APPLICATION FORM ADVANCED MASTER - MASTERE SPECIALISE ® INFRASTRUCTURE PROJECT FINANCE Academic year 2017 / 2018
Please, fill in this application form in a way that is precise, clear and concise for each question.
To be filled in on a digital support before printing and signing it
1. Personal information
Name First Name
Photo Date of birth Gender M F Nationality Birthplace (city, country)
2. Family situation
Bachelor Married Other situations
3. Personal address
Street, number
Postal code City Country
Personal phone number Mobile phone number Professional phone number
Personal e-mail address Professional e-mail address
4. Your present personal status :
Are you :
Employed Student Self-employed Others (detail) :
Application form : Advanced Master - Mastère Spécialisé® « Infrastructure Project Finance » 2017/2018
1/6 5. Languages
What is your mother language ?
Language skills : Advanced Good Intermediate
English
Advanced Good Intermediate
French
Other languages: indicate the language degrees & the marks obtained
Date of graduation
TOEFL (Test of English as a foreign language)
TOEIC ( Test of English for international communication)
A written certificate confirming the level of your English knowledge will be required for non-English speaking candidates.
Stays in foreign countries (more than two months)
Country Duration Purpose
Application form : Advanced Master - Mastère Spécialisé® « Infrastructure Project Finance » 2017/2018
2/6 6. Academic curricula
Most recent degrees obtained with precise designation Date of graduation Name of University
7. University studies Indicate in the following table, year by year, starting from your undergraduate studies until now:
The name of University and disciplines; The degrees obtained and the grades; The possible disruption of academic studies
Month / Number of Name of university and Degrees obtained for each Average Dates of year / from Specialty academic Ranking country discipline covered grade graduation /until hours
8. Professional experience
Month / year / Name of company Position Activiy Employed Internship Other from /until
Application form : Advanced Master - Mastère Spécialisé® « Infrastructure Project Finance » 2017/2018 3/6 9. How have you heard of this Advanced Master degree ?
. University / School Indicate the name ......
. Professional shows: Which? ......
. Your company Name? ......
. Social networks: The Press: ......
. Website: Others (be specific) ...... ….
Have you already applied for other academic program ? Yes No Number: ......
Which ones ? ......
10. Type of funding
What is your own type of personal funding?
Personal funding: Funding supported by my company :
Bank loan: Others (explain): ......
Explain your personal funding plan in a few sentences:
Please note that
Funding assumed totally or partially by your company 18 000,00 €
Personal Funding : 15 000,00 €
Your admission request which commits you (or your financing source) to pay 10% of the total program fees at the time of your registration
Application form : Advanced Master - Mastère Spécialisé® « Infrastructure Project Finance » 2017/2018
4/6 START OF THE ACADEMIC YEAR DATE WEDNESDAY 6 SEPTEMBER 2017
See below the list of information and documents to provide with this file:
A photo with your Name and first name at the back A copy of your identity card or a copy of a valid passport for non-European candidates A copy of the most recent degree obtained The transcript of records of the two most recent degrees obtained The university reports of your two recent degrees obtained A detailed and updated Resume A letter explaining your motivation. A letter of recommendation from your university tutor or your senior manager if you are employed Answer the questionnaire as indicated here below
Questions to be answered by all candidates
You will answer the following questions, on a typed and separate paper.
1. What do you expect from this course ? 2. Can you give the reasons why you enrolled for this educational program ? 3. Can you describe your professional project in a few lines ? 4. What are the hurdles or the handicaps that you may have to overcome ? 5. According to you, what are your personal assets which can allow you to take advantage of this course if your application is retained ? 6. Could you briefly describe a personal experience in your university or extra university years when your skills and capacities were evidenced ? 7. In case your application is not retained, what would you consider doing ? 8. What are the questions which are not indicated in this list that you would like to bring to the jury's attention ?
Foreign candidates have to provide documents certified by the consular authorities of France from their country of origin. You can enroll in this course, only if you comply with the French Authorities for your stay in France with all the required documents.
I, undersigned (name and surname) …………………………………………. Declare that all statements made in the questionnaire and the documents submitted with it, are true. I declare that I am aware of the conditions required by the admission procedure for the “Advanced Master Infrastructure Project Finance” I agree to pay all tuition fees to Ecole des Ponts ParisTech.
Good for agreement date: Signature :
According to the law, you are entitled to have access to your personal information and to have it amended, updated or deleted (art.34 de la loi "Informatique et Libertés). You can contact : L’École nationale des ponts et chaussées, 6 - 8 avenue Blaise Pascal, Cité Descartes, Champs-sur-Marne 77455 Marne-la-Vallée Cedex 2
Application form : Advanced Master - Mastère Spécialisé® « Infrastructure Project Finance » 2017/2018
5/6 ADMISSION PROCEDURE INFRASTRUCTURE PROJECT FINANCE
Deadline to submit application form: May, 2, 2017
Your application form will only be retained if it is fully completed. Enclose in your mail documents, Resume, motivation letter, recommendation letter with the answers to the questionnaire, degree certificates and language degrees and mark Reports. Application forms are to be sent by e-mail to:
Chantal GRENDAS – [email protected]
After examining your application form the Admission Committee may invite you for interview.
The pre-selected candidates will be invited by mail for interview
Pre-selected candidates will be invited by mail for interview on : Monday 22 May, Tuesday 23 May, Wednesday 24 may 2017 at École des Ponts Paris Tech from 9.00 a.m. until 5.00 p.m. Interviews will last 30 minutes per candidate.
Admission Committee: - Economics, Management & Finance Department. President: Dominique JACQUET
- Infrastructure Project Finance. Director: Matthieu MUZUMDAR - Infrastructure Project Finance. Program Director: George DEBANE - Economics, Management & Finance Department. Academic Director: Abdelkader SLIFI
Application form is to be sent and received before 2 may 2017 by e-mail with all required documents to :
École nationale des ponts et chaussées Advanced Master Infrastructure Project Finance Mastère Spécialisé® « Infrastructure Project Finance » 6 - 8 Avenue Blaise Pascal Cité Descartes - Champs-sur-Marne 77455 Marne-la-Vallée Cedex 2 [email protected]
Application form : Advanced Master - Mastère Spécialisé® « Infrastructure Project Finance » 2017/2018
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