ROYAL FREE & UNIVERSITY COLLEGE MEDICAL SCHOOL



[pic]APPLICATION to the Master in Business, Law and Economics

Academic year: 2018-2019

Please complete Sections 1 - 11 of this form and enclose a copy of your CV. Hand-written forms must be legible.

|SECTION 1: Personal Details |

| |Forenames (in full):       |

|Surname/Family Name:      |(as in passport) |

|(as in passport) | |

| |Preferred name:       |

|Title:       |Date and Place of Birth:       |

|(Mr/Miss/Dr etc) | |

|Nationality:       |Male / Female       |

|Home Address: |

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|      Postcode:       |

|Telephone Number:       Mobile Number:       |

|Email Address:       |

|Correspondence Address (if different from above): |

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|      Postcode:       |

|Dates when address is valid From:       To:       |

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|Would you benefit from financial support other than personal/family if accepted? : |

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|SECTION 2: Secondary Education |

|Country of Education |      |

|School where you got your final grades |      |

|Field of specialisation (if any) |      |

|Last academic year of secondary education |      |

|SECTION 3: Higher Education – Qualifications Already Obtained |

|Name of College/University/ Awarding |Start date |End date |Qualification |Overall class/ |Degree Title: |

|Body (state country if outside France) |(Month/Year) |(Month/Year) |(e.g. BA, BSc) |grade/GPA |Subjects studied and grades obtained so far, including|

| | | | |(if applicable) |pre-clinical/medical school courses* |

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| | | | | |*A FULL ACADEMIC TRANSCRIPT OF YOUR COURSE TO DATE IS |

| | | | | |REQUIRED |

|SECTION 4: Higher Education – Qualifications Currently Being Taken |

|Detail qualifications yet to be awarded. |

|Name of College/University/ Awarding |Start date |End date |Qualification |Degree /Subject Title: |

|Body (state country if outside France) |(Month/Year) |(Month/Year) |(e.g. BA, BSc) | |

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|SECTION 5: Academic prizes, research projects and subjects of special interest: |

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|SECTION 6: Extracurricular interests, activities and positions of responsibility: |

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|SECTION 7: Practical Experience |

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|SECTION 8: Personal Statement |

|Please state: 1. your reason for wishing to join the Master in Business, Law and Economics |

|2. which research fields you would like to pursue in your Master thesis |

|(These two items should cover no more than the space available here or one side of A4 if typed on a separate sheet.) |

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|SECTION 9: APPLICANT’S DECLARATION: |

|I declare that I do not have any criminal convictions or police cautions and that there are no current criminal proceedings |

|in place against me. |

|I confirm that I understand the conditions of application and that the information which I have given in this application is complete and true. |

|Signature of Applicant:       Date:       |

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|SECTION 10: Enclosure Check-List |

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|Enclosures |

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|1. Two letters of recommendation |

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|2. Full academic transcript of your course to date |

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|3. Copy of your curriculum vitae |

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|4. Proof of English language proficiency (TOEFL, IELTS and others) |

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|APPLICATIONS WITHOUT THE ABOVE ITEMS WILL BE RETURNED TO THE CANDIDATE. |

Submit three copies (1 x electronic [via email] and 2 x hard copy) of the completed form to:

Ms Pascale Marrazzo,

Master Business, Law and economics

Faculté d’économie et de Gestion, Aix Marseille Université

Avenue Robert Schuman,13628 Aix-en-Provence Cedex 1 France

Email: pascale.marrazzo@univ-amu.fr

Applications will be acknowledged via email within 2 days of receipt.

CLOSING DATES FOR RECEIPT OF APPLICATIONS:

1st Session: 15 May 2018

2nd Session: 23 August 2018

APPLICATIONS RECEIVED AFTER THE SECOND CLOSING DATE WILL NOT BE CONSIDERED

Information provided on this form will be held in confidence and only used in connection with recruitment to the BLE Master Programme Year of Entry 2018. Records of all unsuccessful applications are kept for a period of 6-months from the date that an appointment decision is notified, together with brief notes, for monitoring purposes and as evidence should a claim of unlawful discrimination be made against the organisation.

Completion and submission of Section 11 is optional. Section 11 will be detached from Sections 1 – 10 and will not be passed to the selection panel.

|SECTION 11: ADVERTISING |

|To assist us with future advertising of the BLE Master programme, please can you comment on how you heard of the programme: |

|Facebook |Students |

|Student Association |Noticeboard Poster |

|Your professors |Internet Search |

|Other |

|Please give further details… |

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