CALL FOR APPLICATION FOR THE MEXICAN GOVERNMENT SCHOLARSHIP PROGRAM FOR

FOREIGNERS 2011

APPLICATION FORM A

FO TO

APPLICANT’S GENERAL INFORMATION

Name: ____________________________________________________________________________________
First Name Last Name Middle Initial

Nationality:_________________________________________________________________________________

Gender: (F) (M) Birthdate: _____/_____/_____

YYYY MM DD
Marital status: Single ( ) Married ( ) Common law ( ) Divorced ( ) other (which one?) _____________________

Permanent home address: _____________________________________________________________________

Number Street District
____________________________________________________________________________________________
City/Town State/Province Country Zip Code
Phone (include country code): _________________________ Office telephone: _________________________
Email: ____________________________________________________________________________________

(*) The SRE may contact you officially by email.

STUDIES TO BE DONE IN MEXICO:

Title of Postgraduate Studies or Research:________________________________________________________

Receiving Academic Institution: _________________________ Degree you are applying for: ________________

Program start date: ___________________________ Program end date: ____________________________

If you have already started your program of study or research degree, please state the start date, progress level
and specific term of the scholarship or grant you are applying for concluding your activities. Attach evidence
documents.
_____________________________________________________________________________________________________

-HANDWRITTING IS NOT ACCEPTED-

 ACADEMIC COORDINATOR, PROFESSOR OR ACADEMIC AUTHORITY YOU HAVE CONTACTED

Name: _____________________________________________________________________________________
Position: ______________________________________ Phone: ______________________________________
Email: _____________________________________________________________________________________
Indicate if you are already have been granted a scholarship to study or perform research for which you applied to
the SRE Scholarship Program Yes ( ) No ( ) and if so, what is the granting institution and what is the term
duration?
____________________________________________________________________________________________

ACADEMIC DETAILS

Bachelor’s degree: ________________________________________ GPA: _______________________________

Institution: _____________________________________________ Start and end year ______________________
City and Country: ___________________________________

Master’s degree or medical specialty or subspecialty: _______________________________________________

Institution: _____________________________________________ Start and end year: _ __________________
GPA (mandatory): _______________________________ City and Country: ____________________________

Doctorate: _______________________________________________
Institution: _____________________________________________ Start and end year: _ __________________
GPA (mandatory): _______________________________ City and Country: ____________________________

Note: Indicate your GPA using a 0 to10 point scale.

Other degrees/qualifications culminating in the obtained academic degree. Please indicate institution name, city,
country and dates of attendance. Attach evidence documents_______________________________________
____________________________________________________________________________________________

LANGUAGES
First language: ___________________________________________________________________
Other languages: __________________________________________________________________
If the first language is not Spanish language, please indicate the Spanish language level you have and attach
evidence document issued by any language center or university.

WORK EXPERIENCE

Are you currently employed? Yes ( ) No ( ) Institution or Company: ______________________________

Position:______________________ Years of working experience: ______________________________________

Previous Employment
Institution or Company: _____________________________ Position: _____________________________
Years of working experience: ______________________________________

Specify what kind of job you will have in your country, if appropriate, after scholarship/grant term ends.
____________________________________________________________________________________________

TEACHING AND RESEARCH ACTIVITIES

Indicate the type of teaching or research activities you have performed, institution, teaching or research area and
the corresponding period dates: __________________________________________________________________

-HANDWRITTING IS NOT ACCEPTED-

____________________________________________________________________________________________
____________________________________________________________________________________________

RECENT PUBLICATIONS

Indicate the title of the last three publications related to the activity you shall perform in Mexico (include dates):
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________

HONORS, AWARDS AND SCHOLARSHIPS/GRANTS

Honors, awards and academic distinctions you have achieved: __________________________________________

____________________________________________________________________________________________

Abroad scholarships/grants. Please indicate the granting institution, country and dates when you took a
postgraduate course or research degree: ___________________________________________________________
____________________________________________________________________________________________

COMPLEMENTARY PERSONAL INFORMATION

Specify whether the spouse has been granted a scholarship/grant or has applied to the Scholarship/Grant Program
in Mexico. Please include dates: __________________________________________________________________

Economic dependents information

Kinship Full Name Birthdate Gender

In case the applicant already lives in Mexico, indicate:

a) Date of arrival into the country: ____________________________________________________________
b) Home Address:
_______________________________________________
_________________________
Number/ Street District
_____________________________________________________________________________________
City State/Province Country Zip Code
Email: _______________________________________________________________________________

c) Indicate what kind of visa you have and its expiry date:
________________________________________

IN CASE OF EMERGENCY

Notify: _____________________________________________________________________________________
Kinship: ________________________________________________ Country: _____________________________
Phone (include country code):____________________________________________________________________
Fax: __________________________________ Email: _______________________________________________
Address: ___________________________________________________________________________________

-HANDWRITTING IS NOT ACCEPTED-

 ACCEPTANCE

I accept the conditions of the Call for Application for the Mexican Government Scholarship Program for
Foreigners 2011, a part of which comprises the document entitled “Rules applicable to grantees of SRE
scholarships for foreigners.”

______________________________________ ____________________________

Applicant’s signature Place and Date

Important note: The information contained in this application form shall be verified by the SRE. Upon
discovery of any false information provided by the applicant, said application shall be immediately rejected.
 ∗
APPLICANT’S GOVERNMENT INTRODUCTION

THE GOVERNMENT OF __________________________________________________

HEREBY OFFICIALLY PROPOSES THE CANDIDACY OF
____________________________________________________________________________
TO RECEIVE A SCHOLARSHIP/GRANT FROM THE GOVERNMENT OF MEXICO THROUGH
THE MINISTRY OF FOREIGN AFFAIRS.

NAME OF PROPOSING OFFICIAL ______________________________________________

____________________________________________________________________________

POSITION: _______________________________________________________

INSTITUTION: _____________________________________________________

ADDRESS: ________________________________________________________

TELEPHONE: _____________________________________________________

EMAIL: __________________________________________________________

_______________________________ __________________________

SIGNATURE PLACE AND DATE

_________________________________________________

STAMP OR SEAL OF THE INSTITUTION

∗
This application form may be substituted by an official statement from the scholarship
granting institution of your country.
CALL FOR APPLICATION FOR THE MEXICAN GOVERNMENT SCHOLARSHIP
PROGRAM FOR FOREIGNERS 2011

Documents which must accompany Application Form A

1. Use Application form A of this Call (*). Application forms from previous years are no
longer valid.
2. Proposal from the government of the candidate’s country in the last part of this
Application, or in an official letter of the scholarship Institution of your country of origin.
3. Letter of acceptance from the receiving Mexican academic institution, or proof that the
acceptance is being processed. This must be signed by the Postgraduate Coordinator
and/or Director of the Institute, School, or Center that will receive the candidate, on
letterhead paper and with handwritten signature. Communications received by e-mail
shall be considered only as a contact and will therefore not be taken into account when
deciding on the definitive awarding of the scholarship.
4. A typewritten letter stating the reasons for taking studies or conducting a research in
Mexico.
5. Resume (*), with copies of evidence documents related to the academic activity of
interest.
6. Copy of the certificate (diploma) of a Bachelor’s and/or postgraduate degree (*), as the
case may be.
7. Copy of study transcripts of a Bachelor’s and/or postgraduate degree, as the case may
be. Proof of GPA obtained must be attached.
8. For doctoral research, attach academic proof certifying that the candidate is enrolled in a
Doctorate program (*).
9. Applications for postdoctoral visits must be accompanied by documentary proof of a
Doctorate degree.
10. Copy of Birth Certificate (*).
11. Recent medical health certificate which must state whether or not the candidate is
suffering from infectious-contagious diseases (*). Candidates selected must submit a
further medical health certificate (*), issued by a public institution 15 days prior to the
candidate’s traveling to Mexico. It is also necessary to know about illnesses that are not
covered by the medical insurance included in the scholarship. This information is included
in the scholarship award contract.
 12. Proof of proficiency in Spanish (*). In the event this is not the candidate’s native
language it is suggested that he/she takes the examination of the Centro de Enseñanza
para Extranjeros (CEPE) Taxco de la Universidad Nacional Autónoma de México
(UNAM), [Center for Foreign Students of the National Autonomous University of Mexico]
Tel. (762) 622 3410, fax (762) 622 0124. E-mail: comtaxco@servidor.unam.mx
13. Eight recent photographs, not scanned or digitally printed, 3 cm. high by 3 cm. wide: 1
must be affixed to the scholarship application form. The seven photographs submitted
must state the grantee’s name and nationality on the back.

IMPORTANT NOTES:

- (*) Documents marked with an asterisk must be accompanied by a simple translation into Spanish, in the event
that they are not originally in said language.
- The SRE will not be awarded for preparatory courses, distance-learning courses (virtual), direct doctorates
(which include both master’s and doctorate). The maximum period for a Doctorate scholarship is 3 years.
Those applying exclusively for the development of a research project do not have to consider January as the
starting date and December as the ending date.
- Scholarship applicants must submit their documentation in the above-mentioned order, in a folder or dossier
with dividers and clips so that no documents are lost. Incomplete dossiers will not be taken into account.
- In the event of being awarded a scholarship/grant, applicants must contact the receiving Mexican
academic institution to ascertain whether they need to have their studies revalidated. This is to allow
them enough time to have their academic documents notarized or annotated (apostil) before traveling
to Mexico.