Orange Tulip Scholarship Russia Academic year

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1 Orange Tulip Scholarship Russia Academic year Application form PERSONAL DATA Full name: Address: City: Telephone: Birth date: / Jan / Sex: male female Birth place: Nationality: ACADEMIC BACKGROUND Name of the university from which you graduated (or from which you will graduate): City/town/village: Level of degree (to be) obtained: Preparatory course Bachelor Master Other: Month & year of graduation: Jan / English skills: Excellent Good Average Below average English exam taken (choose one): 1 TOEFL ibt IELTS Cambridge Certificate I have not taken an exam yet Score: GRE test result (if applicable): GMAT test result (if applicable): 1 Please include a copy of your TOEFL ibt or IELTS diploma, if applicable 1 / 5

2 WORKING EXPERIENCE 2 Current or last working experience Company / Organization: Job position: Short job description (max 2 lines): Other working experience(s) (max 2 lines): STUDY PROGRAMME IN HOLLAND I am currently applying for one of the eligible programmes (please specify below) 3 I have already been accepted by the eligible Dutch institution in one of the eligible study programmes 4 (please specify below) Eligible Dutch higher education institution (choose one): 1. Amsterdam Business School, University of Amsterdam 2. Amsterdam School of the Arts (AHK) 3. Duisenberg School of Finance 4. Groningen University 5. The Hague University of Applied Sciences 6. Hanze University of Applied Sciences 7. Institute of Social Sciences 8. Maastricht School of Management 2 Please include your curriculum vitae (CV) 3 Proof that you have started the admission procedure at a Dutch institution, e.g. electronic application form 4 Please include a copy of your acceptance letter from the Dutch higher education institution 2 / 5

3 9. Maastricht University 10. Nyenrode Business University 11. Radboud University 12. Rotterdam School of Management (RSM), Erasmus University 13. Saxion University of Applied Sciences 14. TIAS Business School 15. Tilburg University 16. University of Amsterdam 17. Utrecht University 18. Wittenborg University of Applied Sciences Are you also applying in other institution(s)? No Yes (please specify below in which institution(s) and acceptance status): Higher education institution 1: Accepted? Yes No Were you offered a scholarship? Yes No If yes, please specify which scholarship: Higher education institution 2: Accepted? Yes No Were you offered a scholarship? Yes No If yes, please specify which scholarship: FINANCING YOUR STUDIES How do you plan to finance your studies at the Dutch higher education institutions (multiple answers possible)? My own savings Bank credit Parents or family Scholarship(s) Employer Other: 3 / 5

4 For which other scholarships are you applying (multiple answers possible)? Other university scholarship (specify): ABOUT How did you find out about the Dutch institution as a possible destination university? Nuffic Neso Russia How did you find out about Nuffic Neso Russia? How did you find out about the scholarship opportunity? Nuffic Neso Russia Newsletter MOTIVATION LETTER: WHY WOULD YOU QUALIFY FOR THE ORANGE TULIP SCHOLARSHIP? (max. 500 words) CHECKLIST Please send the following scanned documents to Nuffic Neso Russia before April 1 st, 2015 (unless the institution for which you are applying mentions a different deadline on the Orange Tulip Scholarship website). Incomplete forms and packages will not be taken into account. 1 Completely filled out scholarship application form 2a Copy of your acceptance letter (if already received) OR 2b Proof that you have started the admission procedure at a Dutch institution, e.g. electronic application form (if applicable) Copy of your admission documents: 3a A certified copy of your original academic degree (or degrees) in the original language. 3b A translation of your academic degree (or degrees) into English 4 / 5

5 4a A certified copy of your transcript (or transcripts) in the original language. 4b A translation of your transcript (or transcripts) into English 5 A certified copy of the report providing the official TOEFL ibt or IELTS score (academic version) 6 A curriculum vitae in English. 7 A photocopy of the page (or pages) of your passport that give your name, date of birth, place of birth and the passport expiry date. 8 Two reference letters in English: one from an official of the faculty from which you obtained your degree and one from your employer or another person in authority, e.g. your Bachelor thesis supervisor. PLEASE NOTE THAT EACH ORANGE TULIP SCHOLARSHIP SPONSOR MAY REQUIRE ADDITIONAL DOCUMENTATION. PLEASE READ CAREFULLY THE INFORMATION ON THE NUFFIC NESO RUSSIA ORANGE TULIP SCHOLARSHIP WEBPAGE All data will be treated strictly confidential by Nuffic Neso Russia and the selected Dutch higher education institutions, solely for the purpose of the Orange Tulip Scholarship for excellent Russian students application. 5 / 5

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