MEDEG
Master Course in
Economic Development and Growth
Application Form
PLEASE SELECT OPTION
MEDEG one year (English, Carlos III de Madrid): ☐
MEDEG two years (English, Carlos III-Lund): ☐
1
PERSONAL DATA
Family name First name Middle name
................................... …………………… ..................................
Date of birth Place of Birth Nationality Country of residence Gender
M F
(dd/mm/yyyy) .................................. ........................... .....................
......................
ID Document Contact Mail Address
Document (ID, Passport etc.) ..................................... ...................................................................................
Nr. ................................. ...................................................................................
Contact Telephone Fax E-mail
+... ................................... ..................... ....................................................................................
ACADEMIC DATA
EDUCATION/TRAINING RECEIVED IN THE FOLLOWING DISCIPLINES
Economics Business Administration Finance
Economic History Other. Please specify : ________________
1=Excellent 2=Good 3=Fair 4=Weak or none
BACHELOR DEGREE *
Degree Obtained University Month/Year
................................... …………………… ..................................
*A scanned copy and an official English translation of your BA degree and transcript must be attached to the application for full
consideration. If you expect to obtain a degree at the end of the academic year 2011-12, please indicate the expected date of
graduation and enclose an official certificate issued by your University stating explicitly the expected date of graduation.
OTHER DEGREES/MASTER/TRAINING COURSES*
Degree Obtained University/Institution Year
................................... …………………… ..................................
Degree Obtained University Year
................................... …………………… ..................................
*A scanned copy and an official English translation of any additional degree/course must be attached to the application for full
consideration
2
LANGUAGES*
ENGLISH SPANISH OTHER: please specify ........................................
1=Excellent 2=Good 3=Fair 4=Weak or none
ENGLISH CERTIFICATE*: TOEFL ESOL IELTS ESOL FCE OTHER: please specify ...............................
*A certificate of knowledge of English as a foreign language is mandatory for all students from non-English speaking
countries/universities
PROFESSIONAL EXPERIENCE
CURRENT EMPLOYMENT (ONLY IF APPLICABLE)
Position/Title Employer Since Name of Supervisor
(dd/mm/yyyy)
........................................... ............................................... ............ ..................................
Sector Public Private Mixed NGO International
Other (please specify): …………………………….
Describe the main functions of your organisation:
............................................................................................................................
Describe your responsibilities:
..................................................................................................................................
How does the topic of the Master’s programme relate to your current job responsibilities?
..................................................................................................................................
Which impact do you foresee this training will have on your career?
...................................................................................................................................
3
EMPLOYMENT HISTORY (IF ANY)
Employer Position From – to Brief description of your duties
....................... ............................ ....... - ....... ........................................
..
Employer Position From – to Brief description of your duties
....................... ............................ ....... - ....... ............................................
..
Employer Position From – to Brief description of your duties
....................... ............................ ....... - ....... ...........................................
..
OBJECTIVES AND MOTIVATIONS
What motivated you to apply for Master MEDEG and what do you expect from this programme? (max 500 words)
REFERENCES
Please give the names of two Referees
Last Name and Name of Referee Position and Organisation Telephone number and e-mail address
*References must be provided using the Letter of Reference Form downloadable from the MEDEG web site.
4
Do you suffer from any disability that may prevent your regular participation in the Master activities or may require specific
support/assistance?
Yes No If you have ticked the “YES” box, please specify: _______________
PRIVACY AND SECURITY ACT (according to Spanish Law)
In accordance with article 5 of the Spanish Law 15/1999 on personal data protection, all personal data provided in
this application form will be recorded and managed by Universidad Carlos III Madrid only for academic and
administrative purposes under the responsibility of the University’s central administration (Gerencia). Applicants
have the right to access, amend and cancel their data, as well as to deny the use of their data by writing to the
Excmo. y Magfco. Sr. Rector de la Universidad Carlos III de Madrid, c/ Madrid nº 126, 28903 Getafe Madrid.
OK
Accepted and Agreed
Date ________________ Signature ________________________________________
List of documents to enclose to this Application Form:
-a photocopy of ID card or passport of the applicant
-a short CV of the applicant (use the downloadable CV template)
-a scanned copy AND official English translation of a certificate of the Diploma held (Bachelor or equivalent).
-a scanned copy AND an official English translation of transcript or similar detailed official record of the applicant's academic
achievement (an official report listing exams passed, grades, graduation mark, honours).
-a scanned copy of the certificate of language knowledge, if applicable
-any other document that may be relevant for the assessment of their education achievement and skill-set (e.g. certificates of
additional degree obtained, training courses received, participation in research projects and other professional experiences)
-two reference letters from academic referees
The complete application (application form and all required documents) must be submitted online
[Link]