1.
This application form is for the schemes listed on the Undergraduate Funding Awards website and those which (if you are eligible), you will be considered for through this application form;
2.
Please ensure you read about these schemes and their respective eligibility requirements to ensure you are eligible for at least one of the awards before completing the application form;
4.
You will need to submit one form and one set of supporting documentation only;
5.
The UCL Bursary entitlement for UK/EU students will be calculated automatically and paid via the Student Loans Company and there is no need to complete this application to apply for this;
6.
The Student Funding Office (SFO) will consider you for all awards for which you are eligible, providing you have submitted the required supporting documentation. It is therefore important for you to read the web information about the awards you are interested in to ensure you submit the necessary documentation for us to consider you;
7.
You are required to provide supporting documentation relating to income, appropriate to your circumstances. Only photocopied documents should be submitted; however original copies may be requested from you at a later stage;
8.
If you have been offered a scholarship, bursary, Student Finance loan or any other financial assistance for your forthcoming education, please attach a copy of the letter notifying you of your award/loan ;
9.
Please do not enclose any documents not required or requested (such as a CV);
10.
We may also require one Academic Reference from your current ‘A’ level (or equivalent) teacher if a scheme you are interested in being considered for requires you to demonstrate academic merit or excellence. For more information about references, please download the
Information for Referees on the web page for Undergraduate Funding Awards where you will also be able to download a template for the Academic Reference, or you may guide your
Referee to the web page for them to download the relevant details in order to complete and return to us;
11.
Only request and submit an Academic Reference, if a scheme you are interested in being considered for requires evidence of academic excellence or merit – please refer to relevant scheme(s) web page.
12.
If you must send supporting documents separately, then please note this in the application form. Each document sent separately must be marked
for <your name>” and “<Student ID number>” (if you have one) at the top of each page;
PLEASE DO NOT SUBMIT THIS DOCUMENT WITH YOUR APPLICATION

13.
Please ensure that all information is typed if possible. The presentation and legibility of your application does matter. If you are unable to type the form and required documents, please explain why, and make sure you write legibly (in black ink);
14.
Please complete all relevant fields. Do not provide information on separate sheets unless the application form asks you to do so;
15.
All sums of money referred to, must be in UK pounds sterling (£);
16.
When we request information about the financial status of you or your family
(parent(s)/guardian(s)), we are interested in the financial information (wages/salaries) relating to the 12 month period immediately prior to the month/year of your entry to UCL.
17.
Before posting your application to us, please re-read it carefully for accuracy and make sure you keep a copy of your application for your files;
18.
If possible, please do not fold your application, and use an A4 envelope to post it to us;
19.
Please do not include your scholarship application with your application for admission. Each application must be sent separately to the relevant sections within UCL;
20.
Please note the application deadline on our website. You must have returned your application and full supporting documentation to us by this date and time in order for it to be valid. We apologise but we are unable to acknowledge receipt of application forms;
21.
We do not accept incomplete, late or faxed applications;
22.
You are unlikely to be considered for a scholarship if UCL is your Insurance university choice;
23.
The decision of UCL is final and we cannot, regrettably, participate in any individual correspondence with applicants before or after that decision;
PLEASE DO NOT SUBMIT THIS DOCUMENT WITH YOUR APPLICATION

3
4
1
2
5
1
2
1
1
PERSONAL DETAILS
CONTACT DETAILS
CORRESPONDENCE ADDRESS
UCL STUDY FOR WHICH
FUNDING IS INTENDED
EDUCATION FROM THE AGE
OF 17
PERSONAL STATEMENT
YOUR FINANCIAL SITUATION
YOUR HOUSEHOLD FINANCIAL
SITUATION
In this section, we are looking your overall financial circumstances: previous financial awards; employment; whether you have considered working part-time upon commencing your studies. You will be asked to estimate your
Annual Expenditure once at university. We will also seek information as to what preparation you have made for your studies and where this financial assistance will come from, family, scholarships/awards, student loans, benefactor, employer etc.
You will also be asked about your family income and the financial commitments they (you) have. This will give us a clearer picture of your financial circumstances and the likelihood of additional financial need while you study at UCL.
There are no right or wrong answers. We need to target financial assistance where it is needed most; we therefore need to understand your financial circumstances upon entering higher education.
In this section, you will be asked to provide a statement explaining your financial background.
1) ADDITIONAL STATEMENT -
ACADEMIC INTERESTS AND
AMBITIONS
In this section, you will be asked about your academic interests, academic and career ambitions and why financial support from UCL may be required for you to realise these goals.
PLEASE DO NOT SUBMIT THIS DOCUMENT WITH YOUR APPLICATION

1 2) ADDITIONAL STATEMENT –
LEADERSHIP RESPONSIBILITY
In this section, you will be asked to provide a statement about your leadership responsibility.
2 ACADEMIC REFERENCE You will only need to complete this if you wish to be considered for the Andrew Szmidla Undergraduate
Scholarship or the Greek Bursary. Without an Academic
Reference, you cannot be considered for those awards.
1 APPLICANT’S DECLARATION
Section A
1 Personal Details
UCL Student
Number
You must sign and date this section for your application to be valid.
This unique identification number will be provided by the Undergraduate Admissions Office.
2 Contact Details Email
Address
3 Correspondence
Address
Correspondence
Address (cont.)
4 UCL Study for
Which Funding is Intended
5 EDUCATION from the age of
17
Street
Address
Country of
Domicile
Any general communication with you will be via email, so please ensure you provide us with a valid email address.
If successful, you will be sent a formal letter of an offer of award. It is therefore important that you provide a contact address where you can be reached from June through to September 2013.
This is the country where you are ordinarily resident. If you are currently living in another country solely for the purpose of receiving education, this would not be considered your country of permanent domicile.
It is important that we know as much as possible about your intended degree programme in order to consider you for the right award.
If you have already taken examinations, please enter the grade received. If you are still to take examinations, please enter your predicted grades.
Section B
1 Your Financial
Situation
Expected
Annual
Income
In the table, please provide:

Total funding available to you via Student Loans
Company or any funding schemes (If you do not yet know the amount you will receive from the
PLEASE DO NOT SUBMIT THIS DOCUMENT WITH YOUR APPLICATION

Expected
Annual
Expenditure
Student Loans Company or UCL Bursary, please write ‘to be confirmed’).

For net income from employment, please provide one of the following:
1.
A P60 (where work is being undertaken in the UK)
2.
An annual accountant’s statement
3.
A copy of your employment contract or letter from your employer
4.
A tax return summary
5.
Please do not send multiple payslips.

For income from other sources, please provide copies of your bank statements and/or other
 documentation showing the income level and its source.
Evidence of any social security benefits you are in receipt of should be provided.
In the table, please provide:

Tuition Fees loan available to you via Student
Loans Company (If you do not yet know the amount you will receive from the Student Loans
Company, please write ‘to be confirmed’).

Other expected annual expected expenditure
(e.g. rent/mortgage, travel, food, social and course costs etc.) This may take some research but it is better to be prepared for the cost of living and studying in London. The UCL website provides some estimates for the cost of living but individual circumstances will vary – where you choose to live will affect rental costs and cost of travel etc. Please make reasonable assumptions about the true cost of studying in
London. Appropriate and thought-through budgeting will assist you in many ways during the length of your study

Priority debts may include: o Secured loans (e.g. loans that are secured against a debtor’s home) o Rent arrears o Council tax o Fines, maintenance and compensation orders o Charges for utilities o TV licence o Tax and VAT o National Insurance contributions o Hire purchase/conditional sale agreements for goods that are essential for the debtor to retain.
PLEASE DO NOT SUBMIT THIS DOCUMENT WITH YOUR APPLICATION

2 Your Household
Financial
Situation
Household
Members

If you have any exceptional costs (e.g., high medical bills) affecting you or your household, please provide evidence (e.g., medical certificates and associated bills).

Please include any credit card or loan repayments.
In the table, please provide:

Their relationship to you (e.g., parent, grandparent, spouse, partner, child)

Their current occupation status (e.g. homemaker, student, retired, in employment, incapacitated)

Their total expected annual income (Evidence of income for your parent or guardian is required. If you do not live with your parents, evidence of income is only required from yourself and, if applicable, your partner/spouse.)

For income from employment, please provide one of the following:
1.
A P60 (where work is being undertaken in the UK)
2.
An annual accountant’s statement
3.
A copy of your employment contract or letter from your employer
4.
A tax return summary
5.
Please do not send in multiple payslips.

For income from other sources, please provide copies of their bank statements and/or other documentation (e.g., benefit statements) showing the income level and its source.
PLEASE DO NOT SUBMIT THIS DOCUMENT WITH YOUR APPLICATION

Family
Members
In the table, please provide :

Their relationship to you (e.g., parent, grandparent, spouse, partner, child)

The expected annual expenditure of any individual(s) supported by your household income

The circumstances (e.g., a child living with other parent, family member in residential care)

For obligatory payments, please provide documentation appropriate to the circumstances.

Please provide copies of any regular payment agreements (excluding utilities).

If your any of your family members have any exceptional costs (e.g., high medical bills) affecting you or your household, please provide evidence (e.g., medical certificates and associated bills).
Section D
1 Additional
Statement
2 Academic
Reference
1.2 Leadership statement

You could include leading an organised group, voluntary work, teaching/mentoring, or entrepreneurial activities.
You will only need to include this if any of the schemes you wish to be considered for requires proof of academic excellence or merit. These schemes are:
1.
Andrew Szmidla Undergraduate Scholarship or/
2.
Greek Bursary
Please refer to specific eligibility requirements on the relevant scheme webpage.
You should download and print the Academic
Reference section and provide it to your Academic
Referee to complete or, direct them to: https://www.ucl.ac.uk/prospectivestudents/scholarships/undergraduate/UGFundingAward/UGFundingAward
Here they can find the relevant document to complete and Guidance Notes for their information.
The Student Funding Team would like to wish you good luck & success with your future studies at
UCL, if you have any queries, please do not hesitate to contact our team at: studentfunding@ucl.ac.uk
You should also look through our main website at: http://www.ucl.ac.uk/prospective-students/scholarships
PLEASE DO NOT SUBMIT THIS DOCUMENT WITH YOUR APPLICATION

Our Scholarships & Funding News Page: http://www.ucl.ac.uk/prospective-students/scholarships/Latest
PLEASE DO NOT SUBMIT THIS DOCUMENT WITH YOUR APPLICATION