Master BioMedical Engineering (BME-Paris)

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Program envisaged

Program envisaged 1 *

Program envisaged 2 *

Personal Data
Title *	↓ ↓
Last name *	↓ ↓
First name *	↓ ↓
Gender *	↓ ↓
Valid email address *	↓ ↓
Email address confirmation *	↓ ↓
Phone *	↓ ↓
Date of birth *	↓ ↓ format yyyy-mm-dd
City of birth *	↓ ↓
Country of birth *	↓ ↓
Citizenship *	↓ ↓
N° Social Security (French students)	↓ ↓
N° INE (French students)	↓ ↓
ID or passport number *	↓ ↓

Address
Street address *	↓ ↓
Postal code *	↓ ↓
City *	↓ ↓
Country *	↓ ↓

Education

What is your major field for education? *

Physics
Biology
Medicine
Mathematics
Biochemistry
Pharmacy
Chemistry
Biotechnology
Engineering
Other, please specify

Home Institution *

Secondary school diploma (baccalauréat or equivalent) *

Graduation year *	↓ ↓
Specialization *	↓ ↓
Ranking/Honors *	↓ ↓

College and university *

Bachelor/Licence *

Year *	↓ ↓ From Till
Name *	↓ ↓
City *	↓ ↓
Country *	↓ ↓
Nature of studies	↓ ↓
Degrees obtained (ECTS credits)	↓ ↓
Results and mark	↓ ↓
GPA	↓ ↓
Date of award	↓ ↓ /

Other degree

Year	↓ ↓ From Till
Name	↓ ↓
City	↓ ↓
Country	↓ ↓
Nature of studies	↓ ↓
Degrees obtained (ECTS credits)	↓ ↓
Results and mark	↓ ↓
GPA	↓ ↓
Date of award	↓ ↓ /

Other degree

Year	↓ ↓ From Till
Name	↓ ↓
City	↓ ↓
Country	↓ ↓
Nature of studies	↓ ↓
Degrees obtained (ECTS credits)	↓ ↓
Results and mark	↓ ↓
GPA	↓ ↓
Date of award	↓ ↓ /

Other degree

Year	↓ ↓ From Till
Name	↓ ↓
City	↓ ↓
Country	↓ ↓
Nature of studies	↓ ↓
Degrees obtained (ECTS credits)	↓ ↓
Results and mark	↓ ↓
GPA	↓ ↓
Date of award	↓ ↓ /

Other degree

Year	↓ ↓ From Till
Name	↓ ↓
City	↓ ↓
Country	↓ ↓
Nature of studies	↓ ↓
Degrees obtained (ECTS credits)	↓ ↓
Results and mark	↓ ↓
GPA	↓ ↓
Date of award	↓ ↓ /

Add an other degree

Academic referee *

Referee n°1 *

Last name *	↓ ↓
Address *	↓ ↓
Phone	↓ ↓
Valid email address *	↓ ↓

Referee n°2 *

Last name *	↓ ↓
Address *	↓ ↓
Phone	↓ ↓
Valid email address *	↓ ↓

Additional education (if applicable)

Internships and professional experience

List here three of your previous industrial or academic trainings/positions in relation with the thematic of the master, starting by the most recent one.

Experience n°1

Period (from…to…)	↓ ↓ From Till
Institution	↓ ↓
Describe briefly the work you have done	↓ ↓
Observations	↓ ↓

Add an other experience

Languages

What is your mother tongue? *

French

Have you studied French ?	↓ ↓ Yes No
If you have, for how long ?	↓ ↓
Did you follow an academic program in French	↓ ↓ Yes No
Yes, when and how long	↓ ↓
Did you obtain a language certificate	↓ ↓ Yes No
What was your score (please enclose the photocopy of the score report)?	↓ ↓
Please evaluate your level in French (from 0 to 5)	↓ ↓
Reading comprehension
Conversation
Technical French

English

Have you studied English (unless mother tongue)? *	↓ ↓ Yes No
Did you obtain an English language certificate (TOEFL, TOEIC…) ? *	↓ ↓ Yes No
What was your score (please enclose the photocopy of the score report)?	↓ ↓
Did you follow an academic program in English *	↓ ↓ Yes No
Yes, when and how long	↓ ↓
Ability to follow technical courses in English after refresher courses? *	↓ ↓ Yes No

What is your proficiency level in this language? *

Beginner
Intermediate
Advanced

Do you wish to attend a teaching unit in foreign languages and if this is the case in which language?? *

French
English
German
Another language, please clarify

Did you get an assessment of your knowledge in this language

Yes Which one
No

Apart from your mother tongue and English, what other languages do you speak? Please evaluate your level

Language
Basic
Middle
Fluent

Add an other language

Other qualifications	↓ ↓
Other qualifications (For instance : Software and programming languages (finite element codes, etc.) *

Other applications	↓ ↓
Are you applying for other postgraduate programmes ? *	Yes No
If you do, which programmes?	↓ ↓

Financial support fellowships & grants (if any)

How will you finance your studies and your stay at ParisTech?

Personal or familial ressources *	↓ ↓ Yes No
I have obtained a grant *	↓ ↓ Yes No I wait for the answer If yes, please precise the source, amount and duration ↓ ↓ Institution ↓ ↓ Amount ↓ ↓ Duration
I plan to work part time *	↓ ↓ Yes No

Have you applied for a scholarship *

Yes
No
If you have, indicate the institution you have contacted

Our Master program offers financial support for international students, based on academic excellence. Would you like to apply for it? *

Yes
No

Indicate here eventually all official grant(s) you have already obtained *

Personal Statement
Outline the main motivations for you application to the BME-Paris Master program * (part of the mandatory personal statement letter)	↓ ↓
Professional career plan, targeted companies/laboratories, topics of special interest. Detail in particular your post-master plans. * (part of the mandatory personal statement letter)	↓ ↓ ↓ ↓ Your plans for the future ↓ ↓ I plan to prepare a Phd I plan to work in a research and development department Other

Information

Please clarify how you were informed *

	↓ ↓
Poster, Web-site	Clarify
	↓ ↓
Contact with a professor	Clarify
	↓ ↓
Other	Clarify

Publications (if any)
List here eventually all your papers published in peer-reviewed scientific journals or conferences. *	↓ ↓

Future Research Experience

Describe the type of laboratory and research topics you would like to work on during your internship. *

Scientific Interests: Scientific questions that motivate you *

Other activities and interests
List here other activities/involvements (social, sport, association, culture…) and fields of interest.	↓ ↓

Documents to be attached

Maximum size of all files : 20MB
Allowed files : doc, docx, xls, xlsx, pdf, jpg, jpeg, gif, png, bmp

↓ ↓

1 photocopy of the French national identity card or passport *
↓ ↓

GRE record (if available)
↓ ↓

1 letter of personal statement *
↓ ↓

Photocopies of the latest diplomas (certified translation in French or English) and all other documents that authenticate the diplomas referred to in support of the application (marks sheets, grades, ranking, etc.) *
↓ ↓

A Curriculum Vitae (2 pages max.) *
↓ ↓

Two letters of recommendation from professors in your university of origin *

↓ ↓
↓ ↓

Photocopies of the French and/or English language certificates that you have passed *
↓ ↓

if applicable, a certificate by a French language teacher from your university of origin, confirming the accuracy of the data about your level in French

Anti SPAM

Captcha

You must fill in the numbers in the box*	↓ ↓

If your Professors wish to send the letter of recommendation CONFIDENTIALLY :

Attach a PDF file simply stating the names of your of your Professors (the file is mandatory for your registration to be validated online)
Have them send it to contact@bme-paris.org. Tell them not to forget to mention your name either in the letter or in the subject of their email.

Law No. 78-17 of 6 January 1978 relating to computers, files and liberties
In accordance with Article 34 of the Data Protection Act of 6 January 1978, you have the right to access, modify or delete data that concern you. Please contact us at the following address: contact@bme-paris.org

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Program envisaged

Personal Data

Address

Education

Internships and professional experience

Languages

Other qualifications

Other applications

Financial support fellowships & grants (if any)

Personal Statement

Information

Publications (if any)

Future Research Experience

Other activities and interests

Documents to be attached

Anti SPAM

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