Application form:
WORKSHOP COCOA AND CHOCOLATE PROCESSING
(26/08/2015 - 10/09/2015)
From cocoa pods to high quality chocolate products
Conditions for applying for a scholarship: you must be a national of one of the 54 scholarship
countries of VLIR-UOS http://www.vliruos.be/en/countries/overview/#54
Please mark the correct option:
o
o
I would like to apply for a VLIR-UOS scholarship (deadline April 15th 2015)
I would like to apply for following the workshop, without applying for a VLIR-UOS scholarship
(deadline May 15th 2015)
1. Personal details
Last name:
First name:
Date of birth:
Place of birth (city + country):
Current nationality:
Gender:
Marital status:
Number of children:
Passport number:
Personal address in Home
Country:
Street + number:
City + postal code:
Telephone:
E-mail address:
Add your skype-id (if any):
Facebook account:
Application form workshop cocoa and chocolate processing (26/08/2015 - 10/09/2015)
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2. Educational background
Please complete the following questions. In case you have obtained more than one degree, you can
use different boxes.
Bachelor or master’s degree obtained:
Name of the diploma:
Degree op the diploma (bachelor/master/PhD):
Name, city and country of the institution:
The year in which the degree was officially
rewarded:
Official language of instruction:
Bachelor or master’s degree obtained:
Name of the diploma:
Degree op the diploma (bachelor/master/PhD):
Name, city and country of the institution:
The year in which the degree was officially
rewarded:
Official language of instruction:
Bachelor or master’s degree obtained:
Name of the diploma:
Degree op the diploma (bachelor/master/PhD):
Name, city and country of the institution:
The year in which the degree was officially
rewarded:
Official language of instruction:
3. Professional data
Please, submit the data concerning your current or, in case you are currently unemployed, your
last position. In case you’ve never worked after graduating, use N/A for 'not applicable'
Employer + country:
Employer's website + e-mail address:
Describe your position:
Duration / period that you are working with
this employer:
Would you have any objection if Ghent
University contacted your employer?
If the answer is no, please give the name
and contact details of your employer or a
reference:
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If applicable, you can submit the details concerning maximum 3 relevant work experiences other
than your current or last position.
Employer + country:
Employer's website + e-mail address:
Describe your position:
Duration / period that you are working with
this employer:
Would you have any objection if Ghent
University contacted your employer?
If the answer is no, please give the name
and contact details of your employer or a
reference:
Employer + country:
Employer's website + e-mail address:
Describe your position:
Duration / period that you are working with
this employer:
Would you have any objection if Ghent
University contacted your employer?
If the answer is no, please give the name
and contact details of your employer or a
reference:
Employer + country:
Employer's website + e-mail address:
Describe your position:
Duration / period that you are working with
this employer:
Would you have any objection if Ghent
University contacted your employer?
If the answer is no, please give the name
and contact details of your employer or a
reference:
Application form workshop cocoa and chocolate processing (26/08/2015 - 10/09/2015)
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4. Financial data
Have you ever been approved a VLIR-UOS
scholarship? If yes, please give the name of
the program, the name of the institution +
country and the period in which the
program has taken place.
Have you already been approved another
scholarship than a VLIR-UOS scholarship for
studying abroad? If yes, please give the
name of the scholarship, the name of the
program, the name of the institution +
country and the period in which the
program has taken place.
In case you are academically selected for the
program but not selected for the VLIR-UOS
scholarship, will you be able and willing to
attend the program on your own financial
means (self-support or other financial
means)?
5. Motivation and future plans
Why do you wish to attend this particular program? Please add as attachment.
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Describe your motivation for attending this program.
Include a description of your future plans and career aspirations and explain the importance
of the program in this regard.
Elaborate on how you will use the acquired skills/knowledge upon return to your country and
explain how the acquired knowledge is useful to your organization.
Your ability to outline a clear vision on how you will make use of the acquired knowledge is a
crucial element for your file's evaluation.
Demonstrate how your professional experience is relevant for this program.
Use font type Arial and font size 11.
The length of the document is restricted to 2 pages (page size A4) maximum.
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6. English Language skills
Import remark:
The applicant must be proficient in the language of the course or training program, i.e. English.
Command of the English language is a very important criterion for admission.
With the exception of those who have a diploma (Secondary Education, Academic Bachelor Degree,
Master Degree) issued by an institution officially recognized by the Flemish Government, applicants
must be able to prove their proficiency in English.
There are 5 possibilities to supply this proof. Please mark one of the following options and add a
certificate or a proof as attachment.
o
o
o
o
o
Proof that your mother tongue is English.
TOEFL certificate (the UGent TOEFL code is 2643). For specific details about the minimum
total score required:
 a minimum total score of 550 on the paper based test (PBT), or
 a minimum total score of 79 on an internet based test (IBT).
IELTS with a minimum overall band score of 6.
Proof of at least 1 year of comprehensive English-based instruction at a university or
recognized equivalent.
Proof of a successful Intermediate Academic English test (= level B1) at the Ghent University
Language Centre.
Nota Bene:


TOEFL/IELTS predictive tests are not accepted
TOEFL/IELTS test validity is max. 2 years
Describe your English language proficiency (please mark the correct option with an X):
Mother
tongue
Perfect
Good
Basic
Speaking
Listening
Writing
Reading
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7. Other information
How did you learn about this workshop on
cocoa and chocolate processing at Ghent
University?
Did you already stay abroad for professional
reasons before? If yes: please give more
details (when, how long, to where, for what
perpose…)
Add any information that you seem useful
for your application here
8. Statement of Honour
Statement of Honour by the Applicant
I hereby certify that the information provided in this application is accurate and complete. I
understand that inaccurate, incomplete or illegible information may affect my application.
Misrepresentation of this information is ground for admission denial, expulsion from Ghent
University.
Date:
Place:
Full name and signature (hand signed or
electronic signature):
How to submit:
1. Complete this application form
2. When saving this document, add your name (STI2015_name)
3. Add the following documents in attachment of your e-mail:
 A copy of your motivation and future plans
 A copy of your diploma of Bachelor and/or Master degree
 Proof your proficiency in English (see 6. English Language skills)
4. Send all these documents to workshop@cacaolab.be before April 15th 2015 (in case you
apply for a VLIR-UOS scholarship) or before May 15th 2015 (in case you apply for following
the workshop, without applying for a VLIR-UOS scholarship)
5. Add STI2015 and your name (same as the name of this application form) in the subject of
your e-mail
Applications that are not complete will be inadmissible.
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