MOTIVATION QUESTIONNAIRE Masters in Plant Breeding

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1 MOTIVATION QUESTIONNAIRE Masters in Plant Breeding Family name: Given name: Your current situation: Student (please answer all questions except 2a) In employment (please answer all questions except 2b) Seeking employment (please answer all questions except 2b) Other, please give details: 1/ Please give your two main reasons for wishing to be considered for the Masters programme in Plant Breeding. 1

2 2a/ Please describe the milestones in your career to date, and say how this Masters degree qualification fits into your future career plan. 2b/ Please give details of the aspects of your studies that are most relevant to this Masters programme. How does this Masters degree qualification fit into your career plan? 3/ What type of job do you envisage for yourself later on? 2

3 4/ Which companies would you like to work for? Please explain why. 5/ If you are not a French national, do you know of any French companies operating in your country of origin? (Please list them.) 6/ How did you hear of this Masters programme? 7/ Are you considering any other study programmes? If so, please give details. 3

4 APPLICATION FORM Masters in Plant Breeding For your application to be complete, you must also submit: Photocopies of certificates or transcripts for higher education level or continuing education qualifications awarded An official document certifying European level B2 standard in English (min TOEIC 785 points or min BULATS 70 points TOEFL Ibt 80 TOEFL Pbt 503) (Except for students from English-speaking countries) 1 copy of your CV 1 identity photo A photocopy of your identity card or passport 2 references (mandatory for both students and people in employment) translated into French or English A photocopy of your family record book or birth certificate Applications and all accompanying documents should be returned : via to: regine.desselle@lasalle-beauvais.fr or by post to: LaSalle Beauvais Service Admissions 19, rue Pierre Waguet BP BEAUVAIS CEDEX France Application deadlines : December 15th, February 15 th, April 15th Please allow enough time to obtain your visa, if applicable. You should make the relevant enquiries with the authorities concerned (for example Campus France). LaSalle Beauvais is happy to provide any documents you may need to complete your visa application (proof of address, certificate of pre-enrolment, etc.). IMPORTANT: We require you to have adequate insurance cover for your journey and any repatriation, hospitalisation and medical expenses, at least for your first month of attendance at LaSalle Beauvais, and to take out civil liability insurance. - Page 1 -

5 YOUR DETAILS Please write clearly and legibly. Title: Mr Mrs FAMILY NAME (in block capitals): GIVEN NAMES:. . Higher education qualifications awarded + specialisms / continuing education Grade/Class: Current course of study / continuing education: Institution attended: RESIDENTIAL ADDRESS: Road name and number:... Zip code:... Town/City:... Landline: + COUNTRY:... Mobile: + Date of birth (dd/mm/yy): / / Place of birth:... COUNTRY:... Nationality:... Marital status:.. Professional Referees (if applicable): Employer:... Address:... Postcode:... Town/City:... Landline: + COUNTRY: Mobile: + ADDITIONAL INFORMATION: Do you hold a valid driving licence? Yes No If so, length of time held and vehicle category entitlements: Sport(s) played: Leisure activities:.. How do you intend to finance your studies? Have you already researched the grants available? If so, give details?... - Page 2 -

6 Higher education / continuing education (please fill in carefully and give precise details): 1) Higher education / continuing education (please give details in the table below): Academic Year Institution and full address Course and Specialism Qualifications awarded 2) Professional experience and placements Dates Type Company and location (placement or (dd/mm/yy) employment) (country, region) Responsibilities from to from to from to from to - Page 3 -

7 3) Languages Level (please tick): Beginner Intermediate Intermediate + Advanced A1-A2 B1 B2 C1 English Another language: Please give details Another language: Please give details Signed in (place) on (date) Signature - Page 4 -

8 CONFIDENTIAL REFERENCE CONCERNING THE FOLLOWING APPLICANT FOR THE MASTERS PROGRAMME IN PLANT BREEDING Family name: Given name: How long have you known the applicant and under what circumstances have you been in a position to assess him or her? What are his or her two main qualities? What are his or her two main weaknesses? Is this choice of Masters programme consistent with his or her career plans?... Please complete the grid below, basing your assessment of the applicant in relation to others you know at a similar level. Analytical skills Application Ability to synthesise information Communication skills Technical skills Excellent Good Average Below average Do not wish to comment Do you recommend this applicant for acceptance by the panel? Mr Mrs Family name: Given name: Position: Organisation/School/University: Address: Postcode: Town/City: Country: Telephone: Date:.../ / Signature :

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