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.