/ Ministère de l’enseignement supérieur et de la recherche
Ministere de l’environnementn de l’energie et de la mer
MUSÉUM NATIONAL D'HISTOIRE NATURELLE
Direction de l'Enseignement, de la Pédagogie et des Formations

STUDENT REGISTRATION FORM 2017-2018

Master’s degree: Evolution, Natural Heritage and Societies

FamilyName
First Name
Speciality*
Degree (1st or2nd year)
Course selection (1st choice)**
Course selection (2nd choice)
National student ID number ***
Date of birth(dd/mm/yyyy)
Nationality
Mailing postal address ****:
Number
Street
ZIP Code
City/Province
Country
Telephone number*****
Email address / @

*Select speciality in an abbreviated form only : EBE, EDTS, MVE, MSCS, QP,SEP

**For the EBE specialty: you must indicate a second course choice. Your application will be evaluated based on these two choices, and so are very important. See “<Enseignement> Les parcours” on the website further description.

***(National student ID number)except foreigners and students who obtained their baccalaureate before the 1995 session.

****This is the address which we will use to contact you and whereyou reside (until September 2017).

***** Telephone number where you can be reached until September 2017.

EDUCATIONAL BACKGROUND

FamilyName: First name:

Baccalaureate/A-levels/High School Diploma or equivalent(specify year obtained and include your subjects, grades and distinctions):

Post-secondary school studies:

Year / Name of University or institution / Qualification title (degree orotherwise) / Results
anddistinctions
Situation 2016-2017
Previous years
NB: specify which years and insert as many rows as necessary

OTHER INFORMATION

Current situation :

Student

Employed (position and employer’s name)

Other, specify:

If you have applied for other master’s degree courses, please provide details below (University, degree title and the specialty):

For foreign students, (non-French speaking), indicate your French level including any official test results or certificates:

How did you find out about this program: Internet, CAIO, former students, teachers, an educational/job fair, or other?

I certify the accuracy of all the information contained in my application.

If my application is successful, I undertake to participate full time, inall the activities scheduled for the teaching units that I choose.

InSignature:

Date

WHICH DOCUMENTS TO SEND AND WHERE TO SEND YOUR APPLICATION

(one dossier per application)

1. Your application must include the following documents:

-the above application form, duly completed, dated and signed, including a recent picture of yourself in JPEG format (240 x 300 pixels)

- one page CV (including internships and work experience)

-a cover letter (very important)

-a copy of the grades obtained for *:

-the 3 years of your bachelor’s degree (or equivalent)

-the master 1, where applicable

and for foreign students a copy of their degree(s)

-Optionally references and any other documents you deem useful can be included.

2 - The complete application must be sent to the head of the chosen specialitybefore Monday, June 12, 2017:

-preferably electronically to the email addresses indicated in the table below,

- either by mail or delivered personally to the mailing addresses indicated in the table below.

In these two cases, the candidate must then send an additional email to the person in charge of the specialty:

-their application form in Word format

-an identity photo in JPEG format (240 x 300 pixels) as a separate attachment, labelled with your family name and your first name

- For the EBE specialty “Ecology, Biodiversity, Evolution” ONLY, the administrative information Excel document found on the Museum website

Specialty / Specialty Directors/Managers
Ecology
Biodiversity
Evolution
(EBE) / Emmanuelle Porcher and Alexandre Robert (co-directors)
MNHN, CP 51, 57, rue Cuvier 75231 Paris cedex 05
- Adresse physique : 61 rue Buffon 75231 Paris cedex 05
courriel :
website:
SEND YOR APPLICATION BY POST only
Environment
Development
Territories and Societies
(EDTS) / M1 et M2 (hors parcours DEBATs):
Serge Bahuchet et Richard Dumez (co-resp.),
Hélène Artaud (resp. M1) et Julien Blanc (resp. M2)
Rachel Bié (coord.),
MNHN, Département "Hommes, Natures, Sociétés"
Site du Musée de l'Homme 17 place du Trocadéro
75016 Paris
- Adresse physique: cf. ci-dessus
Courriels : pour le M1, , tél.: 01.44.05.73.40
pour le M2, , tél.: 01.44.05.72.66
, tel: 01 44 05 72 51, et
M2 parcours DEBATs:
Nathalie Machon,
MNHN, Département EGB, CP 61, 57 rue Cuvier 75231 Paris cedex 05
- Adresse physique: 61, rue Buffon 75005 Paris
Courriel : , tel : 01 40 79 38 71
Mechanisms of living organisms and their environment
(MVE) / Isabelle Florent,
MNHN, CP 52, 57 rue Cuvier 75231 Paris Cedex 05
- Adresse physique: 61 rue Buffon 75231 Paris cedex 05
Courriel :
Museology, Sciences
Cultures and
Societies
(MSCS)(Museology of Sciences) / Fabienne Galangau-Quérat resp. spécialité et
Jean-Guy Michard (M2)
MNHN, Département des Galeries,
CP 22, 57 rue Cuvier 75231 Paris Cedex 05
- Adresse physique:Grande Galerie de l'Evolution, 36 rue Geoffroy St Hilaire 75005 Paris
Courriel, tel : 01 40 79 39 79 /01 40 79 53 14/ 01 40 79 54 35
Yamina Larabi-Godinot, MNHN, Département " Hommes, Natures, Sociétés",
CP 135, 57 rue Cuvier 75231 Paris Cedex 05
- Adresse physique: Préfabriqués Poliveau, 43 rue Buffon 75005 Paris
Courriel: , tel : 01 40 79 39 04
Quaternary and
Prehistory
(QP) / François Sémah,
MNHN, Département de Préhistoire, 1 rue René Panhard 75013 Paris
Courriel : , tel : 01 40 79 27 14
Denis Vialou,
MNHN, Département de Préhistoire, 1 rue René Panhard 75013 Paris
Courriel: , tel : 01 40 79 27 35
Systematics
Evolution
Paleontology
(SEP) / Véronique Barriel MNHN, Département Histoire de la Terre,
CP 38, 57 rue Cuvier 75231 Paris cedex 05
- Adresse physique:2-8 rue Buffon 75005 Paris
Courriel : , tel : 01 40 79 31 71
Bernard Riera (pour le parcours BEVT)
MNHN, Département Histoire de la Terre,
CP 48, 57 rue Cuvier 75231 Paris cedex 05
- Adresse physique:4 avenue du petit château 91800 Brunoy
Courriel : , tel : 01 60 47 92 35 / 01 53 70 20 05
Bruno de Reviers (pour le parcours E2F)
Département Systématique et Evolution, bâtiment de Cryptogamie,
CP 39, 57 rue Cuvier 75231 Paris Cedex 05
- Adresse physique:12, rue Buffon 75005 Paris
Courriel: tel : 01 40 79 31 98

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Case Postale n° 27, 57, rue Cuvier – F-75231 Paris Cedex 05Scolarité Master