APPLICATION FORM 2013 – 2014 MAN-IMAL Master’s degree Man-Animal-Food Health: Transdisciplinary Management

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APPLICATION FORM 2013 – 2014
MAN-IMAL Master’s degree
“Man-Animal-Food Health: Transdisciplinary Management
of Global Health
and Nutritional Safety”
Please mark the interview session you wish to apply for:
Interview session #1 (June 3rd – 7th, 2013) Application must be sent by May 27th
Interview session #2 (Sept 23rd – 27th, 2013) Application must be sent by September 20th
(date as per postmark)
What is your goal after completing the MAN-IMAL Master?
Employment
Further research
Not defined
Depending upon various criteria, a MAN-IMAL scholarship is available (please see the Scholarship
Application form for details)
Would you like to request financial aid for your MAN-IMAL studies?
YES
NO
(If yes, please complete the MAN-IMAL Entraide or International Scholarship form, according to your situation, and send
along with your complete file)
ELIGIBILITY CHECKLIST (Reserved for administration - Please do not fill)
 Applications dated and signed
 Legible copy of national identity card or passport
 Copy of the minimum required diploma (with certified translation)
 Recommendation letter
 Detailed curriculum vitae
1
Last Name: ________________________ First Name:______________
(for married women, please indicate your maiden name followed by « married »)
Address:
N° _________ Street _____________________________________________________________
Postal Code: ________________________
Attach ID photo
City: ___________________________________________
Country: ____________________________
E-mail address (obligatory): _____________________________________________________
Telephone: ________________________________
Mobile: ________________________________
Birthdate: ________________________ in _____________________
day
month
year
Country: ___________________
Gender: __________________________ Age: _________________
Nationality: __________________________________ Family Status: _________________________________
Permanent address in country of origin:
____________________________________________________________
INE number (Identifiant National Etudiant, 11 characters): _________________
(non obligatory for students who have never studied in France before)
Have you passed a language test?
YES
If yes, please indicate which test:
TOEIC
NO
TOEFL
IELTS
OTHER (please specify: ___________)
(please attach a copy of test results and certificate)
Test date: ________________________
Test score: ______________
Current situation:
Student
Employed
Unemployed
Other
Please describe in further detail your current situation (type of ongoing studies, education level, position held …)
2
Prior University Education, in chronological order (beginning with the most recent diploma)
Dates
From - To
Academic
institution
Fields of Study
City, Country
Diploma Title
Distinction,
Ranking
(if any)
Other studies, Ongoing studies, Participation in international university exchange programmes
Dates
From - To
Academic
institution
Fields of Study
City, Country
Diploma Title Distinction,
Ranking
(if any)
3
Professional experience (internships included) in France and abroad
Dates
From - To
Company Name
Reason for abroad stay / Tasks
carried out
Language used
(if abroad)
Type of contract
(work contract,
internship,
voluntary work…)
Reports, dissertations or publications on subjects related to MAN-IMAL
Type of
report/dissertation/publication
Date
Bibliographic references
4
Other activities
Please indicate any other activities that you are involved in (sports, associations…).
Describe the responsibilities you have assumed, or currently assume. Please state the projects you have undertaken.
Other degree programmes which you are applying for
Please detail the other programmes you are applying for (Master and other diplomas in Nantes, or elsewhere) by order of
preference, including the MAN-IMAL Master program:
1) ……………………………………………………………………………………………………………
2) ……………………………………………………………………………………………………………
3) ……………………………………………………………………………………………………………
4) ……………………………………………………………………………………………………………
References
Please complete the information below, of two references that we may contact, so as to better study your application:
Reference:
Last Name:
First Name:
Profession:
Professional Address:
E-mail Address:
Telephone:
What brought you in contact with this reference?
Reference:
Last Name:
First Name:
Profession:
Professional Address:
E-mail Address:
Telephone:
What brought you in contact with this reference?
5
EVALUATION CHART
Candidate Name:
Degree/Internship:
Situation during the current academic year (e.g. studies, work, unemployment, etc.)
Excellent
Strong
Average
Weak
Not acceptable No opinion
Knowledge of
basic scientific
principles
Application of
knowledge
Motivation
Curiosity
Ease in
communication
Professional ethics
Maturity
Judgement
Cooperative spirit
Organization
Evaluator’s name:
____________________________________
Evaluator’s signature:
____________________________________
Date:
____________________________________
This document replaces the letter of recommandation. Please send along with the complete application file to
the following e-mail address: [email protected] or by mail to Formation MAN-IMAL,
6
Oniris - Site de la chantrerie - Route de Gâchet - CS 40706 - 44307 Nantes cedex 3, FRANCE.
Reminder: In the event of dispute, the French version of the MAN-IMAL documents and their texts shall
prevail. French is the official administrative language for all MAN-IMAL procedures. Any supporting
document in another language other than French or English must be accompanied by a certified translation
(either in French or in English).
I hereby certify that the above information is correct, and am aware that any false statement or omission written
on the application form, even if involuntary, might lead to the discarding of my application.
Date:
Signature:
7
Supporting documents to include in the application
Mandatory documents

The MAN-IMAL application form (7 pages),

Photocopy of valid ID (National Identity Card or Passport),

Photocopy and translation into French or English of all University diplomas completed* mentioned
on page 3 of this form, including the transcript of records in English or French of all completed
higher education degrees. (Specify the averages and ranks, if possible),

The Evaluation Chart (page 6) or a letter of recommendation from the Head of the diploma
programme (Professor, Program Director…),

…and/or the Evaluation Chart (page 6) or a letter of recommandation from last employer or
internship Director,

A Cover letter written in English (please describe the reasons for which you are applying to this
programme - personal motivation, career goals...),

Detailed Curriculum Vitae (maximum 2 pages)
Optional documents
 Official certificates for all short training courses and seminars, of participation in university
exchange programmes, and of the ongoing studies mentioned on page 3
 Certificates for professional experiences mentioned on page 3
 If you have one, English language certificate: TOEFL IBT 75, IELTS 5.5, Cambridge: First
Certificate in English, TOEIC “listening and reading”: 750/990

If you have one, French language certificate: TCF, with a valid complementary/optional exam of
written skills, DALF or DELF B2
PLEASE NOTE: Any written documents sent in any language other than English or French must be
accompanied by their official translation (in English or French). All translations must be completed by a
certified translator.
* a certificate of achievement must be included if you are not yet in possession of your last diploma.
Complete application must be sent latest on:
- May 27th, 2013
(June 2013 session)
- September 20th, 2013
(September 2013 session)
preferably by e-mail to [email protected] or by mail to
Oniris - Site de la Chantrerie
MAN-IMAL
Route de Gachet
CS 40706 – 44307 Nantes cedex 3
8
IMPORTANT OBSERVATIONS:
a)
In order to ensure that the students accepted into the MAN-IMAL programme are
welcomed under the best conditions, much attention is given to the scientific level of each candidate,
which must enable the student to follow all courses with serious chances of completion and success.
b)
All applications will be examined by a pedagogical committee and all final decisions will be
sent to the candidates by week 24 or 40, depending upon the session applied for. An acceptance
form and registration procedures will be sent to the candidates whose applications are accepted to the
programme.
c)
There does not exist within French territory any valid, uniform equivalency with regards to
diplomas. A foreign degree may be accepted by a French Higher Education establishment and
refused by another. All replies to all candidatures depend exclusively upon the Director of the school
which is supported by the propositions of the pedagogical committee. This committee places
important emphasis on past degree content and the requirements of the degree to which the student is
applying. Language capacities will also be considered. The educational establishment to which
the candidate is applying has sovereign power over all validations. The French Ministry of
Higher Education and Research does not grant either any waivers or equivalences in the pursuit
of higher education.
d)
Incomplete applications will not be considered.
e)
All documents sent for the application of the MAN-IMAL programme remain property of the
French administration, even upon entry refusal. No application document will be sent back to the
candidate.
f)
Candidates whose applications have been accepted must present, at the time of registration, the
original copies of all diplomas and their certified translations.
Scholarships:
In addition to the MAN-IMAL scholarship you may apply for, the French government offers various types of
scholarships that you may qualify for. If you would like further information, please consult the Cultural and
Cooperation Department of the French embassy in your country of residence. You may also consult the website
of the Ministry of Foreign and European Affairs at:
http://www.diplomatie.gouv.fr > Espace étudiants> Etudier en France > Financer le projet/bourses
Optional question:
How did you hear about the programme? (please tick one box only)
[ ] Internet
[ ] Youth information and counselling centre
[ ] Students registered in the programme
[ ] Training/education fair or forum
[ ] Current institution
[ ] Other (please specify)
[ ] Parents or other family member
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Acknowledgment of application receipt
If you would like official acknowledgement that your application has been received by Oniris, please
complete the form below and attach it to your application file.
 ------------------------------------------------------------------------------------------------------------------We acknowledge receipt of the application file for the Master “Man-Animal-Food Health:
Transdisciplinary Management of Global Health and Nutritional Safety” from:
Last name: …………………………………
First Name: …………………………………………
Date: …………………………………
Oniris - Site de la Chantrerie
MAN-IMAL
Route de Gachet
CS 40706 – 44307 Nantes cedex 3
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