Documenti di Didattica
Documenti di Professioni
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(CHRSD)
Graduate Studies Building, Mahidol University
Salaya, Phutthamonthon, Nakhon Pathom, 73170 THAILAND
Tel: 66-2-4414125 ext. 400, 401 Fax: 66-2-8892151
Email: ohrsd@yahoo.com, admin@humanrights-mu.org
www.humanrights-mu.org
APPLICATION FORM
The Master of Arts in Human Rights (International Programme)
Please complete all four pages and tick boxes as appropriate. Please return
The complete form, with a passport-size photograph affixed and all other Passport-size photo
supporting documents, to the Center for Human Rights Studies and Social
Development (CHRSD) at the address above.
PERSONAL DETAILS
NATIONALITY: ……………………………………………………………………………………………..
Email: Email:
Tel: Tel:
1
Fax: Fax:
Please enter, in chronological order, details of all degree or diploma programmes attended since leaving
school. Please supply certified copies of your academic transcripts or certificates with English translations.
Year of
Qualification or
Attendance Institution/Country Study Programme
Degree Acquired
From To
Please give details of research and publications you have undertaken. In the “description” please state the
type of publication (for example dissertation, undergraduate or postgraduate research project, NGO
research); and state if you were the individual author or with a research team.
Language of
Year Title Description
Publication
2
Please give details of recent employment and/or professional experiences.
year
Name of organization or employer Position
From To
PERSONAL STATEMENT
On attached sheets, please write your personal statement of interest 400-600 words long, describing in
detail:
REFERENCES
We request two confidential references from persons of high academic or professional standing who are
well acquainted with you and your academic and professional work. Each of the referees must fill in the
reference form (which can be found at the end of this application form) and send it directly to CHRSD. The
referees may submit their form by email. Below, please give details of the two referees. Please send the
reference form to your referees.
Referee 1 Referee 2
Name: Name:
Position: Position:
3
Institution: Institution:
Email: Email:
Tel: Tel:
Fax: Fax:
FINANCIAL DETAILS
I hereby apply for admission to the Master of Arts in Human Rights (International Programme) at
Mahidol University and confirm that the information provided above is correct to the best of my
knowledge.
…………………………………………… …………………………………..
SIGNATURE DATE
4
To help us with our promotion activities, please indicate how you were informed about this programme of
study at Mahidol University.
5
REFERENCE FORM
Dear Referee,
Please fill out this form and send it directly to the Center for Human Rights Studies and Social
Development at Mahidol University by email (preferred) or mail at the address below.
1. Name of applicant: ……………………………………………..…………………………………………..
2. I have known the applicant for …………………………(years)
In his/her capacity as…………………………………………………………………………………………...
3. In the box below rate the applicant’s academic abilities. Please tick the appropriate box:
Above Below
Top 10% Average Poor Don’t know
Average Average
Academic ability
Written expression
Oral expression
Research ability
Ability to work
independently
Critical analysis
Motivation for study
Knowledge of human
rights
5. How would you rate the applicant’s proficiency in spoken and written English?
………………………………………………………………………………………………………………….
6. Please attach one page comments on the applicant’s suitability to the programme, and to undertaking a
master’s programme. In particular, we will appreciate your genuine assessment of the applicant’s ability to
design and undertake a research project, requiring a high standard of theoretical and critical skills, as well as
very good written expression. Please attach this to the form.
Signature: ……………………………………………….……Date………….………………………………