Joint Master's Degree in Sustainable and Resilient Pavement Engineering (SURPAVE)

A. Personal Information

First name *

Family name *

Nationality *

Gender *

Date of birth (dd/mm/yyyy) *

Place of birth *

Country *

Mobile phone *

Email address *

Home address

Street *

N° *

Postal code *

City *

Country *

Is your current address different from your home address? *

yes

Are you a non-EU candidate currently living in E.U.? *

yes

B. What path of study would you like to undertake in the 2nd semester ?

Please rank by order of preference the three (3) options related to the different course paths in semester 2 *
First choice
Please select *

Second choice
Please select *

Third choice
Please select *

Please motivate your preference in max 500 words *

If you are interested in language courses, please specify the desired optional language courses you want to take *
For EMJM Scholarship holders a maximum of 300€/student is foreseen to co-finance a language course, under the condition that the student passes the language exam.

Dutch

Italian

Portuguese

Hindi

Other

None

C. Higher Education (university or non-university): Degrees obtained after secondary school education. Please replicate if necessary

1. Exact Degree Title *

Date of starting the degree *

Date of obtaining the degree (expected date if degree still ongoing) *

Normal duration of studies (in years/semesters & credits) *

Check as applicable *

Full time studies

Part-time studies

Reason for not completing the degree on time (leave empty if not applicable)

Institution
Website address *

Final grade *

Did you do graduation work/a thesis? *

Yes

Did you do an internship? *

Yes

Do you want to add a degree? *

Yes

D. Learning activities during and after University/higher education (apart from higher education degrees above)

Period: from (mm/yyyy) – to (mm/yyyy)

Studies or other learning activities

Name of institution

Results achieved

succes

failure

succes

failure

succes

failure

E. Work experience, including internships during studies. Please note that, in order to be considered in the evaluation of your application, a work experience/internship must be supported by relevant documents and/or certificates, and appended to your application

Period: from (mm/yyyy) – to (mm/yyyy)	Percentage of occupation (full-time: 100%). This shall appear on the supporting documents.	Type of activity and position (internship, job, volunteering, ...)	Facility/employer name and location

F. Language skills

Dutch *

Italian *

Portuguese *

Hindi *

English *

Other

G. Scientific publications

Yes

H. Special Needs

Please indicate whether you have individual needs because of e.g. long-term physical, mental, intellectual or sensory impairments, such as those related to the acquisition of special items or services (e.g. assistance by third persons, adaptation of work environment, additional travel/transportation costs).

Yes

I. How were you informed about the programme?

Website

Home university

Education fair

Social media

Other

J. Scholarship

Are you applying for an Erasmus Mundus scholarship? *

Yes

I certify on my honour that this information is accurate and complete and that I have not been to any other institution than those mentioned on this form.

Under the terms of the General Data Protection Regulation, I consent to the SURPAVE Consortium securely and confidentially processing the personal data provided by me in this application form and the accompanying documents for the purpose of administering my student application form.

K. Attachments

Please attach the following documents: Please note! Only one file per category can be uploaded. If necessary, create a zip file. Keep the files as small as possible. The total size of the files must not exceed 3 MB.

Motivation letter (1-page) explaining your motivation to apply for SURPAVE and how you see your future path. *

For non-native speakers: Proof of sufficient knowledge of the English language: test certificate or document provided by the institution in case English was the language of instruction. If you are not able to provide the test certificate by the application deadline, please provide a proof of registration which includes the date of your test. *

CV (Europass template highly recommended, see https://europa.eu/europass/en). *

Copies of awarded degrees. If you are in the last year of your degree (Bachelor or Master) at the time of application, you should provide a document of your institution which certifies that you are in position to obtain the degree and gives the date you will be able to provide copies of your degree certificate and final transcripts of records. Any possible admission to the programme, and/or any scholarship offer, will be conditioned by the reception of these documents before 31st July 2026. *

Copies of academic Transcript of records. If you are in the last year of your current degree at the time of application, you should provide all the available transcripts at that date. *

Copies of professional experience/certificates. *

One recommendation letter (use template website) *

Copy of the identity page of your passport (or ID card for EU applicants). *

Submit

Sofie Krol (sofie.krol@uantwerpen.be) is collecting these personal data for selecting students to the Joint Master's Degree in Sustainable and Resilient Pavement Engineering (SURPAVE). These data will be stored until the graduation of the selected students. If you would like to view, limit, change or remove your personal data, please send an email to the address above. More information about our privacy policy: www.uantwerpen.be/disclaimer.