Application form for the European Master Course MaMaSELF 2008/09 (for instructions and submission deadlines see last page) University of Rennes 1 (UR1), France University of Torino (TO), Italy Technical Univerity of Munich (TUM), Germany Ludwig Maximilian University of Munich (LMU), Germany Please insert a (recent) photo of you A. Personal Data Surname / family name: First and other names: Passport number: Gender l l l male / female Date of birth l l l l Day, month, year Number of children: l l Place of Birth: Nationality 2 nd nationality (if any): Address for admission letter: Street name and Number Postal Code and City Country: Address (if different from above): Street name and Number Postal Code and City Country: E-mail address 1 Email address 2 Telephone(s) Fax
2 B. Previous Higher Education Records (University or other degree-awarding institution. Please list all institutions, regardless of the length of attendence. Begin with the most recent one. Please do not interpret grading scales by attempting to convert your country s system into the French, German, Italian or US scale. In addition, do not translate your official academic degree) University name and location (include city and country) from (month/year) until (month/year) Major field of study Degree conferred or expected GPA or % Thesis topic (if applicable) University name and location (include city and country) from (month/year) until (month/year) Major field of study Degree conferred or expected GPA or % Thesis topic (if applicable) University name and location (include city and country) from (month/year) until (month/year) Major field of study Degree conferred or expected GPA or % Thesis topic (if applicable) Describe briefly the main subjects of your recent study. What are you interested in most? In which field would you like to do research?
3 C. Employment History Please list all full-time work experience since undergraduate graduation during the last five years. Do not include internships, summer jobs, or part-time jobs. Please list all full-time internships since high school graduation during the last five years. Describe briefly your tasks and responsibilities during one of your jobs or internships.
4 D. Language Skills If your native language is not English you are required to take a Test of English as a Foreign Language and enclose a photocopy of your test results with your application. 1. Test score Test date (month/year) Total Test type 2. What is your native language? 3. What other languages do you speak? Please indicate your level of proficiency. Levels: - perfect, - independent, - basic Level spoken, written, Level spoken, written, Level spoken, written, Level spoken, written, E. Graduate Record Examinations (GRE) (optional) A GRE test (see http://www.gre.org) is not required for admission. In case you have already passed the test, you may present your results here. Please enclose a photocopy of your official test results. GRE score Test date (month/year) Verbal Quantitative Analytical Total F. University Preferences: Within the MaMaSELF Master, students must study in two different universities of the consortium: entrance university and second university for the Master thesis. The Master thesis can also be conducted at large scale facilities or at partner institutions in Switzerland or Japan. Instruction language is English for all Universities. Please select a first and second preference for the entrance and for the second university (they can not be the same) according to your study preference. As the LMU does not deliver a diploma at present, it can only be chosen for the Master thesis during the 2 nd semester and not during the 1 st semester. Nota bene: You cannot stay both semesters at the same site in Munich. Note: The definitive choice will be taken during the two weeks summer school at the beginning of the 1 st semester UR1 Torino TUM LMU 1 st semester (first choice) - (second choice if any) 2 nd semester (first choice) (second choice if any) G. ERASMUS-MUNDUS Scholarships (only for non-eu students) I apply for an ERASMUS MUNDUS scholarship In case I do not receive any scholarship: please ignore my application. I am still interested to integrate into the MaMaSELF course and will pay the tuition fees of 5000
5 H. Housing If you are selected to attend the MaMaSELF Master course, please indicate the type of housing you prefer: Room (1 person) Flat (2 people) Apartment (>2 people) I will take care about my housing by myself Approx. rate (per month) 300 euros 450 euros 600 euros I. Additional Questions 1. Have you ever studied Materials Science, Physics, Chemistry or a related field at an European University? Yes/No University name and location From (month/year) until (month/year) 2. To which other ERASMUS-MUNDUS Master courses or any other programs have you applied or will you apply? (optional question) EM Master course name University name and location 3. How did you find out about the MaMaSELF program? Information source about MaMaSELF
6 J. Essays The following essay questions give you the opportunity to provide more information about yourself. 1. What is your motivation to do apply for the MaMaSELF Master course? What are your plans after completing this program?
7 2. Tell us anything about yourself that you have not had the opportunity to present in other parts of this application. Tell us, for example, about extracurricular activities in university or community, your awards, publications, experience abroad, computer skills, or hobbies. K. Statement of Understanding All the information in this application is true, accurate, and complete to the best of my knowledge. I understand that withholding, misrepresenting, or giving false information will invalidate my application and make me ineligible for admission. Signature of the applicant Day Month Year
8 Application procedure: Application has to be done in two steps: 1) electronic submission: (deadline 15.02.2008 for non-eu students, 30.04.2008 for EU students) For the electronic submission you need to fill out all mandatory fields in the MaMaSELF application form. Please provide also scanned versions of the documents listed below and attach them directly to the application form or attach them to your mail (jpeg, tiff or bitmap format). 2) postal submission of the whole (signed) application form and certified documents (arrival date latest on 23.02.2008 for non-eu students and 15.05.2008 for EU students) For the postal submission of the application form and of the certified documents please check for completeness: Application check list: application form: (please do not forget to sign the application form). copy of the passport or ID card (1 page concerning personal details) certified copies of university transcripts including translations into English, French, Italian or German (only one language necessary) certified copy of university degrees including translation into English, French, Italian or German (only one language necessary) 2 letters of recommendation from professors which know you copy of TOEFL/IELTS scores or equivalent Please submit your application form electronically to mamaself@listes.univ-rennes1.fr before 15 th of February 2008 and send the original version, including all required documents, to: Erasmus-Mundus MaMaSELF Master Course Prof. Werner PAULUS Université de Rennes 1 Campus de Beaulieu, Bât 10B F-35042 RENNES FRANCE All documents must arrive before the 23 rd of February 2008.