deadline 15 march 2024 EMJMD SEAS 4.0 "*" indicates required fields Step 1 of 6 16% First Name* Surname* Email* Enter Email Confirm Email Birth place* Nationality*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsGender*MaleFemaleOtherDate of birth* DD slash MM slash YYYY Life partner YES NO Number of childrenPlease enter a number greater than or equal to 0.Address (at time of application)City* Address* ZIP postal code* Country*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsPhone number Previous High education recordUniversity* Name of degree in english* Study duration in semester*Please enter a number greater than or equal to 0.Average grade GPA / Max* Link to website of University degree program* Employement history Insert the 2 most relevant work experiencesHave you already had work experience?* YES NO Work experienceEmployer* Duration in month*Description of position* Employer Duration in monthDescription of position Language proficiencyNative Language*AcholiAfrikaansAkanAlbanianAmharicArabicAshanteAslAssyrianAzerbaijaniAzeriBajuniBasqueBehdiniBelorussianBengaliBerberBosnianBravaneseBulgarianBurmeseCakchiquelCambodianCantoneseCatalanChaldeanChamorroChao-chowChavacanoChinChuukeseCreeCroatianCzechDakotaDanishDariDinkaDiulaDutchEdoEnglishEstonianEweFanteFarsiFijian HindiFinnishFlemishFrenchFrench CanadianFukieneseFulaFulaniFuzhouGaGaddangGaelicGaelic-irishGaelic-scottishGeorgianGermanGoraniGreekGujaratiHaitian CreoleHakkaHakka-chineseHausaHebrewHindiHmongHungarianIbanagIboIcelandicIgboIlocanoIndonesianInuktitutItalianJakartaneseJapaneseJavaneseKanjobalKarenKarenniKashmiriKazakhKikuyuKinyarwandaKirundiKoreanKosovanKotokoliKrioKurdishKurmanjiKyrgyzLakotaLaotianLatvianLingalaLithuanianLugandaLuoMaayMacedonianMalayMalayalamMalteseMandarinMandingoMandinkaMarathiMarshalleseMienMinaMirpuriMixtecoMoldavanMongolianMontenegrinNavajoNeapolitanNepaliNigerian PidginNorwegianOromoPahariPapagoPapiamentoPashtoPatoisPidgin EnglishPolishPortug.creolePortuguesePothwariPulaarPunjabiPutianQuichuaRomanianRussianSamoanSerbianShanghaineseShonaSichuanSicilianSinhaleseSlovakSomaliSoraniSpanishSudanese ArabicSundaneseSusuSwahiliSwedishSylhettiTagalogTaiwaneseTajikTamilTeluguThaiTibetanTigreTigrinyaToishaneseTonganToucouleurTriqueTshilubaTurkishTwiUkrainianUrduUyghurUzbekVietnameseVisayanWelshWolofYiddishYorubaYupikEnglish test type English test score Test date DD slash MM slash YYYY Profiency in other languageLanguage 1AcholiAfrikaansAkanAlbanianAmharicArabicAshanteAslAssyrianAzerbaijaniAzeriBajuniBasqueBehdiniBelorussianBengaliBerberBosnianBravaneseBulgarianBurmeseCakchiquelCambodianCantoneseCatalanChaldeanChamorroChao-chowChavacanoChinChuukeseCreeCroatianCzechDakotaDanishDariDinkaDiulaDutchEdoEnglishEstonianEweFanteFarsiFijian HindiFinnishFlemishFrenchFrench CanadianFukieneseFulaFulaniFuzhouGaGaddangGaelicGaelic-irishGaelic-scottishGeorgianGermanGoraniGreekGujaratiHaitian CreoleHakkaHakka-chineseHausaHebrewHindiHmongHungarianIbanagIboIcelandicIgboIlocanoIndonesianInuktitutItalianJakartaneseJapaneseJavaneseKanjobalKarenKarenniKashmiriKazakhKikuyuKinyarwandaKirundiKoreanKosovanKotokoliKrioKurdishKurmanjiKyrgyzLakotaLaotianLatvianLingalaLithuanianLugandaLuoMaayMacedonianMalayMalayalamMalteseMandarinMandingoMandinkaMarathiMarshalleseMienMinaMirpuriMixtecoMoldavanMongolianMontenegrinNavajoNeapolitanNepaliNigerian PidginNorwegianOromoPahariPapagoPapiamentoPashtoPatoisPidgin EnglishPolishPortug.creolePortuguesePothwariPulaarPunjabiPutianQuichuaRomanianRussianSamoanSerbianShanghaineseShonaSichuanSicilianSinhaleseSlovakSomaliSoraniSpanishSudanese ArabicSundaneseSusuSwahiliSwedishSylhettiTagalogTaiwaneseTajikTamilTeluguThaiTibetanTigreTigrinyaToishaneseTonganToucouleurTriqueTshilubaTurkishTwiUkrainianUrduUyghurUzbekVietnameseVisayanWelshWolofYiddishYorubaYupikWriting level Advanced Intermediate Beginner Speaking level Advanced Intermediate Beginner Language 2AcholiAfrikaansAkanAlbanianAmharicArabicAshanteAslAssyrianAzerbaijaniAzeriBajuniBasqueBehdiniBelorussianBengaliBerberBosnianBravaneseBulgarianBurmeseCakchiquelCambodianCantoneseCatalanChaldeanChamorroChao-chowChavacanoChinChuukeseCreeCroatianCzechDakotaDanishDariDinkaDiulaDutchEdoEnglishEstonianEweFanteFarsiFijian HindiFinnishFlemishFrenchFrench CanadianFukieneseFulaFulaniFuzhouGaGaddangGaelicGaelic-irishGaelic-scottishGeorgianGermanGoraniGreekGujaratiHaitian CreoleHakkaHakka-chineseHausaHebrewHindiHmongHungarianIbanagIboIcelandicIgboIlocanoIndonesianInuktitutItalianJakartaneseJapaneseJavaneseKanjobalKarenKarenniKashmiriKazakhKikuyuKinyarwandaKirundiKoreanKosovanKotokoliKrioKurdishKurmanjiKyrgyzLakotaLaotianLatvianLingalaLithuanianLugandaLuoMaayMacedonianMalayMalayalamMalteseMandarinMandingoMandinkaMarathiMarshalleseMienMinaMirpuriMixtecoMoldavanMongolianMontenegrinNavajoNeapolitanNepaliNigerian PidginNorwegianOromoPahariPapagoPapiamentoPashtoPatoisPidgin EnglishPolishPortug.creolePortuguesePothwariPulaarPunjabiPutianQuichuaRomanianRussianSamoanSerbianShanghaineseShonaSichuanSicilianSinhaleseSlovakSomaliSoraniSpanishSudanese ArabicSundaneseSusuSwahiliSwedishSylhettiTagalogTaiwaneseTajikTamilTeluguThaiTibetanTigreTigrinyaToishaneseTonganToucouleurTriqueTshilubaTurkishTwiUkrainianUrduUyghurUzbekVietnameseVisayanWelshWolofYiddishYorubaYupikWriting level Advanced Intermediate Beginner Speaking level Advanced Intermediate Beginner Referees contact detailsUniversity / Organisation* Referee 1 First Name* Referee 1 Surname* Referee 1 Email* Referee 1 PhoneReferee 1 country*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsReferee 1 city* Referee 2University / Organisation* Referee 2 First Name* Referee 2 Surname* Referee 2 Email* Referee 2 PhoneReferee 2 country*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsReferee 2 city* Type of application1. Are you applying for Programme or Partner Countries Scholarship?* Programme Partner Are you in compliance with “12 months rule”* YES NO Are you applying as Self Funded Candidate?* YES NO In the case you are on the reserve list (you were not offered the EMJMD but you have passes the selection), will you be interested in attending the programme as Self-Funded candidate?* YES NO Documents to uploadAll documents must be uploaded in pdf format (except for the "photo" field) - limit 3 MBPhoto*Accepted file types: jpg, pdf, Max. file size: 3 MB.Copy of the ID/ passport*Accepted file types: pdf, Max. file size: 3 MB.passport will be required for NON EU applicantsProof of place of residence*Accepted file types: pdf, Max. file size: 3 MB.Certified copy of the transcript of records of all courses*Accepted file types: pdf, Max. file size: 3 MB.in englishCertified copy of the highest degree obtained*Accepted file types: pdf, Max. file size: 3 MB.Stating credits, average grade and workload (in English)Copy of languages certificate*Accepted file types: pdf, Max. file size: 3 MB.in englishFull CV in Europass format*Accepted file types: pdf, Max. file size: 3 MB.Letter of motivation*Accepted file types: pdf, Max. file size: 3 MB.To partecipate to SEAS 4.0 ProgrammeTwo recommendation letters*Accepted file types: pdf, Max. file size: 3 MB.Link to personal video (mp4) Completa i tuoi dati con un link a un video dove descrivi le tue esperienze e attività (non obbligatorio ma fortemente raccomandato)Any supplementary information/workAccepted file types: pdf, Max. file size: 3 MB.That may be consider relevant by the ApplicantDeclaration of Honour*Accepted file types: pdf, Max. file size: 3 MB.SurveyHow did you get to know about the Master Programme SEAS 4.0? Erasmus Mundus/Erasmus+web site SEAS 4.0 web site SEAS 4.0 Brochure Social network Others Please mark the relevant answer Declaration of EMJMD eligibility criteriaHave you already received EMJMD scholarship YES NO Have you applied to other EMJMD program? YES NO Please fill in the names of other EMJMD programmes to which you have appliedParticipants with special needs YES NO If you have a disability (visual difficulties, hearing or speaking difficulties, learning difficulties) or special requirements, you should give us full details of your needs and provide a medical certificate. For some special arrangements to be made for you, you should send an e-mail to the address infomasterseas40@unina.it, within and no later than 14.00 am (GMT+1) of 01/03/2022.Truthfulness of data* I have read and confirm Truthfulness of data I confirm that I filled in this form truthfully and to the best of my knowledge. I also confirm the authenticity of all documents handed in. If I receive a scholarship on the basis of this application, I am aware that wrong or delusive information in my application leads to a withdrawal of the scholarship.Privacy statement* I have read and agree to the Privacy Statement The candidate hereby declares under his/her sole responsibility that the information provided is true. In case any of the above information is found to be false or untrue or misleading or misrepresenting, the candidate is aware that he/she may be held liable for it.
