Vulcanus Application Form
Vulcanus Application Form
Vulcanus Application Form
APPLICATION FORM
How to prepare your documents : A GENERAL DATA
Download the application form (4 pages) from A1 Nationality of the applicant, as per passport
http://www.eu-japan.eu/events/vulcanus-japan, fill
in electronically, print out and sign. Gather all the ID PHOTO
A2 Gender (Mr / Ms)
documents listed below (from 1 to 9) Please stick picture
How to apply (2 steps): A3 Family name(s) as per passport
1/ Submit online data A4 First name(s) as per passport
After having completely filled in the application
form (this document), please fill in accordingly and A5 Date of birth (dd/ mm/ yy) A6 Age as of 1st
submit the online form at / / Sept. 2018
https://goo.gl/forms/ejUCvsA7pi8OeAVE3
(only one submission permitted) A7 Marital status:
2/ Send your file by courier or post. A8 Military service (please tick): completed; not required;
Prepare all the compulsory documents listed to start after the end of the Vulcanus programme; other:
below.
Send your folder to: A10 Faculty - Department
EU-Japan Centre for Industrial Cooperation A9 UNIVERSITY name
Rue Marie de Bourgogne, 52, ( V ) (in English)
1000 Brussels - BELGIUM
A11 Course currently attended A12 Location of the
between 5 and 20 January 2018
undergraduate / postgraduate University
DEADLINE: 20 Jan. 2018 (latest possible
postmark date)
A13 Is your file to be sent by the International Relations Office of your
Make a scan before sending. No file will be returned . University? YES NO
More information: vulcanus@eu-japan.eu
A14 Japanese host companies can apply until the end of January. From 9
The EU-Japan Centre for Industrial Cooperation is a joint venture co-financed
by the European Commission (DG Enterprise & Industry) and the Japanese January onwards, SOME of their offers will be visible by opening the file
Government (Ministry for Economy, Trade & Industry). The EU-Japan Centre “LOP”, at http://www.eu-japan.eu/events/vulcanus-japan (grey box).
alone is responsible for the information contained in its communications or
publications. Neither the European Commission nor the Government of Japan The file will be regularly updated, though the final list will include more
is responsible for any use that may be made of the information contained
therein.
placements that those on the online list.
It is not necessary to fill in this field, but if you are interested in particular
placement offer(s), please quote the relevant ‘offer numbers’
or or
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permitted). Please fill in this survey ONLY AFTER having completely filled in the application form and before sending your
application by post (more info in box on top left of this page).
B EDUCATION & LANGUAGE SKILLS
- Current (in the case of a double degree, please check field B-A10)
B-A1 Name of University currently attended
B-A2 City
B-A3 EU / COSME country
B-A4 Faculty/Department
B-A5 Major Subject
B-A6 Level of the course you are following (levels: U=undergraduate) / S=specialisation / M=master’s / D=doctorate)
Official year you are enrolled in
B-A7 Official length of the course you are following
B-A8 When do you expect to graduate? (month & year, without taking into account a potential participation in Vulcanus): / (mm / yy)
B-A9 Vulcanus participants are not expected to graduate during the programme. If your graduation is scheduled during the
Vulcanus year, will you be able to anticipate/postpone it? (please tick) Yes No
- Overall view
B-A10 How many official years have you successfully completed at the University/ Higher Education up to now? ( at least 4
to be eligible). Please make the SUM, including the year you are currently enrolled in (though you haven’t completed it yet).
Please read examples below, then write your formula and sum in this box:
Possible levels: P=prépa (for France) / U=undergraduate) / S=specialisation / M=master’s / D=doctorate or PhD
Examples:
1st example: If you have completed the exams of the 3rd bachelor/undergraduate
& you are enrolled in the 4th year (specialization or master) 4 U=4 or 3 U+ 1 S = 4 or 3 U+
1M=4
2nd example: If you have completed 3 years bachelor/undergraduate, 2 years Master
& you are currently enrolled in the 1st year Doctorate 3 U+ 2 M + 1 D = 6
B-A11 Are you following a double degree? [If “yes”, please give details below] (please tick) Yes No
-Details of double degree, if applicable:
B-A12 Have you already been awarded one or more degrees in another field of study?
[If “yes”, please include details in your CV]
(please tick) Yes No
- More information
B-A13 When did you first enrol at the University? / (mm/ yy)
B-A14 Did you enrol immediately after high school? (please tick) Yes No
B-A15 If not, why not?
B-A16 Have you interrupted your university studies for one/more year(s)? (please tick) Yes No
B-A17 If yes, for how many years? And why?
B-A18 Give details of additional academic results if relevant
B-A19 Course project or thesis at university/college (describe briefly in non-specialist language, indicating your key
contributions and ideas)
B-B OTHER TECHNICAL COURSES
Dates: from… to... Certificates/qualifications obtained (give grades) If none, leave blank
B-C SCHOOLS (from secondary education on)
Dates: from… to… Relevant examinations /courses taken (baccalaureate, etc.). Give final grades.
B-D SCHOLARSHIPS
Detail any scholarships, prizes, papers published. Please attach list of publications if insufficient space. If none, leave blank
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C WORK EXPERIENCE
List in chronological order any employment ( temporary, permanent, voluntary work etc ). Include military service, if applicable.
If none, leave blank
Employer Dates: from… Type of work - job title Achievements
to…
D PRACTICAL SKILLS
Do you have any hands-on practical experience, linked to your field of studies?
(e.g. electrical/electronic hardware, mechanical equipment, computer systems, …). Please detail. If none, leave blank
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H CONTACT DETAILS
H-A APPLICANT Current
H-A1 Address (+ postal code) ______________________________________
H-A2 Tel.: country code: 00 area code (0) number
H-A3 Mobile tel.: country code: 00 number
Permanent
H-A4Address (+ postal code) ______________________________________
H-A5 Tel.: country code: 00 area code (0) number
H-A6 e-mail: ______________________________________
H-B INTERNATIONAL H-B1 Name of person in charge: _________________________
RELATIONS OFFICE H-B2 His/her tel. no.: country code: 00 area code (0) number
of your University H-B3 His/her fax no.: country code: 00 area code (0) number
H-B4 His/her e-mail: ______________________________________
H-B5 Address of the office: __________________________________
H-C PROFESSOR H-C1 His/her name: ______________________________________
who will write your H-C2 His/her tel. no.: country code: 00 area code (0) number
letter of H-C3 His/her fax no.: country code: 00 area code (0) number
recommendation H-C4 His/her e-mail: ______________________________________
ii IMPORTANT NOTICES
i-1 - Deposit required (will be refunded at the end of the programme). If accepted by a host company, you will be
required to transfer a deposit (€ 200) to the EU-Japan Centre for Industrial Cooperation in Brussels. The deposit will be
refunded in autumn 2019, after full completion of the programme. In case of your withdrawal, the deposit will be forfeited.
i-2 - Thesis work cannot be based on traineeship work. It is not permitted to use/include your work at the Japanese
host company in a University thesis or equivalent. Please indicate if you accept this condition.
i-3 - Your graduation date. The Vulcanus programme must be attended in full (end of August 2018–beginning of
September 2019). Should your graduation date be fixed during this period you accept to postpone it until after your return
from Japan.
i-4 - Each application is considered separately. If you are applying together with a friend, should (s)he not be accepted,
do you still wish to take part ?
i-5 - No assistance or facilities are provided to friends or family members wishing to stay in Japan.
i-6 - Total commitment to Vulcanus from 1 st March to 1 st June 2018
You will be informed of the results of the short-listing at the end of February. If short-listed, you will be asked to give your
agreement for your file to be sent to compatible Japanese companies, which might choose you. The matching process will
be over no later than the beginning of June. Should your application be accepted by a company by this time, do you commit
yourself to Vulcanus over any alternative plans? (Failure to respect such a commitment would be unacceptable for the
Japanese business mentality and might result in the company refusing to accept students in the future).
Should you be accepted, you will be asked to give a similar commitment for the duration of the programme.
(please tick) I ACCEPT ALL THE ABOVE NOTICES
i-7 – Does your personality suit Vulcanus?
Whilst nearly all participants find Vulcanus a rewarding and enriching experience, it can at times prove stressful (due to
loneliness, cultural differences, work pressures, etc.). Before you submit this application, please think very carefully whether
you can deal with the challenges you might face. (please tick) I HAVE READ AND UNDERSTOOD THIS
WARNING
APPROVAL OF APPLICATION BY THE APPLICANT: I, the undersigned, declare that the information provided in this
application is to the best of my knowledge true and complete. I realise that any false statement or omission, even if
unintended on my part, may lead to the refusal of my application. If selected, I commit myself to attend the entire course,
without missing a single activity. (please tick) YES
I HAVE DULY SUBMITTED THE ONLINE FORM WITH MY PEROSNAL DATA (COMPULSORY DOC N°10 ) (please tick) YES
I hereby acknowledge my full understanding of the data protection policy of the EU-Japan Centre.
(see https://www.eu-japan.eu/sites/default/files/imce/vulcanus_japan/disclaimer_vj_AF18.pdf) (please tick) YES
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i-8 Date: / / i-9 Signature (full name): __________________________________
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