APPLICATION FORM

I am applying for: *

I am applying *

Of the year : *

CANDIDATE’S INFORMATION

Male Female

Last/Family Name: *

First name: *

Date of birth: *

Format DD/MM/YYYY

Country of birth *

Nationality/Citizenship: *

PERMANENT ADDRESS

Street: *

City : *

Zipcode :

Country : *

State : *

Home phone : *

Cellphone : *

Email address: *

CURRENT MAILING ADDRESS (if different)

Valid until

(day/month/year)

Street:

City :

Zipcode :

Country :

State :

EMERGENCY CONTACT

Last/Family Name: *

First Name: *

Relationship: *

Email address: *

Cellphone : *

LANGUAGE PROFICIENCY

Mother tongue: *

English *

Fluent (C1) Good working knowledge (B2) Simple conversational level (B1) Some understanding (A1/A2) Native speaker

French *

Fluent (C1) Good working knowledge (B2) Simple conversational level (B1) Some understanding (A1/A2) Native speaker

Other languages :

Home institution information

Current Major/
Program: *

Current year of Study: *

University: *

City & Country: *

Contact name: *

Title/Position: *

Email address: *

Phone:

Please, add the country code

Please explain why you are applying and how that will enhance your educational goals: *

Please, upload and tick (only JPG or PDF):

Certified copies of your transcripts (translated if not in English or French)

Max: 5mb

Copy of passport or ID card (if you do not have a valid passport please apply or renew it and email us asap) *

Verify that your passport is valid for at least six months after your intended return date
Max: 5mb

Headshot photo, head centered, white background (to be used on your official French id card) *

Max: 5mb

Recommendation Letter

Only for direct enrollment students
Max: 5mb

Resume

Only for students applying for SPRING SEMESTER + 2 MONTH INTERNSHIP
Max: 5mb

I certify that the information provided on this application form and in the accompanying documents is true, accurate, and complete. I understand that if I am admitted, the school has the right to cancel my registration at any time should there be any misrepresentation in the information I have provided.

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The Institution is the data controller. The data collected by this form are the subject of computer processing for the purpose of transmitting the information and documentation requested. It is mandatory to fill in the fields with an asterisk (*). You may also receive our commercial offers if you have consented to them. The recipients of your data are the Institution’s staff in charge (administration department, billing service, communication and recruitment departments). Your data are only kept for the duration of the transmission of the requested information. If you have agreed to be contacted by our services and/or if you have agreed to receive requests from our services, we inform you that your data is kept under conditions that ensure its security and confidentiality for three years from its r collection or your last correspondence with us. In accordance with the applicable regulations, you may request access to your personal data from the controller, through its Data Protection Officer (DPO), whose contact details are below, rectification or erasure of these, or limitation of processing, or the right to object to the processing of your data under the conditions laid down in Regulation (EU) 2016/679 of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data. You are also informed of your right to lodge a complaint with the CNIL. Requests can be sent to the DPO by email at: dpo[a]groupe-igs.fr.

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