2016 Mexican Government Scholarships for International Students

MEXICAN GOVERNMENT SCHOLARSHIP PROGRAM FOR INTERNATIONAL STUDENTS

(Digital photos accepted)

PERSONAL INFORMATION

Name:

Paternal Last NameMaternal Last NameFirst Name(s)

Sex:(F)(M)Date of Birth: / /

Day Month Year

Nationality:

Marital Status: Single ( ) Married ( ) Name of Spouse (husband/wife):

Address:

Street Address

City State/ProvinceCountry Zip Code

Telephone number (with country code): Office Tel.:

Email*:

Passport No.: ______

Blood Type: ______

*The Foreign Ministry may contact you officially by email.

Have you ever received a Mexican Government scholarship? Yes ( ) No ( )

Date and length of scholarship: Activity or program:

ACADEMIC PROGRAM IN MEXICO

Complete name of the undergraduate, graduate or research program for which the scholarship is requested:

Institution: Level of studies:

Program start date: / / Program end date: / /

Day Month Year Day MonthYear

If you have already started the program:

Start date: Current academic year:

Current GPA/Other evaluations:

Period for which the scholarship is requested:

Supporting documentation must be attached.

ACADEMIC CONTACT AT THE MEXICAN INSTITUTION

Name:

Institution:Position:

Telephone:Email:

Do you have another scholarship for the same program? Yes ( ) No ( )

If yes, from which institution?: Period:

Type of assistance:

ACADEMIC INFORMATION

Bachelor’s degree: Grade Point Average (GPA):

Institution:Start and end dates:

City and country:

Master’s degree:GPA:

Institution:Start and end dates:

City and country:

Doctorate:GPA:

Institution:Start and end dates:

City and country:

Note: A GPA of 8/10 for the most recent degree is required. If on a different scale, submit its equivalent on a 0 to 10 scale.

Languages

Native language:

Other languages:

EMPLOYMENT BACKGROUND

Current employment:

Institution or company: Start date:

Position:

Previous employment:

Institution or company: Start date:

Position:

TEACHING OR RESEARCH ACTIVITIES

Indicate your teaching and/or research activities, with institution(s) and dates:

RECENT PUBLICATIONS

Titles of your most recent publications related to the planned activity (5 maximum):

HONORS, AWARDS AND SCHOLARSHIPS

Honors and awards received:

National and international scholarships for studies or research. Indicate the granting institution, country in which the activity was conducted and start and end dates:

EMERGENCY CONTACT

Notify:

Relationship: Country:

Telephone (include country and area codes):

Email:Fax:

Address:

CONSENT

I accept the terms and conditions of the 2016 Mexican Government Scholarship Program for International Students.

Signature of applicant Place and date

Important Note: The information contained in this application will be verified by the Foreign Ministry. Giving false information will be grounds for canceling the application.

APPLICATION MUST BE TYPED (TYPEWRITER OR COMPUTER). HANDWRITTEN APPLICATIONS WILL NOT BE ACCEPTED.

ANY ALTERATIONS TO THE APPLICATION WILL RENDER IT NULL AND VOID.