APPLICATION FORM AMSTERDAM MERIT SCHOLARSHIP (AMS)

FIRST NAME(S): ………………………………………………………………………………………….………………………………………………………..

FAMILY NAME: ……………………………………………………………………………………………. ……………………………………………………..

GENDER: O FEMALE O MALE

DATE (DD/MM/YYYY), COUNTRY AND PLACE OF BIRTH: …………………………………………………………………….………..………

NATIONALITY: ……………………………………………………………………………………………………………………………………………………..

PHONE NUMBER (INCLUDING LAND CODE):..………………………………………………………………………………………………………

E-MAIL: ……………………………………………………………………………………………………… ………………………………………………………..

I HAVE APPLIED FOR:

O RESEARCH MASTER
O ERASMUS MUNDUS MASTER'S IN JOURNALISM, MEDIA AND GLOBALISATION
O CORPORATE COMMUNICATION
O PERSUASIVE COMMUNICATION
O POLITICAL COMMUNICATION
O ENTERTAINMENT COMMUNICATION

CURRENT/MOST RECENT HIGHER EDUCATION:

PRINCIPAL/MAJOR SUBJECT OF STUDY: ………………………………………………………………..…………………………………………….

TITLE OF DEGREE/DIPLOMA: O Bachelor of Science (B.Sc.) O Bachelor of Arts (B.A.)

O Master of Science (M.Sc.) O Master of Arts (M.A.) O Other, name ly: ……………………………………………………………..

UNIVERSITY/INSTITUTE WHERE THE DEGREE WAS OBTAINED: …………………………………………………………………………..

ATTENDED FROM (day/month/year): ………………………………………………………………………………………………………………….

DATE OF (expected) GRADUATION: ………………………………………………………………………….………………………………………….

GPA (as stated in the grade list): ………………

CHECKLIST Please check the documents included in your application, and please sort in this order:
 Application form Amsterdam Merit Scholarship (this form)
 A statement educational institute of you belonging to the top 10% (or ranking) of the graduates from
your class signed by the examinations board or dean.
 Copies of higher education diplomas AND grade transcripts (include a certified translations if the
language is any other than Dutch, English, German or French).
 English language test score (may be sent directly to us by the testing organization)
 Statement of motivation
 Curriculum vitae
 One or two letter(s) of recommendation; written by a dean, teacher or academic supervisor
 Description of extracurricular activities
Comments to the checklist (please clarify if one or more of the requested documents are not included):

…………………………………………………………………………………………………………………………………………………………………………….
DECLARATION AND SIGNATURE:
I declare that the information provided by me is correct and complete. I understand that incomplete
information will delay the application process and I accept that incorrect information will render the
application invalid. I authorize the Admission’s Office to verify my documents.

DATE: (day/month/year): ………………………………………………PLACE & COUNTRY:…………………………………………………….

SIGNATURE: ……………………………………………………………………………………………………………………………………………………….

Please send your AMS application to:

The graduate School of Communication

Admissions Office (C7.02)
Postbus 15796
1001 NG Amsterdam
The Netherlands

Please note: You are only eligible for the Amsterdam Merit Scholarship if you have been accepted to one of
the Master’s programmes of the Graduate School of Communication Science. Therefore we advise you to
apply for the AMS and (Research) Master's programme simultaneously. Make sure that you meet the
deadline of 15 January. More information on how to apply for the Master’s programme can be found on our
website: http://gsc.uva.nl/. Also the AMS is awarded once a year to new Master’s students that start in
September. If you would like to be qualified for the AMS, you need to apply for the September semester.
Incomplete applications will not be taken into consideration.

Thank you for your application to our School. We will confirm the receipt of your application materials via E-
mail as soon they arrive.

Please print this form two-sided