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SISTER CITIESMONTPELLIER LOUISVILLE
The Montpellier-Louisville Intercultural Exchange (MLIE) 2020
PERSONAL INFORMATION
Last Name:.First Name:
Date of Birth (Month/Day/Year):
Sex: Male Female
Address:. ..
Home Phone: ...
Cell Phone:
Email: @ .........................
City of Birth: Country of Birth:
Nationality:.......
Country of Citizenship: Country of Permanent residence:
Marital status ( married ( single ( others
Parents:
NameAddressHome phoneCell PhoneEmailProfession
Comments: (allergies, prescriptions) ............................................
EDUCATIONAL INFORMATION:
Name of Institution: (address, phone number)
........................................................................................................................................................................................................................................................................................................................................
Description of Program of Studies:
Level of Studies: .
Specialization: ..Career Goals: ..
Student receiving a scholarship ( yes ( no
LANGUAGE SKILLS:
(Check the box that corresponds with your level of language in each category. Attach any documents supporting your language skills: recent report card, certificate of language course completion, etc.)
EnglishOther:Other:ReadingWritingSpeakingReadingWritingSpeakingReadingWritingSpeakingExcellentGoodAverageBelow Average
Stay abroad:
(Indicate the country, length of stay, and reason for travel: tourism, study abroad, etc.)
WORK EXPERIENCE AND VOLUNTARY SERVICE
Employment: (current or past: summer jobs, internships, etc.)
Voluntary Service:
Skills Assessment:
Please indicate your knowledge of and interest in the following:
ExperienceInterestYES (elaborate)NOYESNOTypingOffice workComputersWord processingAccountingTranslationCoordinating activitiesChild careTourismBusinessFood industryAthleticsOthers :
Have you applied to this program before? ____ if so, how many times? ____
PERSONAL STATEMENT
In English, please describe what you hope to gain from the program and discuss your career goals.
Host Families:
The American students who are hosted in Montpellier as part of the exchange live in the university dormitories. They would like to come into contact with French families willing to host them some evenings and/or weekends (not necessarily overnight).
Would your family be willing to be a host family? (Circle your response)
YES NO
Agreement (Parents only)
I, _________________________, agree to host an American student, participating in the Sister City Montpellier-Louisville program, in our family for some evenings and/or weekends during the month of July 2020 in exchange for the selection of my child as a participant in the program.
The students name will be provided in June.
_________________________________________ ____________________________
Signature Date
I certify that this information provided in this application is true and correct and I do recognize and accept the conditions of the exchange (conditions subject to change).
If selected, I agree to participate in pre-departure meetings, according to the conditions defined by the two sister cities and if I withdraw from the program, I will inform the City of Montpellier by no later than February 15, 2020.
Signature Date
Submit this form to:
Direction des Relations Internationales de la Ville de Montpellier
Maison des Relations Internationales Nelson-Mandela
Esplanade Charles de Gaulle (across from Le Corum)
Monday to Friday 9.00 am 12.00 pm/ 14.00 pm 17.00 pm
Mailing address: Mairie de Montpellier, Direction des Relations Internationales,
1 place Georges Frche, 34267 Montpellier cedex 2
By email: HYPERLINK "mailto:Beatrice.COLOMBIER@ville-montpellier.fr" Beatrice.COLOMBIER@ville-montpellier.fr
With the following documents:
-2 photos
-Registration at university or a copy of student card
- Transcript of your grades in English
-Copy of valid passport or proof that it is being processed
- Personal statement: In English, please describe what you hope to gain from the program and discuss your career goals
- Student scholarship certificate
SISTER CITIESMONTPELLIER LOUISVILLE
STUDENT WORK EXCHANGE PROGRAM
OVERVIEWS OF THE PROGRAM
As part of the partnership with Louisville, Kentucky, USA, Montpellier offers its students to discover its sister city during the summer break and to gain work experience in an American company.
REGISTRATION
Students may apply at the Office of International Relations to the following address until February 15 2020.
Address: Direction des Relations internationales, Maison des Relations Internationales Nelson-Mandela Esplanade Charles de Gaulle
Office hours: Monday to Friday: 9.00 am 12. pm/ 14.00 pm 17.00 pm
Phone: 04 67 34 87 72 / 04.67.13.64.36
Email: HYPERLINK "mailto:Beatrice.COLOMBIER@ville-montpellier.fr" Beatrice.COLOMBIER@ville-montpellier.fr
APPLICATION REQUIREMENTS
This program is open to French students, at least 18 years old, who are currently enrolled at a university in Montpellier.
SELECTION
Selection is based on university requirements and other criteria:
University representatives are asked to determine the quality of the candidate applications. Second and third year students will be given priority over first year students.
Evidence of student motivation is highly considered, professional and personal project (previous applications, participation of families as host families in the program, etc.), as well as work experience and English skills.
The group will consist of about nine students. There will also be a waiting list, in the event that a participant requests to withdraw from the program.
The Committees decision is final and will be mailed to each candidate in February.
TRAVEL ARRANGEMENTS
Selected students must participate in pre-departure meetings organized by the director of the program who helps them prepare for their trip. They will also have the opportunity to meet former students.
Students are responsible for expenses such as plane tickets, passport, visa*, insurance, accommodation, etc. The Department of International Relations is in charge of coordinating the group and making the necessary arrangements in Louisville for the students arrival (room reservations, contacting companies, host families, etc.)
* The city of Montpellier is not responsible for issuing visas US Embassy
LENGTH OF STAY
Students stay in Louisville for four weeks in July. Extending the length of stay for independent travel is possible, but in this case students will not be provided with program benefits.
WORKING CONDITIONS
The Montpellier students participating in the program are hired to work for 25 hours a weeks in an American organization.
Students wont be paid because the program is an intership.
ACCOMMODATION
Students will be living in host families and responsible for paying for accommodation and 1 lunch a day.
PAGE
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