This Application Should Be Completed in BLACK in Order to Be Easily Copied And/Or Faxed

/ EXCHANGE STUDENT APPLICATION FORM
ACADEMIC YEAR 2014/2015 / photo

o  Exchange

o  Double degree

o  Fall Semester September 2014 to January 2015
o  Spring Semester February 2015 to June 2015

This application should be completed in BLACK in order to be easily copied and/or faxed.

SENDING INSTITUTION

Name
Address
Postal code and city / Country
COORDINATOR’S DETAILS
Department
First name
Last name
Function
Phone / Fax
Email

PERSONAL DATA

Firts name
Last name
DOB / Place of birth
Phone / Mobile
Complete address for future communication
Email personnel
Name of the student
Home university
Degree prepared

PREVIOUS AND CURRENT STUDIES

Year / Programme / Credits

PROFESSIONAL EXPERIENCE

Company / Function / Dates
From / To

LANGUAGE PROFICIENCY

Mother Tongue:______
Language of instruction (if different):______
Level / Test and ScoreScore
English
French: please tick on the appropriate box
If you have any doubts, test yourself: http://www.azurlingua.com/images/visuels/test2.swf
Level / Number of Hours / European Level
Equivalent / Tick
Total beginner / 0 / A0
Beginner / 0-20 / A0+
Lower intermediate / 20-60 / A1-
60-120 / A1
120-150 / A1+
Intermediate / 150-200 / A2-
200-250 / A2
250-300 / A2+
Upper intermediate / 300-400 / B1
Advanced / 400+ / B2
INSTRUCTIONS FOR THE STUDY PROGRAM

You must valid 30 ECTS per semester. You have to take:

Typical graduate Semester

4 T.U. (Teaching Unit) : 4 ECTS Credits each,

a seminar week (SW) : 1 ECTS Credits

a semester project work (PW): 6 ECTS Credits

a foreign Language course (FL) : 7 ECTS Credits

Typical Master of Science Semester

4 to 5 T.U

a seminar week (SW) : 4 ECTS Credits

a semester project work (PW): 8 ECTS Credits

a foreign Language course (FL) : no credit

STUDY PROGRAM

o  Master of Engineering
o  Master of Science
Semester / Course Code / Course Title / ECTS
Seminar Week
Semester Project
Language1*
Language 2**
Human Sciences

*Foreign students who are not fluent in French must take French as First Language (FLE).

**For the Second Language, you can take:

-  Arabic

-  Chinese

-  English

-  German

-  Italian

-  Spanish

-  Japanese

ACCOMMODATION

Would you like to be hosted on the campus student residence (MAISEL)?

o  Yes

o  No

Name and Student’s signature

Date: ......

Sending university
We confirm that the proposed programme of study is approved
o  for exchange
o  for double degre
Date
Departmental co coordinator’s signature – name and position / Receiving university: Telecom SudParis
We hereby acknowledge receipt of the application.
The above-mentioned student is
o  accepted
o  rejected
Date
Ms. Roisin DONOHOE, Director for International Development

Checking list

o  Photo

o  Copy of passport or Identity card for European citizens

o  Transcript of records

o  Bachelor certificate

o  Curriculum vitae

o  Letter of Statement

o  French level certificate or letter of recommendation by professors if program chosen is taught in French (mandatory for application to lectures given in French)

o  Information on how you intend to meet living costs (parents or sponsor/ bank statement) : bank statement showing that you will be able to meet living costs (700 euros/month) and tuitions fees when that applies (according the agreement between our schools)

CONTACT DETAILS

Please send your complete application file directly to the following address:

Ms Laura LANDES, Exchange coordinator

TélécomSudParis, International Development Office

Room DIR209
9, rue Charles Fourier
91011 Evry Cedex email:

France

APPLICATION DEADLINES

î  Application for fall semester to be received before April 15th

î  Application for spring semester to be received before October 15th

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