file selected pdf Letter of recommendation n 1 * Choose File No file selected pdf Letter of recommendation n 2 * Choose File No file selected pdf Certified copy of your last diploma (in English or in French) * Choose File No file selected pdf Certified grades transcript of your last diploma (in English or in French) * Choose File No file selected pdf Recent photo * Choose File No file selected Please upload a current picture (headshot) of yourself (jpg, jpeg, png, gif) Submit application

17 Please review your responses and make sure you have answered all of the required questions. Once you submit your application you will recieve an with a link to your submission that you may edit at any time before the deadline of May, 31at midnight. Submit application

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