Microsoft word - application_form_suscos

Master Course
under Natural Hazards and Catastrophic Events APPLICATION FORM
1. PERSONAL INFORMATION
Identification
Address for correspondence
You need to have a valid e-mail address for contact and you must make sure that you spell it correctly. Permanent/home mailing address (if different from above)
Master Course
under Natural Hazards and Catastrophic Events 2. ACADEMIC INFORMATION
Degree in Civil Engineering or equivalent
If you have not graduated yet, leave field (1) blank, but indicate your expected final mark. However, your submission to the Masters Course depends on the presentation of your degree certificate before 31 July, 2014 (European Commission grant holders) and 1 September, 2014 (other applicants). Other graduate degrees (if any)
Master Course
under Natural Hazards and Catastrophic Events Language skills
If you are from a non-English speaking country, please indicate your language proficiency certificates TOEFL certificate paper based (minimum score 525) TOEFL certificate internet based (minimum score 72) Please note that your language proficiency certificate must not be older than January 2010. If you have a TOEFL ,IELTS or similar certificate you need to provide one before 31 May, 2014. References
Please provide full details of two persons (faculty members, job supervisors, etc.) that issued letters of recommendation, submitted with this application form (as Attachment 3). Master Course
under Natural Hazards and Catastrophic Events Working experience (if any)
Please specify any working experience related with structural design or building conservation. Teaching experience (if any)
Please specify any teaching experience at academic institutions. Published scientific papers (if any)
Please specify your most relevant papers published in international journals, conferences or workshops (last 5 years). Other qualifications (if any)
Please specify additional qualifications not included before (awards, student rank during you high school and higher Master Course
under Natural Hazards and Catastrophic Events 3. PREFERRED UNIVERSITIES FOR DISSERTATION
Please indicate your preferred University to carry out the dissertation, which has to be different from the coursework. You will be considered for your preferred University taking into account adequate balance between different institutions. A decision on the institution offered will be made according to the number of applications and your rank in the selection Preferred Universities (Rank, using 1 for most wanted and 6 for least wanted) Czech Technical University in Prague (Czech Republic) Technical University in Timisoara (Romania) University Frederico II in Napoli (Italy) 4. ADDITIONAL INFORMATION
Main activity
I have not carried out my main activity (studies, work, etc.) for more than a total of twelve months over the last five years in any of the European Union State Members. I have carried out my main activity (studies, work, etc.) for more than a total of twelve months over the last five years in the fol owing European Union State Members (in this case the application is treated as from Country of residence in the last five years
I did not change my country of residence during the last 5 years. I did change my country of residence during the last 5 years. Please list below all countries of residence in the last 5 years: First contact with this Masters Course
Master Course
under Natural Hazards and Catastrophic Events Reasons for application
What/who influenced you most in your decision to apply to this Masters Course? Other scholarship opportunities
Are you applying to other scholarship opportunities? Yes No Current enrolment in MSc programs in Europe
I am not currently enrolled in any MSc program in Europe I am currently enrolled in the following MSc program in Europe: Activities for the last 5 years (if they are not covered by the last degree obtained)
Special needs
The students with special needs may come with accompanying persons, companion and/or children, and that a person may have special needs, is taken into account and special dispositions will be offered (accommodation in specifically equipped and/or more spacious apartment). In the case of accompanying children, the Universities can also provide help for child-care and/or school registration. What Consortium may help you in case of special need if any? Master Course
under Natural Hazards and Catastrophic Events 5. DOCUMENTS TO BE PROVIDED
Besides the application form dully filled in, the following documents should be attached to your application: photocopy of the applicant's national identity card or passport. Non EU Citizens: photocopy of the passport. A letter describing the motivations and goals of your participation in the Masters course. Please submit two letters of recommendation, assessing your ability to conduct graduate-level work and your potential for a successful academic or professional career. The letters of recommendation must be completed by faculty members, job supervisors, etc., who are most familiar with your professional and/or academic abilities and character. Referees are requested to complete these letters in English or, if written in another language, to attach an Attachment 4: English language proficiency certificates A copy of the TOEFL certificate (with a minimum score of 525 (paper-based) or 200 (computer-based)) or the IELTS-certificate (with a minimum score of 5.5) is required. Please note that the certificates must not be older than January 2010. If you cannot submit a proof of English language proficiency by 10 January, 2014, your application will still be considered. In this case you are urged to provide the proof as soon as possible, and no later than Applicants from English speaking countries (Antigua & Barbuda, Australia, The Bahamas, Barbados, Belize, English-speaking Canada, The Gambia, Ghana, Grenada, Guyana, Republic of Ireland, Jamaica, Kiribati, Liberia, Mauritius, Micronesia, New Zealand, Nigeria, Papua New Guinea, St. Kitts-Nevis, St. Lucia, St. Vincent, Sierra Leone, Solomon Islands, Trinidad & Tobago, United Kingdom, United States of America, Zambia or Zimbabwe) do not have to submit language certificates. Attachment 5: Academic degree certificates in original language A copy of all academic degree certificates, i.e. Civil Engineering degree or equivalent, master or equivalent or other Students who will not complete their Civil Engineering degree by January 10, 2014, but who predict to graduate before 1 September 2014, can apply to this Masters course. If selected, their admission will be conditional on the receipt of the degree certificate by the MSc Secretariat before July 31, 2014 (European Commission grant holders) and 1 September 2014 (other applicants). Attachment 6: Translation of academic degree certificates A translation of the degree certificates, made by an officially recognised translator in English, but only in case the original documents are not written in English. Attachment 7: Copies of transcripts or other academic records Copies of all transcripts or other academic records that give proof of the higher education studies presented in Attachment 5 (i.e. bachelors, masters etc.) including credits and grades achieved in each single subject. Master Course
under Natural Hazards and Catastrophic Events Attachment 8: Translation of the transcripts or other academic records A translation of the transcripts and records made by an officially recognized translator in English, but only in case the original documents in Attachment 7 are not in English. Attachment 9: Copy of High school diploma or relevant certificate 6. APPLICATION TERM
I certify that all information provided in this application form and all attachments is true and accurate. I understand that the Managing Board reserves the right to change or reverse any decision made on the basis of incorrect or incomplete information and that attempting to obtain admission using falsified documents is illegal and could be subject to penalties. I declare, I had prepared this application by myself.

Source: http://steel.fsv.cvut.cz/suscos/Documents/Application_form_SUSCOS.pdf