Dossier de Candidature aux Mastères Spécialisés de l'enscpb

Reserved for management

Application n°  File received on:

File status:  COMPLETE  INCOMPLETE

File analysis:  REFUSED  ACCEPTED  TO PHONE INTERVIEW

Final decision:  ACCEPTED  ON HOLD  REJECTED  CANCEL

APPLICATION FORM 2017/2018 for Safety Engineering & Management

Professional Master Degree (Mastère Spécialisé®)

NB: Your application must be completed even if you have not yet obtained your current degree. Your final results must be submitted when available.

LAST NAME*: ______________________			First name: _____________________________________
Birth date (DD / MM / YYYY):			Place of birth (city): _____________________________
Nationality: _________________________			Place of birth (state):_____________________________
Current position:
	Employee	Firm: ________________________________________________ Firm address:______________________________________ ___________________________________________________________ Activity: __________________________________________________ Highest degree obtained: ______________________________________ Number of years’ experience: _______________________________
	Student	Current/previous degree: ________________________________ University: _____________________________________ ___________________________________________________________ Discipline: __________________________
	Jobless from (MM/YYYY)	Highest degree obtained: _____________________________________ University: _____________________________________ ___________________________________________________________ Discipline: __________________________ Number of  years’ experience: _______________________________

* Or family name

Current address** to DD/MM/YYYY: Address: __________________________________ ______________________________________________________________________________________ Phone number:  _________________________ Cell phone number:  ________________________ E-mail: ___________________________________

Permanent address (if different): Address: ________________________________ __________________________________________________________________________________ Phone number: ___________________________

** Please send an email if your address changes
Curriculum Vitae & Cover letter
Please specify in a file, the following pieces of information (less than 4 pages):

• First name, Last name

Education

• 
  List of previous university degrees: year, university name, faculty or discipline, course list or syllabus, subject of study and transcripts.
  
• 
  English level and associated certificate (TOEIC, TOEFL, etc.) including the scores if available.
  

Professional skills

• 
  Describe your professional experiences including internships, jobs, etc. Specify the year, duration, firm name and activity.
  

Motivations

In a cover letter, describe your professional objectives and the reasons for your interest in this programme.


Documents to be provided

• 
  The following pieces of information must be submitted:
  

	This application form
	Curriculum Vitae & Cover letter
	A copy of your English test results (TOEIC, TOEFL, etc.) if applicable
	A copy of your highest degree and the associated transcripts
	The syllabus of your degree programme

I hereby apply to the Mastère Spécialisé® « Safety Engineering and Management » (previously called « Risk Engineering ») of the Institut National des Sciences Appliquées de Toulouse and the Institut National Polytechnique de Toulouse for the academic year 2016/2017, and I certify that all information provided is true.

At ( LOCATION)
(DATE)


Signature


Send by email to:

Agnès Furno ([e-mail])

Gilles Motet ([e-mail])

Scanned copies of the supplemental documents (diploma, transcripts, certificates, etc.) are accepted.

Practical items
Schedule
There are five selection periods.

	Selection period	Application deadline	Notification of admission by
	1	December 15th, 2016	December 19th, 2016
	2	February 23rd, 2017	February 27th, 2017
	3	April 27th, 2017	May 4th, 2017
	4	June 29th, 2017	July 3rd, 2017
	Waiting list (if available)	August 24th, 2017	August 28th, 2017

The lectures will start in Toulouse, on Monday, October the 2^nd 2017.

Costs
Enrolment fees, excluding insurances: 9 000 Euros

Within 15 days of notification of acceptance, you must confirm your intention to enrol in the programme whose admission is limited.

If a visa is required, you must apply for admission on Campus France:

www.campusfrance.org