M1 M2

Administrationonly Accepted Yes Ifyes A B Grade ./5 Accepted Yes Ifyes A B Grade ./5

No C No C

APPLICATIONFORM MASTEROFSCIENCEPROGRAMS

CIVILSTATUS
FamilyName: FirstnameorGivenName: Nationality: DateofBirth: Town: Female /Male

Country:

ADDRESSOFTHEAPPLICANT
N: Street: PostCode: PhoneNumber: EmailAddress: Town: InternationalCode: Country:

IAPPLYFOR(Selectonlyoneprogramforeachapplication)

ME3 EuropeanJointMastersinManagementandEngineeringofEnvironmentandEnergy
Option1 Option1 Option1 A:UPM(Madrid)EMN(Nantes)KTH(Stockholm) B:UPM(Madrid)EMN(Nantes)BME(Budapest) C:UPM(Madrid)EMN(Nantes)EMN(Nantes)

Option2 UPM(Madrid)QUB(Belfast)EMN(Nantes)

MOST:MScinManagementandOptimizationofSupplyChainandTransport
M1 M1 M1 M2 M2 M2: ANWMor NEPIAor NUTMA

PM3E:MScinProjectManagementforEnvironmentalandEnergyEngineering
SNEAM:JointMScinSustainableNuclearEnergyandApplicationManagement

DOYOUWISHTOAPPLYFORAGRANTORASPONSOR?
INDUSTRIALSPONSORING ME3EXCELLENCESCHOLARSHIP EXCELLENCESCHOLARSHIP ERASMUSMUNDUSSCHOLARSHIP
Revised December 12 EMNantes Graduate School of Engineering and Management - FRANCE
LA CHANTRERIE. 4, RUE ALFRED KASTLER. B.P.20722 44307 NANTES CEDEX 3 - FRANCE. PHONE (33) 2 51 85 81 00 FAX (33) 2 51 85 81 99 http://www.mines-nantes.fr

HIGHEREDUCATION
YourlastUniversityName: AddressofyourUniversity: AcademicYear University DiplomaDegreeDate GPA (GradePoint Average)

LANGUAGEABILITY
Pleaseindicateyourproficiencyineachspecifiedlanguage(Rateyourself:E=Excellent,G=Good,F=Fair,P=Poor,B=Beginner) Language Speaking Reading Writing Certificates Score

RESEARCHANDINDUSTRIALEXPERIENCE
Employer Address Position Fromto/Duration ActivitiesResponsibilities

Revised December 12 EMNantes Graduate School of Engineering and Management - FRANCE

LA CHANTRERIE. 4, RUE ALFRED KASTLER. B.P.20722 44307 NANTES CEDEX 3 - FRANCE. PHONE (33) 2 51 85 81 00 FAX (33) 2 51 85 81 99 http://www.mines-nantes.fr

REFERENCELETTERS
Yourrefereesmaybeteachers,employersoranyonenotrelatedtoyoubutinapositionofprofessionalauthority.Thereference lettersmustbeprintedonacompany/universityheadedpaperandmustincludeanofficialstamp. Names,contactdetailsandjobtitlesofthetwopersonswritingthereferenceletters 1 2

HOWDIDYOUKNOWUS?

Website Universitypartner Exhibition(Nameoftheevent: ) Other(Details: ) RecruitingAgent Relationship AlumniNetwork(Nameofthealumni: ) Advertisement

DIDYOUAPPLYFORANOTHERPROGRAM?
Nameoftheprogram Country

FINANCIALRESSOURCES
Company(contact&address)

Yourselfparents

Loans

Institutionalgrants(Givethenameoftheinstitutionandthedetailedcontact)(Ex:Frenchembassygovernmentalgrants)

Other,tobespecified I certify that the information provided on this application is accurate and complete. I understand that falsified information may resultindenialofadmissionandterminationofenrolmentinmystudyprogram.

Signed ........................................................................................Date

Revised December 12 EMNantes Graduate School of Engineering and Management - FRANCE

LA CHANTRERIE. 4, RUE ALFRED KASTLER. B.P.20722 44307 NANTES CEDEX 3 - FRANCE. PHONE (33) 2 51 85 81 00 FAX (33) 2 51 85 81 99 http://www.mines-nantes.fr

CHECKLISTFORSUBMISSIONOFYOURAPPLICATION
The following items* must be submitted together in order for EMNantes to process your application. We will not study your application if it is incomplete, except for the proof of the degree you are in progress and if you did not get yet your English certificate.

CompleteApplicationforminEnglish* AfullcurriculumvitaeinEnglish* Copy of your transcripts, with translation in English, for the last 4 years of your higher education (done by your educationalinstitutionorbyanofficialinstitution)* Copyofyourdegrees,withtranslationinEnglish(donebyyoureducationalinstitutionorbyanofficialinstitution)* 2referencelettersinEnglish*(atleastonefromanacademicreferee) AmotivationstatementinEnglish*:Inthisletteryoumustexplainbriefly,theskillsacquiredinyourstudies,internships or work experiences linked to the domain of the Master; the ranking of your university in your country; your expectations about the program and the additional skills you would like to acquire; your choice for our institute and MSc program; your plans for your professional career after the MSc program; your interest for studies in an international MSc (interest for Franceand/orEuropeancountries,previousmulticulturalexperiencesbefore).

English certificate (e.g TOEFL, IELTS). Not required if you are a Native English speaker or if you did your studies in English (in that case, you must provide an official statement issued by your university confirming that the medium of instruction was English)
Copy of passport information page (should include the passport number, your name, and your photo) or copy of your identitycardandaproofofrequestforanewpassport* 2recentpassportphotos PublicationlistandPatentsinEnglishifresearchexperience ApplicationformfortheErasmusMundusscholarship,incaseyouwishtoapplyforit.

SUBMISSIONOFYOURAPPLICATION
Programs MSc.MOST MSc.PM3E MSc.SNEAMSNEWM Requests:mostadmission@minesnantes.fr Requests:pm3eadmission@minesnantes.fr Requests:sneamadmission@mines Thecompleteapplicationhastobe sentto: GEMEcoledesMinesdeNANTES GraduateSchool 4,rueAlfredKastler,B.P.20722 44307NANTESCedex03 FRANCE GEMEcoledesMinesdeNANTES DSEE/ME3 4,rueAlfredKastler,B.P.20722 44307NANTESCedex03 FRANCE

nantes.fr
EuropeanJointMastersME3 Requests:me3@emn.fr

Formoreinformation Web:www.minesnantes.frInternationalwebsiteinEnglish

Revised December 12 EMNantes Graduate School of Engineering and Management - FRANCE

LA CHANTRERIE. 4, RUE ALFRED KASTLER. B.P.20722 44307 NANTES CEDEX 3 - FRANCE. PHONE (33) 2 51 85 81 00 FAX (33) 2 51 85 81 99 http://www.mines-nantes.fr