Include certified copies of your record transcripts (Master degree or equivalent). Translate it into English (except for French students).

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1 Post-Master program International Energy Management "ALEF" Application for admission Before filling out the form, please read all information and forms carefully. Include certified copies of your record transcripts (Master degree or equivalent). Translate it into English (except for French students). A copy of a TOEFL (Test Of English as a Foreign Language) score of at least 575 points (in a paper-based test) or 90 (in a internet-based test) or a copy of a TOEIC (Test Of English for International Communication) score of at least 785 points or any other equivalent test result of your English knowledge is considered to be a significant recommendation. Include one recent photograph (paper and electronic jpg) AND a copy of your passport (paper and electronic jpg) Include your Curriculum Vitae of (maximum) 2 pages. Please include the following data: Name, mail address + phone + address; year, date and place of Birth; Present position; Education: Major, short list of main courses, relevant knowledge and skills; Publications: after 2000; relevant seminars and courses; Internships: Company, exact duration, activities and responsabilities Two reference forms have to be completed by qualified persons (joint in attached file to this application form document) Include an individual essay (typed, ± 600words, maximum 3 pages) addressing the following issues: Describe your motivation to integrate an international training programme in Energy Management Express your future professional ambition Explain your engineering background How could you or your field of expertise contribute to an interdisciplinary problem-analysis and problem-solving? Which measures should be taken to improve environmental or energy efficiency and performance in your own country in the near future? (Do not forget to put your name on all pages of the essay!) The deadline for application is: Friday, March, 1 st 2013 Return the completely filled out application form both in paper and electronic format: Professor François-Pascal Neirac Ecole Nationale Supérieure des Mines de Paris Center for Energy and Processes BP 207 F Sophia Antipolis Cedex France admin_alef@scep.ensmp.fr 1

2 1. Personal data PHOTO First Name: Family Name: Male / Female Home address, Street: Postal code and place: Country: Telephone number at home: Fax number at home: Telephone number at work: Fax number at work: address: Date, place and country of birth: Nationality: Passport number: Valid until: Marital status: Profession of the parents (Father & Mother): Education & Skills 2.1 Bachelor degree (for France, indicate your preparatory class): Bachelor degree in: Final grade (with scale): Master degree (or equivalent): Master degree (or equivalent) in: Main subject/master's thesis: Final grade (with scale!): Other degree (Master, PhD): Name of the degree : Major:

3 Main subject/master's thesis: Final grade (with scale!): Languages skills Which English language International tests have you taken? TOEFL TOEIC Other Score: Score: Name and Score: Do you speak other languages than English? If so, at what level? Motivation Please briefly state your future professional ambition and motivation to participate in this Advanced Master program (Maximum 50 words) Information source In order to assess our promotional and communicative efforts, could you please inform us how you learned of the possibility to apply to this program? 5. Other complementary information - Please indicate if you are also applying to other Master or Post-Master programmes 3

4 Reference form Name of the candidate: First: Last: The International Energy System Management Master Program ALEF is a 14-months full-time curriculum for recently graduated scholars. It aims at matching the participants' academic specialist education with the future interdisciplinary professional practice in a variety of companies, consultancies and institutes. Candidates should have excellent academic achievements, a thorough mastery of the English language and a strong motivation to start or continue a professional career in Energy Management at the International level. Candidates should have a positive attitude to working independently as well as co-operating in an interdisciplinary and international environment, to sharing knowledge and to exchanging views with people with a different experience disciplinary and cultural background. admin_alef@scep.ensmp.fr Please, indicate your evaluation of the candidate's ability and motivation: 1. to undertake a study in English: weak / fair / good / very good / excellent 2. to undertake a study at postgraduate level: weak / fair / good / very good / excellent 3. to co-operate in multidisciplinary study groups: weak / fair / good / very good / excellent 4. to function independently in a foreign and international setting: weak / fair / good / very good / excellent 5. to participate with an open attitude in a new environment: weak / fair / good / very good / excellent Could you write your personal general appreciation of the candidate: Name of referent: First: Last: Title or position: Working address: Town and country: Telephone number: Fax number: address: Under what circumstances did you come to know the candidate? Date and Place: 4

5 Reference form Name of the candidate: First: Last: The International Energy System Management Master Program ALEF is a 14-months full-time curriculum for recently graduated scholars. It aims at matching the participants' academic specialist education with the future interdisciplinary professional practice in a variety of companies, consultancies and institutes. Candidates should have excellent academic achievements, a thorough mastery of the English language and a strong motivation to start or continue a professional career in Energy Management at the International level. Candidates should have a positive attitude to working independently as well as co-operating in an interdisciplinary and international environment, to sharing knowledge and to exchanging views with people with a different experience disciplinary and cultural background. admin_alef@scep.ensmp.fr Please, indicate your evaluation of the candidate's ability and motivation: 1. to undertake a study in English: weak / fair / good / very good / excellent 2. to undertake a study at postgraduate level: weak / fair / good / very good / excellent 3. to co-operate in multidisciplinary study groups: weak / fair / good / very good / excellent 4. to function independently in a foreign and international setting: weak / fair / good / very good / excellent 5. to participate with an open attitude in a new environment: weak / fair / good / very good / excellent Could you write your personal general appreciation of the candidate: Name of referent: First: Last: Title or position: Working address: Town and country: Telephone number: Fax number: address: Under what circumstances did you come to know the candidate? Date and Place: 5

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