EXCHANGE STUDENTS APPLICATION FORM SUPELEC Non-Degree studies – AY 2015/16 Date réception AUDITEUR LIBRE - Campus : GIF-SUR-YVETTE Voie Intl. METZ RENNES Séquences 1+2 3+4 Voie Fr. Projet Recherche 5+6 7+8 Avis DPI Avis DE PERSONAL DETAILS Last/Family Name (as written on passport):………………………… First/Second Name (s):………………………… Gender: ☐ Male ☐ Female Date of Birth : dd/mm/yyyy Place of Birth:……………….……….. Nationality:……………………….. Contact address :……………..…………………… ZIP code, Country :………………………… Town :………………………… Address valid until: ../../…. Permanent address (if different):………………………….. Phone :……………….. E-mail:……….@.............. Disability: ☐ No ☐ Yes - please specify : …………….. (Photograph 500 ko max.) SENDING INSTITUTION Institution: …… ………………………… …………………….. International Exchange Coordinator:…………………………. Address : Cliquez ici pour taper du texte. Phone : ………………… Fax: ………………. E-mail: ………….@................... Coordinator signature + Seal of the institution Exchange programme: ☐ ERASMUS+ ☐ BRAFITEC ☐ Exchange Agreement ☐ Other Contact for sending the transcripts : E-mail: ………….@................... Postal address (if hardcopies are requested):…………………………. - Incoming AppForm / NonDegree Studies / Avril15 / page 1 – CENTRALESUPELEC - Campus de Gif Plateau de Moulon - 3 rue Joliot Curie, F-91192 Gif s/Yvette cédex, France ACADEMIC BACKGROUND High School Diploma Name of the High School :……………………….. Awarding date : dd/mm/yyyy Country : …………….. ☐International high school degree ☐International/EU Bac. Higher Education studies Number of years (higher education) before arrival at CSupélec: ☐2 ☐French Baccalauréat ☐3 ☐4 ☐5 ☐5+ Highest degree obtained (if any) : ………………………. Name of the institution :…………………………………… Awarding date : dd/mm/yyyy Country : ……………. Current studies (diploma/degree): ………………………………. Total number of credits (ECTS or local - please precise : …………..) already obtained when applying: …... ECTS …... local credits expected by the end of this academic year: ….. ECTS …... local credits Cumulative GPA :……….. Global Average Grade : …………. LANGUAGE SKILLS Spoken languages Native language(s) : ………………….. Other(s) : ………………... Self-assessment CECR level French English !!! Warning : real beginners may face severe difficulties during laboratories and elective courses ☐ ☐ A1 - Beginner ☐ ☐ A2 - Elementary ☐ ☐ B1 - Intermediate ☐ ☐ B2 - Upper intermediate ☐ ☐ C1 - Effective Operational Proficiency ☐ ☐ C2 - Mastery ☐ ☐ A0 – Real beginner Basic user Independent user Proficient user NB : Official test or certificate of Language proficiency is requested for the application PLANNED STUDIES (please tick off the box and fill in the appropriate section) ☐ Courses Year 1 (fall) ☐ Research Project ☐ Courses Year 1 (spring) ☐ Courses Year 1 (full year) ☐ Courses Year 2 (fall) ☐ Courses Year 2 (spring) ☐ Courses Year 2 (full year) - Incoming AppForm / NonDegree Studies / Avril15 / page 2 – CENTRALESUPELEC - Campus de Gif Plateau de Moulon - 3 rue Joliot Curie, F-91192 Gif s/Yvette cédex, France RESEARCH PROJECT (Gif-sur-Yvette, Metz, Rennes campuses) This programme is open to undergraduate and graduate students. Projects must be defined BEFORE applying: projects offered in CentraleSupélec laboratories will be given by direct contact with professors of the selected field and laboratory and through your home institution. A description of the different research activities carried out at CSupélec can be found at: www.supelec.fr/342_p_14829/major-fields-of-study.html. On each field web page, you can consult the information about involved teams (General Presentation / Staff (contacts) / Research / Publications ) Choosen field of study : ☐ ☐ ☐ ☐ Control Computer Science and network Electromagnetics Energy ☐ Signals and Statistics ☐ Telecommunications ☐ Microelectronics and photonics Subject : …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… ………………………..………………………………………………………………………………………….. CSupélec research supervisor : ………………….………….. Research department : ………………………………………………... Email : ………@............... Period of stay: from dd/mm/yyyy to dd/mm/yyyy Comments (if any) : ……………………………. Courses : Research project can be combined with courses, upon approval by the academic and project supervisors of the sending and receiving institutions. - Incoming AppForm / NonDegree Studies / Avril15 / page 3 – CENTRALESUPELEC - Campus de Gif Plateau de Moulon - 3 rue Joliot Curie, F-91192 Gif s/Yvette cédex, France NON-DEGREE LEARNING PROGRAMME (Gif-sur-Yvette, Metz, Rennes campuses) 1st year of Engineering studies / 1 or 2 semesters LIST OF AVAILABLE CORE COURSES – 1st year of engineering studies (3rd year of higher education) CODE ECOE ELAN GENLOG MIECO PHYQ PHYSOL PROBA PROPAG SDALG SIG1 SIG2 SLOG STATIN TECH CORE COURSES Économie d’entreprise Business Economics Électronique analogique Analog circuit design Génie logiciel Software engineering Microéconomie Microeconomics Physique quantique Quantum physics Physique des solides Solid State Physics Probabilités Probability Champs et propagation Electromagnetic Waves and Fields Fondements de l’informatique - Structures de données et algorithmes Theoretical grounds of computer science - Data struct. and algorithms Signaux et systèmes 1 Signals and systems 1 Signaux et systèmes 2 Signal and systems 2 Systèmes logiques et électronique associée Fundamentals of digital system design Statistiques Statistics Principes et composants de l’électrotechnique Principles and components of power electrical engineering ECTS Language 3 / 3+1 / 3+1 / 3 / 3 / 3 / 3 3 / 3+1 / 3+1 / 3+1 / 3+1 / 3 / 3+1 Please select the pathway you want to integrate and afterwards the courses (minimum 12 ECTS / semester) Warning: due to time schedules and organization, there is no possibility to attend courses from different years, pathways or campuses during the exchange. CORE COURSES – 1st year of engineering studies Courses held in English are underlined FALL SEMESTER ☐ ☐ ☐ SPRING SEMESTER ☐ ☐ ☐ ☐ FALL SEMESTER SPRING SEMESTER ☐ ☐ ☐ ☐ ☐ ☐ ☐ Pathway # 1 “International” GIF Campus SDALG ☐ PROPAG ELAN ☐ PHYQ ECOE ☐ SLOG ☐ TECH PROBA ☐ PHYSOL GENLOG ☐ STATIN SIG1 ☐ SIG2 MIECO ECOE ELAN PROPAG SIG1 GENLOG PHYQ TECH Pathway # 2 GIF Campus ☐ PROBA ☐ SDALG ☐ SLOG ☐ ☐ ☐ ☐ PHYQ SIG2 TECH MIECO Pathway # 4 METZ campus ☐ MIECO ☐ PROBA ☐ SDALG ☐ SLOG ☐ PHYSOL ☐ SIG2 ☐ STATIN ☐ ☐ ☐ ☐ ☐ ☐ ☐ PROPAG GENLOG SIG1 ECOE PHYSOL STATIN ELAN ☐ PHYQ ☐ SDALG ☐ SIG1 ☐ ☐ ☐ ☐ PROPAG SLOG TECH PROBA Pathway # 3 GIF Campus ☐ PROBA ☐ SIG1 ☐ TECH ☐ ☐ ☐ ☐ PROPAG SDALG SLOG MIECO ☐ ☐ ☐ ☐ ☐ ☐ ☐ PHYQ SIG2 ELAN ECOE PHYSOL STATIN GENLOG Pathway # 5 RENNES campus ☐ SIG2 ☐ ELAN ☐ MIECO ☐ PHYSOL ☐ GENLOG ☐ STATIN ☐ ECOE - Incoming AppForm / NonDegree Studies / Avril15 / page 4 – CENTRALESUPELEC - Campus de Gif Plateau de Moulon - 3 rue Joliot Curie, F-91192 Gif s/Yvette cédex, France NON-DEGREE LEARNING PROGRAMME (Gif-sur-Yvette, Metz, Rennes campuses) 2nd year of Engineering studies / 1 or 2 semesters LIST OF AVAILABLE CORE COURSES – 2nd year of engineering studies (4th year of higher education) CODE ARCHI AUTO CEVV COMP DROIT ELRF GPROJ MAECO MNUM RASS SIGCOM SINF TCEE CORE COURSES Architecture des systèmes informatiques Computer Systems Architecture Automatique Automatic Control Principes et méthodes de commande des entrainements à vitesse variable Electrical Motor Drives Control Composants à semiconducteurs Semiconductor Devices Droit de l’entreprise Law and the Enterprise Électronique radio-fréquence RF Electronics Gestion de projet Project Management Macroéconomie Macroeconomy Méthodes numériques et optimisation Numerical Methods and Optimization Représentation et analyse statistiques des signaux Statistical Signal Processing : Modelling and Estimation Signal et communication Signals and Communications Systèmes d’information Information Systems Traitement et conversion de l’énergie électrique Electric Energy Processing and Conversion ECTS Language 3+1 / 3+1 / 3+1 / 3 / 3 3+1 / 3 / 3 / 3 / 3+1 / 3 / 3 / 3+1 / Please select the pathway you want to integrate and afterwards the courses (minimum 12 ECTS / semester) Warning: due to time schedules and organization, there is no possibility to attend courses from different years, pathways or campuses during the exchange. CORE COURSES – 2nd year of engineering studies Courses held in English are underlined FALL SEMESTER ☐ AUTO ☐ COMP ☐ TCEE ☐ ARCHI ☐ SIGCOM ☐ DROIT SPRING SEMESTER FALL SEMESTER SPRING SEMESTER Pathway # 1 GIF Campus ☐ ☐ ☐ ☐ ☐ ☐ ☐ RASS AUTO COMP DROIT SIGCOM ELRF GPROJ ☐ ☐ ☐ ☐ ☐ ☐ ☐ Pathway # 2 GIF Campus MNUM RASS CEVV MAECO SINF ELRF GPROJ ☐ MNUM ☐ ARCHI ☐ ☐ ☐ ☐ Pathway # 4 METZ campus ☐ MNUM ☐ ARCHI ☐ TCEE ☐ SINF ☐ CEVV ☐ MAECO RASS COMP CEVV DROIT ☐ ☐ ☐ ☐ ☐ ☐ ☐ SINF AUTO TCEE MAECO SIGCOM ELRF GPROJ ☐ ☐ ☐ ☐ ☐ ☐ ☐ AUTO COMP ELRF GPROJ SINF RASS MAECO Pathway # 3 “International” GIF Campus ☐ RASS ☐ MNUM ☐ ELRF ☐ ARCHI ☐ GPROJ ☐ SIGCOM ☐ ☐ ☐ ☐ SINF AUTO TCEE MAECO ☐ COMP ☐ CEVV ☐ DROIT Pathway # 5 RENNES campus ☐ MNUM ☐ ARCHI ☐ TCEE ☐ DROIT ☐ SIGCOM ☐ CEVV - Incoming AppForm / NonDegree Studies / Avril15 / page 5 – CENTRALESUPELEC - Campus de Gif Plateau de Moulon - 3 rue Joliot Curie, F-91192 Gif s/Yvette cédex, France ELECTIVE COURSES & LANGUAGE COURSES Elective courses : Examples of elective courses (2 ECTS / module) are given here : 1st Year of engineering studies : http://www.supelec.fr/fi/i_58/first-year-elective-education-modules.html 2nd Year of engineering studies : http://www.supelec.fr/fi/i_59/second-year-elective-education-modules.html The list of offered courses for the academic year 2015/16 is not yet available. Personalized help will be provided to exchange students at their arrival in order to finalize their learning programme. French Language courses : Free French Language courses, as a foreign language, are proposed to exchange students. A specific French language test has to be taken at the beginning of the semester by all applicants, to create groups of homogeneous level. Please tick off the right box : ☐ I want to attend FLE classes ☐ I don’t want to attend FLE classes HOUSING Instructions on the Campus Housing application process will be sent to exchange students who have officially accepted by our school about 6 weeks before their arrival. French-speaking students applying for a non-degree programme are encouraged to apply for a programme in our Metz campus (Spring semester), where the accommodation capacities are currently higher. ! Due to a significant increase in the number of students these last few years, student residences may have important difficulties to provide accommodations for all students. Priority is given to students applying for a classical engineering programme. Non-degree students are encouraged to look for accommodation opportunities off-campus : www.lokaviz.fr (all campuses) www.adele.org (all campuses) www.location-etudiant.fr (all campuses) www.mapiaule.com/logement-etudiant.html (all campuses) www.heberjeunes.fr (Gif campus) Shared housing : www.appartager.com - Incoming AppForm / NonDegree Studies / Avril15 / page 6 – CENTRALESUPELEC - Campus de Gif Plateau de Moulon - 3 rue Joliot Curie, F-91192 Gif s/Yvette cédex, France APPLICATION DEADLINES SUPPORT MATERIALS TO ATTACH TO THE APPLICATION: Curriculum Vitae (preferably in French) Personal Statement (preferably in French - describe your academic interests and reasons for applying) Official certificate of French Language Proficiency as TCE or DELF test Official transcript of records from each institution of higher education attended (with official French or English translation) Photocopy of secondary school diploma + certified translation Photocopy of identity card/passport or birth certificate + certified translation TIMETABLE FOR APPLICATION (FALL SEMESTER, FULL ACADEMIC YEAR) Please note that students must first be officially nominated by the home university exchange office by e-mail, specifying: Name, Surname and email of the student Exchange programme Period of stay Closing date for receiving the application May 15, 2015 Decision on admission July 10, 2015 Communication of decision to students July 15, 2015 Students acceptance due August 24, 2015 PLEASE SEND YOUR APPLICATION BY EMAIL (NO HARD COPY REQUESTED) TO: Xavière MARCY (Ms.) International Affairs & Partnerships Xaviere.Marcy@centralesupelec.fr Any further question ? Feel free to contact us !... I certify that all information in this application is true and complete. I understand that misrepresentation may be cause for cancelling my admission. I understand that all credentials and documents I submit are subject to a treatment designed to manage the processing of my application and my arrival in the host university. The recipients of these data are the Dean’s Office of CentraleSupélec, and “Cercle Europe” (non-profit association which is part of the Board of European Students of Technology, “BEST” and get involved in the CentraleSupélec student life by organizing some activities such as the reception of the foreign students). According to the Data Protection French law, I has a right to access and correct information about me. I can also, for legitimate reasons, oppose to the communication of my data to the group “Cercle Europe”. If I wish to exercise this right and obtain information about me, I may ask to Xaviere Marcy (Ms.) – International Affairs & Partnerships Xaviere.Marcy@centralesupelec.fr. Date: Signature of Applicant: - Incoming AppForm / NonDegree Studies / Avril15 / page 7 – CENTRALESUPELEC - Campus de Gif Plateau de Moulon - 3 rue Joliot Curie, F-91192 Gif s/Yvette cédex, France