MEXICAN GOVERNMENT SCHOLARSHIP PROGRAM FOR INTERNATIONAL
STUDENTS
FOTO
PERSONAL INFORMATION
Name:
Paternal Last Name
Sex:
(F)
Maternal Last Name
(M)
First Name(s)
Date of Birth:
Day
/
Month
Year
Nationality:
Marital Status: Single ( ) Married ( )
Name of Spouse (husband/wife):
Address:
Street Address
City
State/Province
Country
Telephone number (with country code):
Zip Code
Office Tel.:
Email*:
Passport
No.
____________________________________________________________
____________________________________________________________
____
Blood
Type:
____________________________________________________________
____________________________________________________________
_____
*The Foreign Ministry may contact you officially by email.
Have you ever received a Mexican Government scholarship?
Yes ( )
No ( )
-FAVOR DE LLENAR A MQUINA O COMPUTADORA. NO SE RECIBIRN MANUSCRITOS.
EN CASO DE QUE ESTE FORMULARIO SEA ALTERADO, LA POSTULACIN SER ANULADA AUTOMTICAMENTE-
2015 Mexican Government Scholarships for International
Students
program:
Date and length of scholarship:
________
Activity
or
ACADEMIC PROGRAM IN MEXICO
Complete name of the undergraduate, graduate or research program for which the scholarship is
requested:
_
__________________________________
Institution:
Level of studies:
Program start date:
/
Day
Program end date:
Month Year
______
/
Day
Month
Year
If you have already started the program:
Start date:
Current academic year:
____________
Current GPA/Other evaluations:
Period for which the scholarship is requested:
Supporting documentation must be attached.
ACADEMIC CONTACT AT THE MEXICAN INSTITUTION
Name:
Institution:
Position:
Telephone:
Email:
Do you have another scholarship for the same program? Yes (
If yes, from which institution?:
____________
)
No (
Period Covered:
Type of assistance:
ACADEMIC INFORMATION
Bachelors degree:
Grade Point Average (GPA):
APPLICATION MUST BE TYPED (TYPEWRITER OR COMPUTER). HANDWRITTEN APPLICATIONS WILL NOT BE ACCEPTED.
ANY ALTERATIONS TO THE APPLICATION WILL RENDER IT NULL AND VOID.
Institution:
2015 Mexican Government Scholarships for International
Students
Start and end dates: ____________
City and country:
Masters degree:
GPA:
____________
Institution:
Start and end dates: ____________
City and country:
Doctorate:
GPA:
Institution:
Start and end dates:
City and country:
Note: A GPA of 8/10 for the most recent degree is required. If on a different scale, submit its
equivalent on a 0 to 10 scale.
Languages
Native language:
Other languages:
__________________________________
EMPLOYMENT BACKGROUND
Current employment:
Institution or company:
Position:
Start date:
Previous employment:
Institution or company:
Position:
Start date:
______
_______
TEACHING OR RESEARCH ACTIVITIES
Indicate your teaching and/or research activities, with institution(s) and dates:
Recent Publications
Titles of your most recent publications related to the planned activity (5 maximum):
APPLICATION MUST BE TYPED (TYPEWRITER OR COMPUTER). HANDWRITTEN APPLICATIONS WILL NOT BE ACCEPTED.
ANY ALTERATIONS TO THE APPLICATION WILL RENDER IT NULL AND VOID.
2015 Mexican Government Scholarships for International
Students
HONORS, AWARDS AND SCHOLARSHIPS
Honors and awards received:
____________
National and international scholarships for studies or research. Indicate the granting institution,
country in which the activity was conducted and start and end dates:
EMERGENCY CONTACT
Notify:
Relationship:
Telephone (include country and area codes):
Email:
Address:
Country:
Fax:
CONSENT
I accept the terms and conditions of the 2015 Mexican Government Scholarship Program
for International Students.
Signature of applicant
Place and date
Important Note: The information contained in this application will be verified by the
Foreign Ministry. Giving false information will be grounds for canceling the application.
APPLICATION MUST BE TYPED (TYPEWRITER OR COMPUTER). HANDWRITTEN APPLICATIONS WILL NOT BE ACCEPTED.
ANY ALTERATIONS TO THE APPLICATION WILL RENDER IT NULL AND VOID.
