(PleasefullfillthisapplicationforminENGLISH).doc

PAGE  Page PAGE4 sur NUMPAGES4 APPLICATION FORM éCOLE D’éTé FRANCE EXCELLENCE 2017 2017 (Please full fill this application form in ENGLISH) For which summer school do you want to apply? (Choose one) CHEMISTRY:  FORMCHECKBOX
 Sustainable Catalysis: Science and Innovation  FORMCHECKBOX
 Catalysis - ELITECAT CHINA 2017  FORMCHECKBOX
 Advanced Material Sciences LIFE SCIENCE:  FORMCHECKBOX
 From unique molecules to cells, from fundamental to applications  FORMCHECKBOX
 Plant Science  FORMCHECKBOX
 Chemistry and biology for medications and health MATHEMATICS / INFORMATICS / PHYSICS:  FORMCHECKBOX
 Multispectral imaging for societal, environmental and patrimonial issues  FORMCHECKBOX
 Probabilities and dynamical systems  FORMCHECKBOX
 Mathematical and computational methods for life sciences  FORMCHECKBOX
 Physics for both infinities HUMANITIES AND SOCIAL SCIENCES:  FORMCHECKBOX
 Governance and Policy Sciences  FORMCHECKBOX
 Civil Law and Administrative Law in Europe  FORMCHECKBOX
 Tangible and Intangible Cultural Heritage  FORMCHECKBOX
 Cultural Heritage Sciences PERSONAL DETAILS Miss  FORMCHECKBOX
 Mister  FORMCHECKBOX
 Chinese Name: Family Name (pinyin): Given Name (pinyin): Place of birth: Phone number: E-mail address: ACADEMIC BACKGROUND Name and place of your current University: Title of your current Master program: Year of entrance in the Master program: Expected year of Master graduation: Please list the courses you studied, in relation with the summer school. Specify your results in these courses. Benke University (if different): Gaokao result: Do you plan to apply for a PhD thesis after your Master’s degree?  FORMCHECKBOX
 Yes  FORMCHECKBOX
 No  FORMCHECKBOX
 Do not know yet Would you like to apply for a