Masters Programme in Informatics for Climate Change

Eligible Countries:, Benin, Burkina Faso, Cape-Verde, Côte d'Ivoire, Gambia, Ghana, Recent
Mali, Niger, Nigeria , Sénégal, and Togo Passport
Photograph
Application Form
Master Research Program on Informatics for Climate Change
Université Joseph KI-ZERBO, Ouagadougou
1. Personal data

Last name (Family): ……………................…………………………………………….................................

First name(s): …………………………………………………………………………………………………
Gender: Female Male
Date and place of birth (dd/mm/yy): ………………………………………………………………………..
Nationality: …………………………………………………………………………………………………....
Marital status: …………………………Number and age of children: …………………………………..
Country of residence: ………………………Permanent home address (compulsory; preferably with
street name and house number) ……………………………………………………………………………...
…………………………………………………………………………………………………………………..
Telephone numbers (compulsory): ………………………………………………………………………….
Primary email address (compulsory): ……………………………………………………………………...
Skype address (compulsory) …………………………………………………………………………………
Name of contact person (for emergencies) name: …………………………………………………………
GSM number(s): ………………………………………………………………………………………………
Email / Skype address: ………………..............................................................................................................

West African Science Service Centre on Climate Change and Adapted Land Use (WASCAL) Masters Research
Programme, Université Joseph KI-Zerbo, Ouagadougou, Burkina Faso
Website: www.wascal.org /www.ujkz.bf
E-mail: mrp.informcc@gmail.com; capacitybp@wascal.org

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2. Secondary/Post primary education and certificates obtained (e.g. WASSCE, SSCE,
Baccalaureate or equivalent).

Secondary/Post primary school Period of attendance Title and grade of Date

attended in years certificate obtained qualification
was obtained

Details of secondary/high school result e.g. WASSCE, SSCE, Others (for anglophone countries only)
The candidate must have, at least, five credits in relevant “O” level Science subjects (e.g. Physics,
Mathematics, Geography, Economics, Chemistry and Biology or Agricultural Sciences) including English
Language in not more than two sittings.

Examination type (WASSCE or SSCE):

Subject Grade Year of examination

West African Science Service Centre on Climate Change and Adapted Land Use (WASCAL) Masters Research
Programme, Université Joseph KI-Zerbo, Ouagadougou, Burkina Faso
Website: www.wascal.org /www.ujkz.bf
E-mail: mrp.informcc@gmail.com; capacitybp@wascal.org

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 Details of notes report {Relevés de Notes Baccalauréat d’enseignement secondaire} (for francophone
countries only)
Only candidates with Baccalaureat C, D, H, F1, F2, F3, E or equivalent are suitable for consideration.

Épreuves Notes sur 20 Coeff Points

obtenus

Total des points

Moyenne générale

Décision du jury

Mention

3. University education
Universities attended Year of attendance Qualification obtained Date of qualification obtained
Title of degree awarded and grade

Candidates must have a minimum BSc degree (second class upper division) or equivalent in Social, Physical and
Natural Sciences and Engineering (Computer Science, Physics, Meteorology and Climate Science, Geography,
Geoscience, Economics, Agriculture, Mathematics, Statistics, Computer Engineering, Electrical or Electronic
Engineering).

West African Science Service Centre on Climate Change and Adapted Land Use (WASCAL) Masters Research
Programme, Université Joseph KI-Zerbo, Ouagadougou, Burkina Faso
Website: www.wascal.org /www.ujkz.bf
E-mail: mrp.informcc@gmail.com; capacitybp@wascal.org

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Name of first degree: ………………………………………………………………………………………...

Subject (course) studied: …………………………………………………………………………………….

Title of dissertation: ……………..……………………………………………………………………………

…………………………………………………………………………………………………………………..

…………………………………………………………………………………………………………………..

Period of study: from ……………………………………….. to ………………………………………….

4. Language skills
Please indicate using abbreviation L, I or A (L=Low; I=Intermediate; A=Advanced). For applicants from
francophone countries possessing TOEFL certificate will be an added advantage.

Notation Reading Writing Speaking

Languages L I A L I A L M A
English
French
Others

5. Computer skills
Power Others (specify)
Word Excel Point SPSS

Beginner
Working
knowledge
Advanced

6. Employment record
Name and address of two previous employers Dates of employment Position held
(please start with your most recent
employment)

West African Science Service Centre on Climate Change and Adapted Land Use (WASCAL) Masters Research
Programme, Université Joseph KI-Zerbo, Ouagadougou, Burkina Faso
Website: www.wascal.org /www.ujkz.bf
E-mail: mrp.informcc@gmail.com; capacitybp@wascal.org

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7. Letter of motivation
Personal statement should include the student’s academic and personal qualities as well as his/her interests
in research in the area of Informatics for Climate Change.

8. Application supporting documents

(All relevant documents must be sent for the applicant to be considered for admission)
✓ Filled application form
✓ Copy of academic degree (B.Sc or equivalent)
✓ B.Sc Official Transcript or equivalent
✓ Detailed Curriculum Vitae
✓ WASSCE or SSCE Certificate (Anglophone Countries)
✓ Baccalaureat Certificate (Francophone countries)
✓ Letter of motivation
✓ Letter from the Head of Department in the University where the applicant obtained
his/her First Degree with detailed contact address and phone number (s)
✓ Support letter from employer (if employed) granting study leave for the two (2) year
duration of the programme
✓ Copy of Certificate of Nationality or State of Origin
✓ A copy of English proficiency test or, in alternative, a statement indicating and
justifying your self-assessment in the context of English proficiency.
✓ Research pre-proposal or description of research interest (max. 2 pages)
✓ Recommendation letters from two (02) referees, one of whom must be his/her First-
Degree supervisor. If employed, the second letter must come from the immediate
supervisor/boss in his/her work. The letters must contain detailed functional contact
addresses (e-mail, skype and postal etc) and telephone numbers of the referees
Female candidates are encouraged to apply.
All required documents are to be scanned into Pdf submitted along with the application to the following addresses :
capacitybp@wascal.org ; mrp.informcc@gmail.com

I confirm to the best of my knowledge that the information given in this form is true.

Date:…………/…………/ 2021 Signature: ………………………….

APPLICATION DEADLINE : June 30, 2021

• Application is on line. Applicants are to download, fill the forms and send it on-line by email to
mrp.informcc@gmail.com ; and copy capacitybp@wascal.org
• ALL necessary credentials MUST be submitted as pdf files along with the filled application forms
(each document must be attached individually as a single file)
• Ineligible or incomplete application forms WILL NOT be processed
• ONLY successful applicants will be contacted

West African Science Service Centre on Climate Change and Adapted Land Use (WASCAL) Masters Research
Programme, Université Joseph KI-Zerbo, Ouagadougou, Burkina Faso
Website: www.wascal.org /www.ujkz.bf
E-mail: mrp.informcc@gmail.com; capacitybp@wascal.org

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