Application Form Master Degree (2nd year of Master’s – Duration: one year) Master of Science in « Material Science for Sustainable Construction » (MSSC) 20… - 20… You will find the complete list of the documents that must be attached to your application form at the end of this document. 1. Personal details ID Photo Last name First names Date of birth Gender M Nationality F Place of birth (city ; country) DECISION FROM THE JURY: ADMITTED NOT ADMITTED Date 1 Marital status Are you Single Married For non French students: Passport N° Delivered on (dd/mm/year) Valid until For any further information, please contact: [email protected] 3. Your current address Number and street Post code City Country Phone number 1 Phone number 2 E-mail address 4. Other contact in case of emergency Last name and first name E-mail address Phone number 5. Languages Native speaker Language level French Read Written Spoken Understood Excellent Excellent Excellent Excellent Good Good Good Good Average Average Average Average Weak Weak Weak Weak 2 English Excellent Excellent Excellent Excellent Good Good Good Good Average Average Average Average Weak Weak Weak Weak Other languages 6. Higher Education Please list in the table below your higher education training. The school or universities where you have been studying The courses you have taken The degrees you have completed and your grades. Please specify if your degrees have been completed with honours or specific distinctions The possible interruptions during your training (if any, please specify your activities during this or these periods) Do not forget to attach to this application form, photocopies of your grade transcripts and of your qualifications. Name of the school or University Previous studies, completed Number of Distinctions received Average and rank and country degrees and specializations hours Compulsory Compulsory 3 7. Previous courses completed similar to the MSSC Masters Year School / University Duration / Course Please mention (if any) your language qualification (DELF, DALF, TFI, ECTS Date TOEFL, TOEIC…) 8. Work experience Missions / Activities Month Year Organization Name Position From / to Please specify if full-time or part-time or internship 9. Other experience (associations, sport activities, voluntary work or international experience) 4 10. What are your reasons for applying for this Master’s programme? Please describe your motivations. 11. How did you get to know about the MSSC Master’s programme? On the Master internet website During a Education or Career Fair. On the website from one of this degree Please specify: graduating schools Please specify: It was recommended to you by someone around you ParisTech Internet website Please specify: Other website. Please specify: 5 6 Certificate I hereby declare that I have carefully read the information concerning the fees for this Master’s programme and I accept to pay the entire cost of this Master’s programme to ENPC under the required conditions by its Student Affairs Office. I have understood that the selection procedure is strict and that it is recommended to review some of the basic knowledge before starting the programme. Information The content is composed of 11 compulsory courses and one research internship. Compulsory update course "Basic principles of Continuum mechanics” 11 compulsory modules Physical Chemistry of Building Materials Sustainable Construction Introduction to the merging of continuum mechanics Disordered Media and Physical Tools Complex Fluids Poromechanics, Porous materials 1 Physics of Porous Solids. Porous materials 2. Fluids and granular materials: blending and rheology Materials molecular and micro-mechanical simulation Nuclear Magnetic Resonance for material science Disordered media imaging Research internship starting early March The internship includes a compulsory written report and a compulsory viva. If I am admitted to the MSSC Master’s programme, I hereby agree to confirm in writing my attendance, by the 31st August 2016, to Mr Xavier CHATEAU care of Mrs Alice TRAN ([email protected]). Beyond this date and without any confirmation on my part, my name will be automatically removed from the MSSC admittance student list. 7 I certify that the here above declaration is true. Date Signature Send your application by the 30th of June to: Ecole Nationale des Ponts et Chaussées Alice TRAN - V308 Master SMCD 6 & 8 Avenue Blaise Pascal Cité Descartes Champs-sur-Marne 77455 Marne-la-Vallée Cedex 2 According to art.34 from the "informatique et Libertés" law, you have the right to access, modify, rectify and delete data that concerns you. To do so, please contact: L’Ecole Nationale des Ponts et Chaussée 6 et 8 avenue Blaise Pascal, Cité Descartes Champs-surMarne 77455 Marne-la-Vallée Cedex 2. Required parameters are missing or incorrect. 8
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