EXCHANGE STUDENTS APPLICATION FORM 
SUPELEC POSTGRADUATE STUDIES – AY 2015/16
Date réception
Majeure
Campus :
 GIF-SUR-YVETTE
 METZ  RENNES
Avis DPI
Avis DE
Postgraduate programmes are open to students who are willing to complete their engineering education
within the framework of a bilateral agreement between their home university and Supélec (min. 300
ECTS validated before starting the programme). It corresponds to the final (specialization) year of
engineering programme at Supélec (5th year of higher education) and lasts for one year (midSeptember 2015 to early September 2016).
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 / Postgraduate 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 :
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 :
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
Basic user
Independent user
Proficient user
French
English
A0 – Real beginner
☐
☐
A1 - Beginner
☐
☐
A2 - Elementary
☐
☐
B1 - Intermediate
☐
☐
B2 - Upper intermediate
☐
☐
C1 - Effective Operational Proficiency
☐
☐
C2 - Mastery
☐
☐
NB: all postgraduate programmes are held in French: a good level is highly recommended
(B1 min.).
- Incoming AppForm / Postgraduate Studies / Avril15 / page 2 –
CENTRALESUPELEC - Campus de Gif
Plateau de Moulon - 3 rue Joliot Curie, F-91192 Gif s/Yvette cédex, France
POSTGRADUATE PROGRAMME (Specialization’s degree)
Please thick the chosen fields (3 choices max., ordered by preference):
FIELD
MAJORS (SPECIALIZATION)
AUTOMATIC
Majeure AS : Automatique et Systèmes
“ Systems and Control ” – Gif campus
Pref.
Majeure ISA : Ingénierie des Systèmes Automatisés
“ Control and System Engineering ” – Rennes campus
Majeure CE : Conversion d’Energie
“ Energy Conversion ”– Gif campus
ENERGY
Option ENE : Energie
“ Energy ”– Gif campus
Majeure SI : Systèmes Informatiques
“Computer Science and Software Engineering”– Gif campus
COMPUTER SCIENCE
Majeure SIR : Systèmes Interactifs et Robotique, parcours
Informatique et Signal
“Interactive Systems and Robotics”– Metz campus
Majeure SIS : Systèmes d’Information Sécurisés
“ Secure Information Systems ”– Rennes campus
Majeure EC : Electromagnétisme et Communications
“ Electromagnetics & Communications ”– Gif campus
COMMUNICATIONS
Majeure SPC : Systèmes Photoniques et de Communication
“ Photonics and Communication Systems ”– Metz campus
Majeure TEL : Télécommunications
“ Telecommunications Engineering”– Gif campus
Majeure MATIS : Mathématiques Appliquées au Traitement de
l’Information et du Signal
“ Applied Mathematics for Signal and Information Processing ”– Gif
campus
ELECTRONICS AND
SIGNAL PROCESSING
Majeure MNE : Micro et Nano Electronique
“ Micro & Nano Electronics ”– Gif campus
Majeure SERI : Systèmes Electroniques, Réseaux et Images
“ Electronic Systems, Networks & Images ”– Rennes campus
Majeure SIR : Systèmes Interactifs et Robotique, parcours Signal
“ Interactive Systems and Robotics / Signal ”– Metz campus
NB : Our school offers to students applying for a Postgraduate degree at Gif campus to
attend an associated Master programme in parallel (for details, please refer to the Master
application form).
- Incoming AppForm / Postgraduate Studies / Avril15 / page 3 –
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 Direction of Studies 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 / Postgraduate Studies / Avril15 / page 4 –
CENTRALESUPELEC - Campus de Gif
Plateau de Moulon - 3 rue Joliot Curie, F-91192 Gif s/Yvette cédex, France
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.
!
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. Postdegree students are encouraged to
look for accommodation opportunities off-campus :
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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 / Postgraduate Studies / Avril15 / page 5 –
CENTRALESUPELEC - Campus de Gif
Plateau de Moulon - 3 rue Joliot Curie, F-91192 Gif s/Yvette cédex, France