Q Master in Urban Management & Development (UMD)

A P P L I C A T I O N F O R M (confidential)

Program

 Master in Urban Management & Development (UMD)  International Course on Housing and Urban Development (ICHUD)  Land Management and Informal Settlement Regularisation (LMISR)  Developing Social Housing Projects (DSHP)  Urban Management Tools for Climate Change (UMTCC)  Local Economic Development (LED)  Preparing Bankable Public Private Partnerships (PBP3)  Urban Planning: from Strategies to Local Action (UPSLA)

Applicants for UMD and ICHUD, please tick specialization:

 Innovation in Urban Finance (UF)  Housing Development Strategies (HDS)  Managing Urban Governance (MUG)  Land Development Strategies (LDS)  Urban Environmental Management (UEM)  Urban Infrastructure Management (UIM)  Urban Infrastructure Management and Energy (UIME)  Urban and Regional Development Strategies (URDS)  Urban Social Development (USD)

The programme starting: ...... ………20 …..

(applicant’s name)

(applicant’s nationality / country)

Please send the completed application form to:

Institute for Housing and Urban Development Studies (IHS); Admissions P.O. Box 1935, 3000 BX Rotterdam, The Netherlands Telephone: +31 (0) 10 4089825 Telefax: +31 (0) 10 4089826 E-mail: [email protected] Application and Selection Procedure

Admissions material should be sent to the Institute for Housing and Urban Development Studies (IHS), P.O. Box 1935, 3000 BX Rotterdam, the Netherlands. Please inform us promptly of any change of your address to ensure that you can be contacted throughout the admission process.

The following documents are required for your application:

1. Completed application form with two passport photographs (if possible). You are urged to apply as early as possible.

2. Transcripts and diplomas Certified copies of diplomas and degrees from colleges or universities (a certified translation is required, if these diplomas are in a language other than English, French, Spanish, Portuguese, Italian, German, or Dutch). The candidate must also send records showing courses and grades of each college or university attended. These official transcripts may be enclosed with the application form or sent directly to the Admissions Office by the registrar of the college or university. Since evaluation systems tend to vary, accompanying explanations (e.g. grade scales used) would be appreciated.

3. Language Test Applicants who did not complete a Bachelors degree in English must show certificates with relevant test results (such as TOEFL min. 550/TOEFL computer-based min. 213/ TOEFL internet based 79, IELTS min.6.0 (no IELTS subtest <5.5). For Chinese students only IELTS is accepted. Some countries may have additional requirements, please contact [email protected].

4. Employer’s statement for post-experienced If you wish to apply for a NFP Fellowship, you should include a written statement in which your employer grants you permission to follow the course in question and is vouchsafing your continued employment upon return to your country.

5. Neso Certificate for Chinese students Chinese students are required to register to the Netherlands Education Support Office (Neso) in Beijing for a "Neso Certificate". The "Neso Certificate" is a document that provides an assessment of the English language proficiency as well as of the educational degrees and diplomas that are required to gain admission to IHS. Check www.nesobeijing.com for more details.

Fellowship In case you are searching for a fellowship; check www.studyin.nl for your possibilities. IHS only provides a small number of partial fellowships for the master course (check www.ihs.nl). Please fill in question number 5 ‘Preparation’ how you intend to pay the costs of the course, your stay and other expenses (fees, etc.).

Application for admission

(Please mention name of the specialisation for ICHUD or UMD)

Important: Please read the whole document carefully before answering each question. Please type, print or write very clearly.

Sent by eConfluence 1. Personal Data (mandatory )

 Mr.  Ms.  Mrs. Family name : ...... First name : ...... Middle name : ...... Home address : ...... City :...... Postal code :...... Country :...... Home telephone : ...... E-mail :...... Mobile phone : ......

Office Name : ......

Office address :...... City : ...... Postal code :...... Country : ...... Telephone :...... Telefax : ...... E-mail :......

Preferred address for further correspondence:  Home address  Office address

Date of Birth : ...... (day / month / year) Place of Birth : ...... Nationality : ...... Marital Status :  married  unmarried Passport number : ......

Sent by eConfluence 2. Education

1. Highest qualification  PhD degree  Master degree  Bachelor degree  College degree  Other :......

2. Please list undergraduate and graduate institutions from which you received an academic degree.(most recent first).

University or College Location Dates Field of Diploma or From..... to..... study * Degree earned

* Field of Study Architecture 1 Law 9 Arts 2 Natural Science (Chemistry, Biology) 10 Business Administration 3 Planning 11 Civil Engineering 4 Public Administration 12 Economics 5 Sciences 13 Engineering 6 Social Sciences 14 Environmental or sanitary engineering 7 Other (please specify) 15 Geography 8 3. University or other qualifications received with distinctions: ......

4. Postgraduate work: describe any additional qualifications you have for advanced study or research. List the titles and dates of published work, if any...... (please enclose a typed list in case you have many publications written)

Sent by eConfluence 5. Please answer in full these questions about English language capability:

English is my English was the If yes, at what level I have studied the English mother language language of language in the following instruction in my education  yes  yes  primary  secondary school  no  no  secondary  college or university  special training courses

Special English language training courses taken:  TOEFL  IELTS Score: ......

3. Professional Qualification

1. Career history (please do not exceed the space provided. If the space provided is not sufficient, please attach type written enclosures).

Full-time position: Employer Position Dates (from - to)

2. Present position : ...... Name of present company/organisation : ...... Starting date in present position (dd/mm/year)...... : (mandatory)

3. Type of organisation you are working in (indicate more than one box if appropriate):  Government  Semi-government  Private firm  NGO  other (specify)

3. What is the size of the city/town where you live and/or work (estimated population)? ......

4. List any other professional qualification you have, membership in professional associations, special projects in which you have participated, etc......

Sent by eConfluence 5. Please give the fullest possible description of your present position, e.g. a. whom do you report to? b. how many people do you report to? c. the approximate budget which is under your control: d. the kind of resource allocation decisions you make or influence: (You may also attach a type written enclosure.)

4. Motivation (mandatory)

What are your present career intentions? In what specific ways should this course help you fulfil these intentions? (You may also attach a type written enclosure.)

Sent by eConfluence 5. Preparation

1. If you are employed at the moment, did you obtain full permission from your employer?  yes  no

2. How do you intend to cover the costs for the course? Please note that (partial) self-payers receive priority in the admission process.

 my employer will pay for the costs (if possible please attach letter from employer)  I will pay for the costs myself  I have received a fellowship (if possible please attach letter from fellowship organization)  I am still looking for a fellowship

I will approach the following agencies for a fellowship: a...... b...... c......

Please specify details of the activities which you have undertaken, and will undertake soon to find fellowship support.

6. Additional Information

1. How did you get informed about the IHS Educational Programme? a...... b......

2. Have you applied for a course at IHS before? If yes, please specify:

Course name...... Course date ...... Admission reference number......

Sent by eConfluence 7. References Please list below the names and addresses of two people you knew/know, in a working or academic environment, who you believe will be able to advise us of your intellectual and managerial abilities.

Referees: 1. Full name :...... Full address :......

Business or occupation :...... Length and nature of association :......

2. Full name : ...... Full address : ......

Business or occupation :...... Length and nature of association :......

I request to enter my name as a candidate for the course. The information supplied by me is complete and accurate to the best of my knowledge.

I have enclosed the following (see page 2):  2 passport photographs (if possible)  Degree certificates  Grade Transcripts and diplomas  Certificate of taken language test  Employer’s statement – only for post-experienced applicants  Resume

The institute reserves the right to withdraw an offer of admission if candidates fail to satisfy all requirements or if it is determined that admission was obtained through the use of falsified, altered or embellished information. The institute is entitled to contact your employer and/or university for references. The institute reserves the right to cancel a course in case there are not enough participants or due to any other unforeseen circumstances.

Signature: Date:...... …………………………………………………….. City: ......

Please send the completed application form to:

Institute for Housing and Urban Development Studies (IHS) Admissions P.O. Box 1935, 3000 BX Rotterdam, The Netherlands Telephone: +31 (0)10 4089825 Telefax: +31 (0)10 4089826 E-mail: [email protected]

Sent by eConfluence Sent by eConfluence