NORWEGIAN UNIVERSITY OF SCIENCE AND TECHNOLOGY (NTNU)Master of Coastal and Marine Engineering and Management (CoMEMFINAL APPLICATION FORM FOR ADMISSION IN 2016For questions about application and admission procedures, please see http://www.ntnu.edu/studies/mscomem

Fill in the following form as specified. NTNU is under no obligation to process applications, which are incomplete or lacking adequate documentation.

You have applied for the Erasmus+ Erasmus Mundus Master of Coastal and Marine Engineering and Management, coordinated by NTNU.

Please indicate your preferred track below (see http://www.ntnu.edu/studies/mscomem/programme-content for information).

Track 1: Arctic Marine Coastal Engineering

Track 2: Marine Operations and Management

Track 3: Environment and Management

Track 4: Coastal Engineering

Track 5: Engineering and Environment

I Personal dataFamily name: First and middle names: Gender:

Date of birth: Norwegian ID number(if applicable):

Nationality:

Permanent address: Postcode / City: Country:

Address and Country of residence at time of application: (if other than above)

E-mail: Change of e-mail (if applicable):

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Phone:

II Educational background:List all educational institutions attended, begin with Secondary School and include any college/ university education now in progress. Give dates of attendance (Please remember to upload official certified copies of diplomas/ transcripts) and make a note of your final GPA.

Name of institution Degree (BA, BSc, BEng, BTech, MA, MSc, MEng, MTech etc.)

From(month/ year)

To(month/ year)

GPA

Main field of study:……………………………………………………………………………………………………………………………………………..

III Work experience: Please outline all your relevant work experience here.Include position/nature of work, institution and dates of employment(Please enclose official documentation of work experience gained after completing your BA, BEng, BSc or BTech degree or equivalent degree or MA, MEng, MSc or MTech degree).

Institution/Organisation: Occupation/title/position From To

IV English language proficiency – please see requirements and exemptions at http://www.ntnu.edu/studies/mscomem/admission2. TOEFL score / test date: IELTS score/ test date:

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Exempt: Yes NoIf yes, please give the basis for your exemption in accordance with the English requirements listed at http://www.ntnu.edu/studies/mscomem/admission

V Financial Resources:1. Erasmus Mundus Scholarships:

a. Please indicate whether you apply for an Erasmus+ scholarship: Yes No

b. If YES and applying for a Partner Country scholarship please confirm your residency in Europe during the past five years for check of eligibility:

I hereby confirm that I HAVE NOT been residing for study or work in Europe for a total of 12 months or more during the past five years.

I confirm that I HAVE had or are at present residing for study or work in Europe and have done so for a total of 12 months or more during the past five years.

2. In case you are not selected for an Erasmus Mundus Scholarship:a. do you intend to finance your studies from other sources:

Yes No

b. If YES, please indicate how you intend to finance your studies: (for example other scholarships, partial funding through Erasmus exchange, EU student loan, private funding …)

VI Student housing: All International Master Students studying at NTNU are guaranteed housing. Please indicate whether you want a single room at the student village by ticking the box below. Please also note that we can only issue single rooms. If you need a couple/ family flat, you have to find accommodation yourself on the private market. I hereby apply for a single room I will make arrangements for my

own accommodation:

VII Emergency contact person:Person to be notified in case of emergency ( Give name/ postal address, email address and phone number):

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Name

Address

Email

Phone

Relationship to

student

VIII: By signing this application form, you agree to the following statements:

Yes, I confirm that I grant NTNU permission to make enquiries about my educational documents at the foreign education authority responsible for issuing these documents.

Yes, I confirm that I grant NTNU permission to investigate the authenticity of my educational documents.

X: Applicants with special needsApplicants with special needs must indicate this in the application. Note that applicants with any form of disability are treated on an equal basis with all other applicants. This information is required only for the purpose of planning necessary measures required in order to give students universal access.

Do you have special needs Yes NoIf yes, please specify:

XI Enclosures:List of Required Documents 1-10. (Please mark all documents uploaded):

1. Above Application form – filled in and signed. Please fill in electronically and upload in word-format. Print the signature page, sign and upload in pdf-format

2. Original academic degree(s) in language of origin

3. Translation of your academic degree(s) in English

4. Original lists of grades/marks (transcripts) in language of origin

5. Translation of grades/marks (transcripts) in English

6. Original report providing the TOEFL or IELTS score (academic version). The TOEFL organization will send the score directly to NTNU, if you supply them with the

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university code 9652. If informed the IELTS test center will send your results directly to NTNU (use address below). **apply early for the language tests; it may take a long time to register and for the test to be processed ***Nationals of P.R. of China: In order to obtain the NUFFIC certificate to be able to study in The Netherlands you need to take the IELTS or TOEFL test. A NUFFIC certificate must be sent to NTNU as proof of validity of qualifications at date of application.

7. Two letters of recommendation in English (one from an official of the faculty from which you obtained or will obtain your diploma; one from employer or official, e.g. the supervisor of your BSc thesis work)

8. A clear and CoMEM relevant statement in English (1000 words maximum). This statement should explain why you would be a good participant in the CoMEM MSc programme. This should include your: 1) academic and personal motivation; 2) relevant skills and abilities; 3) reasons for choice of track.

9. A resume (Curriculum Vitae – CV) in English

10. A photocopy of the pages of your passport that give your name, date of birth, place of birth and passport expiry date. * (Please note: if accepted and you confirm your participation in the programme you must hold a passport that is valid for at least 6 months after your CoMEM graduation date)

Additional Documents – Optional

If you need more space to answer any of the questions, or to give additional information which you believe to be of importance towards the evaluation of your application, please use an extra sheet of paper.

Questions regarding the application and documentation can be forwarded to: oddrun.maao@ntnu.no Other questions concerning the programme can be forwarded to: comem@ivt.ntnu.no

NORWEGIAN UNIVERSITY OF SCIENCE AND TECHNOLOGY (NTNU)Master of Coastal and Marine Engineering and Management (CoMEMFINAL APPLICATION FORM FOR ADMISSION IN 2016

XII Signature Page

By signing this application form:

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I confirm that the information given in this final application form and the certified documents enclosed with this form are correct.

I confirm that the information given on my residency at date of application and during the past five years (under V Financial Resources) is correct

I confirm that I agree to the granting of the permissions necessary for NTNU (as asked for under VIII)

Date: __________________________________________________________________________________________________

Signature: _____________________________________________________________________________________________

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