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application data The Master of Nanoscale Engineering (NSE) Application Form 2013/2014 http://master-nano.universite-lyon.

fr/how-to-apply/

application for admission in: 1 - Personal Data surname / family name first and other given name(s) passport number gender number of children date of birth (day/month/year) place of birth (town, country) nationality (list all)

address for admission letter

current address (if different from above)

email address(es) telephone fax (optional) 2 Previous Higher Education Records university name and location duration (from month/year to month/year) major field of study degree conferred or expected overall grade (percentage or GPA) rank (if known) thesis topic (if applicable)

university name and location duration (from month/year to month/year) major field of study degree conferred or expected overall grade (percentage or GPA) Page 1

application data rank (if known) thesis topic (if applicable)

university name and location duration (from month/year to month/year) major field of study degree conferred or expected overall grade (percentage or GPA) rank (if known) thesis topic (if applicable)

Describe briefly the main subject of your most recent studies. What interests you most? In which fields would you like to do research?

3a Employment History (full-time, post-Bachelor work experience) employer location (town, country) job title, department duration (from month/year to month/year) employer location (town, country) job title, department duration (from month/year to month/year) employer location (town, country) job title, department duration (from month/year to month/year) 3b Internships (full-time) employer location (town, country) job title, department duration (from month/year to month/year) employer location (town, country) Page 2

application data job title, department duration employer location (town, country) job title, department duration (from month/year to month/year)

Describe briefly your tasks and responsibilities during one of your jobs or internships.

4 Language Skills Do you have an English certificate? If yes, which one? test date test score What is your native language?

Which other languages do you speak? (indicate level for each)

5 Graduate Records Examinations (GRE) (optional) GRE test date verbal test score quantitative test score analytical writing score total GRE score 6 Scholarships Will you apply for a UdL scholarship? Will you apply for other scholarships? If yes, for which other ones? If you cannot obtain a scholarship: 7 Housing Page 3

application data Do you apply for a dormitory room? If yes, for which type of room? 8 Additional Questions Have you ever studied in Europe before? If yes, which subject, where and when? To which other Master courses or other programs have you applied or will you apply? (response optional) How did you find out about the NSE program?

Do you have any suggestions for us on how we could improve the application procedure?

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application data The Master of Nanoscale Engineering (NSE) Application Form 2013/2014 http://master-nano.universite-lyon.fr/how-to-apply/

1 - Personal Data

2 Previous Higher Education Records

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application data

3a Employment History (full-time, post-Bachelor work experience)

3b Internships (full-time)

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application data

4 Language Skills

5 Graduate Records Examinations (GRE) (optional)

6 Scholarships

7 Housing Page 7

application data

8 Additional Questions

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academic transcript

Please summarize briefly the grading scheme of your university; you can delete this text and replace it with your a

year

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academic transcript

Please summarize briefly the grading scheme of your university; you can delete this text and replace it with your answer.

course

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academic transcript

with your answer.

grade

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