Joint European Masters in International Humanitarian Action / 2011-2012

Application Form

Enrolment preferences

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If your are applying for an Erasmus Mundus Scholarship, please make sure that you are eligible: Read carefully the "NOHA Mundus Scholarships" section of NOHA web (www.nohanet.org).

Please indicate your category

Third-country graduate student applying for Erasmus Mundus Sholarships
European graduate student applying for Erasmus Mundus Sholarships
Ordinary candidate

If you are not awarded and Erasmus Mundus Scholarship, would you still wish to be admitted into this Programme?

Yes No

Personal Data

Family Name (as written in the International Passport, in Latin script)

First name (s) (as written in the International Passport, in Latin script)

Date of Birth (dd/mm/yyyy)

Place and Country of Birth

Nationality

International Passport Number

International Passport Expiry Date (dd/mm/yyyy)

Gender

Male Female

Street, House and Flat Number

Post Code, Town

Country

Telephone

Email (one valid email)

Academic Data

University and Location	Degree/Programme	Dates of Attendance (Starting-Final Year)	Final Mark

Employment History

Name and Address of Employer	Position Held	Period (start and end date)

Language competence

Mother tongue

Language of instruction of your University first degree

Language	Read	Write	Oral

Reference

Academic Referee

Full Name

Institution

Position

Postal Address

Telephone

E-mail

Fax

Academic or Work related Referee

Full Name

Institution

Position

Postal Address

Telephone

E-mail

Fax

Motivation statement

State briefly (no more than one page) your reasons for applying for the NOHA Masters in International Humanitarian Action.

Special circumstances

Please, indicate any physical or learning disabilities that you may suffer from. Do you foresee any personal problems (family/financial/cultural)? All the information will be treated confidentially. (MAX. 2000 characters)

Abstract

Abstract of maximum 10 lines including information on name, age,nationality, address, degree, two lines on motivation and two lines on experience.

Miscellaneous

How did you come to know about the NOHA program?

Compulsory Attachment Documents

* Copy of international passport. (Only main page)
* Certified copy of Diploma (if this document is not in English then your must attach an official translation) and, if available, diploma supplement.
* Certified copies of academic transcripts
* Curriculum Vitae in English (Europass model: http://europass.cedefop.europa.eu/europass/)
* Official proof of language abilities (where applicable).
* 2 reference letters.

Please, scan and attach to this application form the following documents:

(formats: .DOC .PDF .JPG / maximum file size: 1 MB =1024 KB / NOTE: If you have more than one document by category please scan all together in only ONE file)

Photocopy of international passport (only main page)

Certified copy of Diploma

Certified copies of academic transcripts

Curriculum Vitae

Official proof of language abilities (where applicable)

File with 2 reference letters