REGISTO DE ENTRADA NOS SERVIÇOS Nº _________Liv _________P _________
Data _______/________/______ 2010
MA PROGRAM IN COGNITIVE SCIENCE ADMISSION FORM
To the MA Program Coordination in Cognitive Science
Name _____________________________________________________________________________________
Parents Names: _________________________________________________ and ________________________
__________________________________________________.
IRS Number _________________________
Date of birth ___ / ___ / ___ Birth place _______________________ Nationality _________________________
Identification (ID card / Passport) nº ______________ Issue Date ___/___/___, Issued by _________________
__________________________________________________
Full Address _______________________________________________________________________________.
__________________________________________________________________________________________
Phone Number ___________________________________________________________
Email address ____________________________________________
Graduation degree: Area ____________________________, University ________________________________, Classification ______.
Timetable Preference: Day ___ After working hours ___ No preference ___
Having taken note of the modalities and operating conditions of the MA Program, I request my admission to the Ma Program in Cognitive Science.
Lisbon, _______________________________________ <date>.
__________________________________________________________________________________________
(Signature)
Annexes:
• Document certifying that the applicant meets the admission requirements established by the MA Program Coordination.
• Photocopy of ID card / Passport.
• Up-to-date curriculum vitae.
• Scientific domain to be researched, with a broad indication of the goals aimed at.
• The committee may request confirmation of the curriculum vitae elements considered relevant to the application evaluation.
__________________________________________________________________________________________
Conferi em ____/_____/______ Assinatura:___________________________
