2016 APPLICATION FORM ÉCOLE D’ÉTÉ FRANCE EXCELLENCE MATHEMATICS AND STATISTICS (Fill in this application form in English) PERSONAL DETAILS Miss Mister Name: First Name: Date of birth (yyyy/mm/dd): Place of birth (city & province): Single / / Married Home address: City: Zip Code: Home phone (+ area code): Cell phone (+ area code): Email address: Page 1 sur 6 ACADEMIC BACKGROUND Title of the current Master program: Expected year of Master completion: Name of the university: Please specify your main subject in mathematics: Did you get knowledge in: Conditional expectation Gaussian vectors Inferential statistics Linear regression Model selection LANGUAGES Please specify your level (basic, intermediate, advanced) and any relevant tests that you have taken (IELTS, TOEFL, TOEIC, Cambridge, TEF, TCF, DELF, DALF…) Language Level Test/ Score / Date 1 2 3 Page 2 sur 6 Please describe your study project and briefly state your reasons for applying to the “École d’été France Excellence” program (motivation, interest…). Page 3 sur 6 What are your career expectations? Page 4 sur 6 ADDITIONAL INFORMATION Do you intend to apply for a PhD thesis in France? Yes No Unsure Have you already been awarded a scholarship from the French Government? Yes No If yes, which one? : How did you hear about the École d’été France Excellence program? Press report University Website of Campus France China Flyer Website of the French Embassy in China Another way (please specify): AGREEMENT I want to participate to the “École d’été France Excellence 2016” program. I request a scholarship to cover tuition fees and accommodation costs (travel costs not included). I, the undersigned (Name, first name) , declare that the above information is accurate and true. I certify that all documents submitted in support of this application are authentic and I understand that any attempt to obtain scholarship with fraudulent documents will result in cancellation of my application form and will be reported to competent authorities. Date (yyyy/mm/dd): / / Signature Page 5 sur 6 Please fill in this application form in english and send it as soon as possible by e-mail with required documents to the following address: [email protected] You can also send by mail the required documents at the following address: Alexandra Mazard - 科技处 法国驻华大使馆 北京市朝阳区天泽路60号 100600 电话: +86(10) 85 31 22 76 DEADLINE TO APPLY: 20th May 2016 MANDATORY documents to be enclosed to the application for: - Copy of your current ID card or passport - Your resume - Copy of the Benke degree - Copies of transcripts of your higher education up to the present - Copies of each degree or diploma obtained from higher education - One ID photo put on the first page of this form OPTIONAL document: - A valid language test result (IELTS, TOEFL, TOEIC, Cambridge, TEF, TCF, DELF, DALF, CET-6) Please make sure that your application file is complete. Further information could be required if your application is selected. More information about the program on: www.ambafrance-cn.org/Premiere-edition-des-Ecoles-d-ete-France-Excellence Page 6 sur 6
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