5-YEAR AERONAUTICAL ENGINEERING PROGRAM

1st YEAR FREE MOVER APPLICATION

2024-2025

If filled by hand, this form should be completed in black and capital letters.

STUDENT PERSONAL DATA (to be completed by the applying student)

Family name

First name(s)

Gender ☐ Female ☐ Male

Date of birth (DD/MM/YYYY)

Place of Birth

Nationality

Current address

Permanent address (if different)

Phone number (with area code)

E-mail address

Last Diploma/Degree obtained

Number of higher education study

years prior to departure abroad
Disability ☐ Yes ☐ No
If yes, please indicate your
disability

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LANGUAGES COMPETENCES

Mother tongue:

You are currently studying this You have sufficient knowledge to

Other languages (Estimated) Level language follow lectures
Yes No Yes No

English

French
Other:

PREVIOUS HIGHER EDUCATION

Year High School Field of Study Diploma Obtained

EXTRACURRICULAR EXPERIENCE (projects, volunteering etc.)

Year Association Position Missions

STUDENT’S DECLARATION
I hereby declare that the information provided above is accurate and that, if accepted, I will abide by the rules
and regulations of IPSA.

Student’ signature: Date:

……………….……../…………………………/…………………………..

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DOCUMENTS REQUIRED IN ORDER TO COMPLETE THE APPLICATION

Application deadline: May 31st, 2024

This application form must be sent by e-mail to freemover@ipsa.fr with the required documents listed below. To be
accepted, your admission should gather all the following documents in a single PDF file.

☐ Curriculum Vitae

☐ Official High school transcript of records

☐ Copy of high school diploma (if you already graduated)

☐ 2 letters of recommendation

☐ Copy of passport

☐ TOEFL 79; TOEIC 785; IELTS 5,5; Cambridge Linguaskill record results or medium of instruction certificate

☐ ID photo

☐ Statement of purpose

☒ A proof of payment of €110 for application expenses, by bank transfer. These charges will not be
refunded under any circumstances, even if your application is unsuccessful.

IPSA BANK DATA

Bank: BNP PARIBAS

Account holder: INSTITUT POLYTECHNIQUE DES SCIENCES AVANCEES
BIC Code: BNPAFRPPXXX
IBAN: FR76 3000 4025 1100 0114 9170 568
Reference: Free Mover / Student name

The admission is based on application file and an interview