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INSCRIPTION FORM FOR THE ENGINEERING TRAINING

  This inscription form concerns students wishing to study:
- under the student status in French
- under the student status in English
- under the apprenticeship status in French
  

     Educational training in partnership with:             CIRFAP             IFAIP             CFA TEXTILE REGIONAL



 Civil status of applicant 
Name:
  *
First name:
   *
Civility:
Madame Monsieur

Date of Birth (Day/Month/Year) :
  *
Town of Birth:
  *
(for applicants born outside of France, mark down “Not listed”)
Department :
  *
Country:
  *
Nationality:
  *

 Contact details of the applicant 
Tel1 (mobile number prefered):
  *
Tel2 (mobile number prefered):
Email:
  *
Email (control):
  *

 Schooling    *
Baccalaureate Specialisation:
  *
(for students who do not have a French Baccalaureate High School Diploma, please put Other)
With Honours:
  *
Year:
  *
N° INE:
  *
Note: If you don't have a French diploma, you should fill this item with 9999999

 Educational training followed before applying to ITECH     *
Last institution:
  *
(for foreign students, please put down FOREIGN DEGREE)

 Institutions attended 
School Year Institutions attended Precisions if necessary
Current Year (n)
Year (n-1)
Year (n-2)
Year (n-3)
Year (n-4)

 Languages 
Language Leve Years of practice
French
English

 Administrative information 
I am applying to ITECH:
   *
In 1st Year Engineering (I’m currently in my last year of undergraduate studies)
In 2nd Year Engineering (I’m currently in my 4th Year of University studies)

I’m potentially interested by (answer needed for all 3 statements):
   *
Yes No
Courses in French under the student status
Yes No
Courses in English under the student status
Yes No
Student apprenticeship (only for 1st Year entry and for applicants under 26 years of age, of European nationality or who have a working permit in France)


Interviews:
By doing this pre-inscription, you will be summoned to a motivational interview between 21 and 28 of June.




 Complementary information that you wish to tell us about. 
  You are having trouble filling in this form or you have question?
  Please leave a message in the box below:

* Information requise