Tss 2011 Application Form Template
Tss 2011 Application Form Template
Universit Total is inviting 140 students from around the world to take part in a
weeklong summer school session to analyze and discuss major energy issues and
challenges, alongside key managers and a number of experts from science and
industry.
The fifth session of the Total Summer School will be held in July 2011, near Paris,
France.
The working language will be English.
The Total Summer School is intended for students who are about to start their final
year of study before graduation at the top schools, universities and educational
institutions in our main partner countries.
Participants will focus on five key issues and challenges facing international oil and
chemical companies:
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Economic: Is the global tension between energy supply and demand here to stay?
Geopolitical: What are the main causes of uncertainty and tension and how can they be
alleviated?
Social and managerial responsibility: How can our ethical and managerial values be
made compatible with the wide diversity of countries, people and situations?
These topics will be addressed at round tables and in presentations and workshops.
In smaller workshops, students will be able to contribute actively to the program, share ideas,
express their views and ask questions about the main topics of the seminar
During the summer school, students will be able to take advantage of cultural opportunities in
Chantilly.
Universit Total and the Total subsidiaries taking part in the Summer School are financing
transportation, accommodation and meals for the participating students.
A detailed program will be sent to the successful applicants in Spring 2011.
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1. Personal Details
Surname ...........................................
First name (s) .................................
Date of birth (d/m/y) ..........................
Nationality ......................................
Gender ..............................................
Home address:
- Street ........................................................................................................................
- Postal or zip code .....................................................................................................
- City ............................................................................................................................
- Country (country code) ..............................................................................................
Home telephone ................................
Cell phone ......................................
E-mail address ..................................
Have you been to France previously? Yes
No:
If yes, please specify the year and length of your stay .............................................
2. University Details
Name ...........................................................................................................................
Address .......................................................................................................................
- Street ........................................................................................................................
- Postal or zip code .....................................................................................................
- City ............................................................................................................................
- Country .....................................................................................................................
Telephone (switchboard) ............................................................................................
Academic supervisor ..........................
Telephone ......................................
..................................................................
E-mail address ............................................................................................................
Mother tongue:
Level of English (written and spoken) Fluent:
Intermediate:
Intermediate:
Fluent:
Yes
What grade did you obtain?
beginner:
No:
Previous diplomas/qualifications *:
Year ..................................................................................................................................
Year ..................................................................................................................................
Year ..................................................................................................................................
Internships * (short description) :
Year/Field/Company..........................................................................................................
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Year/Field/Company..........................................................................................................
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Year/Field/Company..........................................................................................................
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Year/Field/Company..........................................................................................................
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Year/Field/Company..........................................................................................................
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5. Other Interests
Other interests
C) Weekend in Paris: After the seminar, do you want to stay the following weekend (July 4 & 5)
Yes:
No:
Please note that this stay is not technically part of the Summer School. To make it easier for
you, Universit Total will reserve and pay for your lodging in the city. Visits are on your own.
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10. Persons to contact in case of problem (Name, address, telephone, email)
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