Bourses_Masdar_EAU_12-13

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    Masdar Institute of Science and Technology, P.O. Box 54224, Abu Dhabi, United Arab EmiratesTel: +971 2 8109333 Fax: +971 2 8109901

    passport size photo

    in cooperation with Massachusetts Institute of Technology

    Application for Graduate AdmissionsPlease write clearly or type. Applying for the graduate program:

    PhD/MSc in ___________________ for academic year 2012. Applying for IRENA scholarship Yes/No

    (The academic year generally begins in the first week of September each year)

    Family Name (as inPassport)

    Other Name(s) (as inPassport)

    Date of birth (mm/dd/yy)

    Nationality

    (and passport number if not UAE national)

    Place a where appropriate

    Sex Male Female

    Marital status Married

    If married number of children

    Single

    Correspondence address

    Contact phone number e-mail address

    Note: all correspondence will be via e-mail.

    List all colleges and universities attended and actual name of degree received/expected(list most recent first):

    Name of college/universityEg. ABC University

    Dates attended (mth/yr)Eg. 01/2005 06/2009

    Degree receivedEg. BSc Civil Engineering

    Graduating CGPA/Percentage/Division/Class:

    GRE

    Date taken/to be taken: (mm/dd/yy)

    Verbal: Quantitative: Analytic:

    TOEFL or IELTS

    Date taken/to be taken (mm/dd/yy) Score:

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    Masdar Institute of Science and Technology, P.O. Box 54224, Abu Dhabi, United Arab EmiratesTel: +971 2 8109333 Fax: +971 2 8109901

    Names and contact details of three persons (preferably two from academia) whom wecan contact to obtain an evaluation of you

    Name Title/Position & Institution/Company e-mail address

    Record of courses taken in preparation for graduate study

    Submit a copy of your undergraduate/graduate transcripts which shows all courses takenand the respective grades obtained

    On a separate sheet of paper please write your statement of objectives:

    Please use the following guidelines for preparing your Statement of Objectives. This statement is veryimportant so we encourage you to write it carefully. We seek a statement of one to two pages(approximately 400 to 1000 words) explaining the reasons for wanting to do graduate work at theMasdar Institute of Science and Technology.The statement should describe:

    - How you think about the world and your professional objectives- The issues or problems you want to address during your studies at the Masdar Institute and

    the setting in which you eventually see yourself working professionally

    - How your previous studies and work experience (if any) relates to what you propose to do atthe Masdar Institute

    - Why you are applying to the Masdar Institute and the specific program- Other matters you think are important for us to know

    I certify that all the above information is true and that my admission (if accepted) into theInstitute is conditional subject to submission and verification of the above documents priorto registration. I understand that admission into the Institute is subject to all relevantimmigration laws and requirements of the United Arab Emirates in securing a valid visa.

    Signature Date (mm/dd/yy)

    Notes: For application, any copies of documents (e.g., transcripts) submitted do not have to be

    original or certified true as yet. If you are accepted, it will be conditional subject tosubmission and verification of all necessary documents by the first day of classes.

    Incomplete applications will not be processed.