ALLEGATO 1 / ANNEX 1
UNICORE 4.0 APPLICATION FORM - A.Y. 2022/23
MASTER’S DEGREE PROGRAMME IN INTERNATIONAL MANAGEMENT
Please fill out this application form in capital letters and send it by email only to relint@unimore.it, specifying “Call UNICORE 4.0, First Name, Last Name” in the email’s object

-	PERSONAL INFORMATION
Last Name:…………………………………………………………………………
First Name:……………………………………………………………………………
Gender:………………….
Date of Birth:…………………………………………………………………………
Place of Birth (City, Country):………………………………………………………
Nationality:……………………………………………………………………………
Address: ………………………………………………………………………………
Mobile phone:…………………………………………………………………………
E-mail:…………………………………………………………………………………
Refugee ID card number…………………………………………………………….
Or Ration card number of PoR:………………………………………

-	HAVE YOU APPLIED FOR OTHER UNIVERSITIES? (If you have, please write their names below)
 It is highly recommended to apply for no more than 2 universities that are part of the UNICORE 3.0 initiative. 
1.	________________

-	PERSONAL STATEMENT
Summarize in about 5 lines a presentation of your professional profile, your professional goals, and your motivation.
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-	WORK EXPERIENCE
From……………………………………………………. To………………………………………………………………
Job role: ……………………………………………………………………..…………………………………………….
Company name:………………………………………………………………………………………………..…………
Describe what you were responsible for and what you have done in this role
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From……………………………………………………. To………………………………………………………………
Job role: …………………………………………………………….……………………………………………………..
Company name……………………………………………………………………………………………………………
Describe what you were responsible for and what you have done in this role:
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-	EDUCATION
Bachelor ‘s Degree
	
Graduation date:…………………………………………………………………………………………	
Awarding University:……………………………………………………………………………………	
Complete name of final qualification:…………………………………………………………………
Thesis Title………………………………………………………………………………………………
Final Score:……………………………………………………………………………………………..

High School diploma
Graduation date:……………………………………………………………………………………….
Name of the High School:…………………………………………………………………………….
Complete name of the final qualification:…………………………………………………………..
Final score:…………………………………………………………………………………………….
DO NOT FORGET to attach a scanned copy of your Bachelor’s degree transcript of records to the application	

-	ENGLISH LANGUAGE SKILLS	
           
            Please select your level of English:
□ Mother tongue
□ Elementary
□ Intermediate
□ Advanced	
Please list here the English language certification you have gained (if any) and attach it to the application form, otherwise your skills will be assessed in the interview.
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-	COMPUTER SKILLS
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-	PERSONAL SKILLS
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-	HOBBIES
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I authorise the processing of personal data reported above according to Art. 13 of Legislative Decree 196/2003 and Art. 13 of the GDPR (EU Regulation 2016/679) for the sole purpose of personnel research and selection.  I give consent to publish my refugee ID card number or ration card number of my PoR, instead of my full name, in the ranking of applicants admitted to the project on the website https://www.unimore.it/bandi/StuLau-unicore.html and www.unhcr.it/universitycorridors. 

I hereby declare to accept without reserve all the terms and conditions specified in the UNICORE 4.0 Call for applications for no. 1 study grant and welcome services for refugee students applying for the Master’s Degree Programme in International Management, which is taught entirely in English, at the University of Modena and Reggio Emilia. I also declare that I will inform the University immediately about any changes to the data provided.

Place, Date and Signature