SUMMARY SHEET

(you should download, fill in, sign and upload this form)

Name: Surname:

Date of birth: Gender:

Nationality:

BACHELOR DEGREE (MANDATORY TO BE OBTAINED WITHIN JULY 31, 2024)

 Automation Engineering  Environmental Engineering

 Chemical Engineering  Industrial Engineering
 Civil Engineering  Management Engineering
 Computer Science Engineering  Materials Engineering
 Electrical Engineering  Mechanical Engineering
 Electronics Engineering  Telecommunication Engineering
 Other (please specify):

 Date of BCs achievement (if already obtained) Grade: out of

 Expected in the date (if still not graduated)

 Grade Point Average (GPA) out of

COURSES ATTENTED IN AUTOMATION FIELD (e.g., Analysis of linear systems, Automatic control,
Feedback control systems, …)

 subject CFU
 subject CFU
 subject CFU

MASTER DEGREE(OPTIONAL)

 Yes, in
 No

REFERENCE LETTER (MAX 2)

 Yes
 No
MOTIVATION LETTER

 Yes
 No

CURRICULUM VITAE

 Yes
 No

ENGLISH LANGUAGE CERTIFICATE

 IELTS, score:
 TOEFL, score:
 Cambridge ESOL, level:
 Declaration from the University where the Bachelor’s or Master’s degree was achieved stating the
official language of the course was English
 Declaration to be a citizen of an English speaking country

Signature