Full name (First, Middle, Last): Date of Birth (DD/MM/YYYY): PERSONAL INFORMATION Place of Birth: Nationality: Marital status: Gender: Mailing address: City: State/Province: Home telephone: Fax: Mobile telephone: E-mail: Permanent address (if different from above): City: State/Province: Please list most recent institutions first EDUCATIONAL QUALIFICATIONS 1
Honours, awards, fellowships, professional memberships: Please list most recent first, add more as necessary PROFESSIONAL EXPERIENCE PREVIOUS TRAINING/RESEARCH-RELATED INTERNATIONAL TRAVEL Please list most recent first, add more as necessary 2
Please provide full reference, starting with most recent PUBLICATIONS STATEMENT OF INTENT Please provide a short paragraph explaining your reasons for applying to the MSc programme on Integrated Drylands Management: FINANCIAL SUPPORT Will you receive a fellowship or continue receiving your salary during your studies? (Y/N): If yes, please provide details (value: duration, condition): If you are from and based in a developing country, would you like to apply for a partial or full fellowship for your participation in the MSc programme? (Y/N): REFERENCES Two (2) references are required, one of which must be your current supervisor. Please provide the full contact details of your references: Name: Position: Mailing Address: 3
Telephone: Fax: E-mail: Name: Position: Mailing Address: Telephone: Fax: E-mail: Two (2) original letters of reference are also required. Each reference should be sealed and signed on the envelope by the referee, and can be sent separately or together with the other supporting documents (see Required Documentation below). HOW DID YOU FIND OUT ABOUT THE MASTERS PROGRAMME? Programme partner website (UNU, IRA, ICARDA, TU, CAREERI, INAT, GM): Friend/Colleague: Other (please specify): ADMISSION Admission to the MSc Programme is based on the following: Applicants must already be registered in a Master s degree programme at one of the Programme partner institutes or at any other associated university. Applicants must have already completed the basic course work of their programme. Applicants must have proved competence in relevant research methodologies, laboratory, and computer skills. Applicants must have demonstrated proficiency in English (oral and written). Applicants must have a complete application and research proposal. REQUIRED DOCUMENTATION The following documents are required in order to complete your application: Completed and signed application form. A letter of nomination from your supervisor/university where you are currently registered in a Master s programme that certifies completion of the basic course work. A certified copy of academic transcripts for each institution attended. An original detailed research proposal of 10 pages outlining the problem statement, literature review, research question, methodology, expected results, workplan, and timetable. Two (2) original supporting letters of reference, one (1) of which must be from your current supervisor. Evidence of English proficiency if English is not your first language (e.g., TOEFL score, English certificate, etc.). Special Notes: * Incomplete applications will not be considered. * Documents which are not in English must be accompanied by an official English translation. * Students of the MSc programme traveling to Jordan to complete the course work from October 5-24, 2014, must hold a passport with a validity of at least 6 months in order to facilitate the visa application process. 4
APPLICATION DEADLINE All materials and supporting documentation must be received by July 30, 2015. Applications may be sent by e-mail, fax, or post. Please send your fully completed and signed application form and supporting materials to: MSc Programme Committee United Nations University Institute for Water, Environment and Health (UNU-INWEH) 175 Longwood Rd. South, Suite 204 Hamilton, Ontario, L8P 0A1 CANADA Fax: +1 905 667 5510 Email: contact.inweh@unu.edu DECLARATION I hereby certify that the information given above is complete and accurate in every respect. I understand that the misrepresentation of any aspect of this application may be cause for denial or revocation of an offer to the MSc Programme. I understand and have read the admission and application requirements, as stated above. I understand that I am fully responsible for obtaining the required documentation and submitting them before the deadline. I understand that incomplete applications will not be considered. Signature of Applicant Date 5