Dual degree Graduate Institute/John F. Kennedy School of Government
Application Form
Before March 15, 2014: Please complete this form, sign it and return it by e-mail to dualdegree@graduateinstitute.ch
with a scanned copy of all the supporting documents required in the “procedure” section of our website.
PERSONAL INFORMATION
Last name
Date of birth
First name
Day
Month
Year
Country of birth
Gender
Male
Female
Nationality
ADDRESS
Correspondence Address
(Must be valid until September 2014)
Street
Telephone number
(Home)
NPA
Telephone number
(Work)
City
Mobile
Country
Email
STUDY PROGRAMME AT THE GRADUATE INSTITUTE
Choose the master degree you would like to follow at the Graduate Institute:
☐ Master in International Affairs
☐ Master in Development Studies
FINANCIAL SUPPORT
Would you like to apply for a scholarship (*) ☐yes ☐no
If yes, please scan and send to dualdegree@graduateinstitute.ch the following documents:


a short letter justifying the request for financial aid;
proof of income and savings in local currency (bank statements from the last six months, tax certificates, yearly
or monthly salary slips).
PROFESSIONAL EXPERIENCE
Position held
Sector of activity
Employer
Starting year
Duration (months)
GENERAL EDUCATIONAL BACKGROUND
1
Type of degree (Bachelor, Master, PhD)
Title of degree
Year commenced
Year completed (or year of
planned completion)
University name
Country
2
Type of degree (Bachelor, Master, PhD)
Title of degree
Year commenced
Year completed (or year of
planned completion if studies under way)
University name
Country
3
Type of degree (Bachelor, Master, PhD)
Title of degree
Year commenced
Year completed (or year of
planned completion if studies under way)
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University name
Country
LANGUAGE QUALIFICATIONS
Language 1
Language
English
Mother tongue
☐yes ☐no
Level
Choose an item.
If English is not my mother tongue:
☐ I will submit an English language qualification. Please specify above which one:
TOEFL
☐ I completed my secondary education in English and/or least one year of university studies in English
Language 2
Language
French
Mother tongue
☐yes ☐no
Level
Choose an item.
☐I have limited or no knowledge of French. I will participate in the Institute’s intensive French course prior to the start of
my programme.
☐I have intermediate knowledge of French. I will sit the French entrance exam. If I do not pass the test, I will participate
in the Institute’s French course during the first semester of my programme.
☐French waiver: I am French mother tongue or have a DELF b2 level or have completed secondary or post-secondary
education in French attested by a diploma.
Language 3
Language
Mother tongue
Level (*)
☐yes ☐no
Choose an item.
Language 4
Language
Mother tongue
Level (*)
☐yes ☐no
Choose an item.
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REFEREES
Please provide contact details of two referees who can attest to your academic and/or professional competencies. They
will need to send their recommendation letters to dualdegree@graduateinstitute.ch, by March 15, 2014.
First referee
Last Name (*)
First Name (*)
Title (*)
Gender (*)
Department (*)
Country (*)
Institution (*)
Telephone
E-mail (*)
Second referee
Last Name (*)
First Name (*)
Title (*)
Gender (*)
Department (*)
Country (*)
Institution (*)
Telephone
E-mail (*)
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ACKGROUND INFORMATION
How did you hear about the dual degree with John F. Kennedy School of Government?
Recommendation
Internet
Other
Professor
Search engine
Article in a journal or
newspaper
Student
Article
Advertisement in a journal or
newspaper
Family
Email from the Graduate Institute
Poster
APSIA website
Radio or television
Harvard website
Swiss embassy
Graduate Institute
alumnus
My employer
Staff member at my
university
Linkedin
An education fair or admission
forum
Graduate Institute staff
member
Facebook
An education fair or admission
forum
University guide or student
guide
Exchange student
Friend
Faculty member at my
university
Other
THANK YOU FOR YOUR APPLICATION!
Only fully completed applications will be taken into consideration.
For questions regarding the application procedures or any other aspect of the programme, please visit our page on the
application procedure or contact us by email dualdegree@graduateinstitute.ch or by phone, Tel: +41 (0) 22 908 58 98
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