Master MIAGE IKSEM International Master In Information And Knowledge Systems: Engineering And Management 1. Applicant Information Application Form 2016-2017 Mme M First Name Last Name Date of birth e- mail Phone number Mobile phone number Skype contact Are you a EU resident? (YES/ NO) Photo 2. Your Application You apply for the Master MIAGE IKSEM program (in English) in: Classical Pathway Apprenticeship* * available for the EU residents 3. Degrees and Education List chronologically all colleges and universities attended. Years of study 2015/16 Full name of the University/College/Grad. School Degree acquired (or expected) ECTS* received during the studies 2014/15 2013/14 2012/13 2011/12 * ECTS stands for European Credits Transfer System
3a. Average Grades: For the latest degrees you received, please, indicate the grading system (for example: 0..5 A..E or 0..10) and provide your average grades on Informatics* and Mathematics**. Years of study: 2015-16 Grading system Average grade in Informatics Average grade in Mathematics 2014-15 2013-14 * Courses related to programming, hardware/software architecture, algorithms, software and web design, theoretical computer science etc. ** Fundamental and applied mathematics 4. Language Skills What is your native language(es)? Indicate the languages you speak and their level (basics, intermediate, fluent). Language Speaking Reading Writing English* French** * If English is not your mother tongue, we will ask you to provide a proof of proficiency (TOEFL, TOEIC, School certificate validated by your language department, etc.) ** French is not a prerequisite for the IKSEM program. Please, indicate if you are wiling to study French (taking language courses) during your IKSEM program. 5. Professional Experience Please, list chronologically all your internships/jobs. Period of time Organization / Employer (name, city, country) Position (internship, permanent, part time job, etc) Role / responsibilities
Please write in this space any further information on your work experience that could be useful in assessing your application 6. Contacts and Recommendations Please provide the contact information of at least 2 people who can give a recommendation for you (e.g., your supervisors, university professors) Name Title/Organization e- mail Phone 7. Statement of your Motivation Why are you applying for the IKSEM program? Why do you think you are a good candidate for IKSEM? Describe your career after graduating from IKSEM: are you planning to continue your career in an Academia, in Industry? Opening your own business?
8. About yourself Please, describe here one of your greatest achievements: Please, describe here one of your greatest lessons learned: 9. How did you learn about IKSEM? From my school From my colleague at work From my friend From Facebook From a mailing list (which one?) From the official website of the University Paris 1 From iksem.fr Do not remember
List of documents We request the following documents to be sent with the application: Printed application generated by Sesame system Copies of diplomas and certificates Complete transcript of your academic records (in French or in English) signed by your department Proof of your English proficiency (e.g., TOEFL, TOEIC, official certificates provided by a language department of your school, etc.) Recommendation letters Birth certificate or photocopy of identity card / passport Two copies of your Curriculum Vitae An identity photo (on the front page of this document) ATTENTION! YOUR APPLICATION WILL BE CONSIDERED ONLY IF COMPLETE AND SIGNED. ANY INCORRECT OR FALSE INFORMATION LEADS TO THE APPLICATION REJECTION. I certify that the information provided in this form and in all the attached documents is correct and accurate to the best of my knowledge. Place Date Signature : Your signed application has to be scanned and sent by e- mail to miage@univ- paris1.fr with a subject [APPLICATION IKSEM 2016/17] Alternatively, you can send the paper version of your complete application to the Master IKSEM office: Master IKSEM Office Postal address: Stephane Melo Centre PMF, Bureau C 14.06 90, rue de Tolbiac 75013 Paris France Phone: + 33 (0) 1.44.07.88.94 e- mail: miage@univ- paris1.fr Attention! Your application (electronic or paper) must be received within the deadline defined by the university! (see www.iksem.fr) For the paper application, please, consider the delays of the ground mail service and send your application few days in advance!