Application form

Short courses PhD

* = required information

1. PERSONAL DATA

Family name*
Official first name(s)*
Gender*	female male
Marital status*
Date of birth*	(dd/mm/yyyy)
Place of birth*
Country of birth*
Nationality*
	(if more than one please mention all)
Residential address
Street & house no.*
Town*
State or province
Postal code
Country*
Phone home
Correspondence address In order to facilitate communication, please provide as much information as possible.
Street & house no.*
Town*
State or province
Postal code
Country*
Phone home
Phone work
Fax
E-mail*

2. EDUCATION
Please list the college, university, or other institution of higher education you have attended. Mention only the highest degree.
Minimum prerequisites for participation are a master degree in economics, international relations, political sciences, law, social sciences, mathematics or statistics, business administration, health sciences or public health or comparable.

Degree*	e.g. BA, BSc, MA, MSC
Institution*
Address*
Field*
Graduation date*	(dd/mm/yyyy)
Additional post-graduate studies:

What relevant course(s) with have you followed?

Name course 1
Institution
From	(dd/mm/yyyy)
To	(dd/mm/yyyy)
Workload	(hours per week)
Passed	Yes No

Name course 2
Institution
From	(dd/mm/yyyy)
To	(dd/mm/yyyy)
Workload	(hours per week)
Passed	Yes No

3. LANGUAGE SKILLS
Fluency in English is a prerequisite for participation in the courses. Please enter the appropriate level below to indicate your language level.

Speaking*
basic	functional	advanced	mother tongue
Reading*

basic	functional	advanced	mother tongue
Writing*
basic	functional	advanced	mother tongue

Note that it is not necessary to do an English proficiency test if your mother tongue is English or if you obtained a degree of an all-English academic study (the programme should have lasted at least one academic year). If you already have done an English proficiency test or if you want to be exempted from the test, please complete one of the boxes below.

TOEFL (at least 100 ibt, 600 pbt or 250 cbt)

Score
Date of test	(dd/mm/yyyy)

IELTS (at least 7.0)

Score
Date of test	(dd/mm/yyyy)

Reason for exemption from the English proficiency test:

4. COURSES
Please indicate which course(s) you would like to atttend. When you choose more than one, please make sure that the courses do not coincide in time.

	Social Demography 10-14 September
	Empirics of the Welfare State: Poverty, Risks and More 17-21 September/ 24-28 September
	Advanced Micro-economics 1-8 October/ 22-26 October
	Migration, Mobility and Social Protection 8-12 October
	Evaluation Methods and Techniques 12-16 November
	The Economics of Savings and Pensions 5-9 November
	Economics of Social Protection 10-14 December
	Comparative Welfare State Analysis 17-21 December
	Work, Family and Social Protection 21-25 January
	Econometrics Evaluation of Treatment Effects 11-15 February
	Governing the Integration of European market societies, Governance, Power and Policy 18-22 February
	Analysis of Policy Processes 25-29 February
	Public Economics and Finance 3-6 March
	Social Policy Modelling 17-20 March
	Qualitative Methods for Policy Research 24-27 March
	Economics of Inequality 31 March - 4 April
	Social Protection Policies and the Labour Market 7-11 April
	Economic and Social History/ Social Policy 14-18 April

 
I wish to be admitted to the PhD Course(s) in:
2008   2009

5. OTHER
How did you find out about the Maastricht Graduate School of Governance?*
Maastricht University
Nuffic
International Labour Organization (ILO)
The Economist
Search engine
If otherwise, please indicate

Why do you apply for the course(s)?*

How do you expect to apply your new knowledge after the completion of the course(s)?*

6. FINANCIAL RESOURCES*
How do you expect to finance the expenses related to your participation in the course (such as tuition, living expenses, travel expenses, insurance)?
Tuition fee for short courses: 500 euro per course week (with a minimum of 1000 euro). Tuition fees include all programme related costs except books, specific research costs and travel expenses.

Via a scholarship
Via your employer
Self-sufficient
If otherwise, please indicate

The information you provide does not influence our decision with respect to your admission.

Terms of Application

-	The application deadline is at least 3 months prior to the start of the selected course(s). It is still possible to apply for one or more courses after the application deadlines. However, applications are only considered in case there is capacity left for additional attending students in that particular course.
-	In addition to the application form, please send us the following documents: • certified copies of your certificates and grades • a letter of motivation (400-500 words) • two letters of recommendation by current/former professors or employers • curriculum vitae • a copy of your passport • passport-size picture • a 200-word essay on the following topic: In your opinion, which public policy in your country is noteworthy (either positively or negatively) and why? We prefer to receive these documents at the following email address: info-gov@governance.unimaas.nl.
-	This application form can be submitted in two ways: 1. Online by clicking on 'submit' 2. Print and send to: Maastricht University Maastricht Graduate School of Governance Student Affairs Office P.O. Box 616 6200 MD Maastricht THE NETHERLANDS Fax: +31 43 388 48 64
-	After the selection procedure, the School informs all applicants about the decision. More specific information will then be provided to the admitted students. The application decision is not open for discussion.
-	Admissions cannot be held over until the following year. If you wish to re-apply, you must submit a new form.

E-Gazette*

Please tick this box if you would like to receive our monthly electronic newsletter.

7. STATEMENT
Hereby, I certify that the information contained in this application form is true and accurate. I have read the above mentioned Terms of Application. I wish to be admitted to short courses for the academic year 2006-2007. I also understand that this is only an application.

Date*	(dd/mm/yyyy)
Place*