UCL RESEARCH SCHOLARSHIP APPLICATION FORM
PLEASE READ THE RESEARCH SCHOLARSHIP APPLICATION FORM GUIDANCE NOTES BEFORE COMPLETING THE FORM
FOR OFFICE USE ONLY
PERSONAL DETAILS
1. Surname/Family Name (as in passport)
2. First/Given Name (as in passport)
4. Date of Birth (dd/mm/yyyy)
5. Nationality
3. Title
Database
- select -
Application number
6. Gender
M
F
Date of Receipt
CONTACT DETAILS
7. Personal Email Address
11. Address for Correspondence
SN
Line 1
8. UCL Email Address (if applicable)
Line 2
All supporting
Line 3
9. Tel (incl. country code)
documents
City
Postcode/Zip
Country
10. Mobile/Cell Phone (incl. country code)
Eligible
YES
NO
12. Dates when address is valid (dd/mm/yy)
From:
To:
Notes
PROGRAMME OF STUDY FOR WHICH SCHOLARSHIP FUNDING IS INTENDED
13. Research Subject Area/Programme Title
14. UCL Department/Institute
15. UCL Faculty
16. Name of Proposed Principal UCL Supervisor
17. Fees Status
18. Method of Study
- select -
- select -
(list at: http://www.ucl.ac.uk/departments/faculties)
Nominating Dept
19. Proposed Starting Date
20. Qualification Sought
Month
(M.Phil./PhD, EngD, etc)
Rank
21. Admissions/Enrolment Status
1
2
3
Other Funding
- select Year
(in relation to programme above)
EDUCATION – qualifications already obtained
22a. Detail your education since age 17. Start with the most recent qualifications. Where appropriate include professional qualifications.
Name of College/
University/Awarding Body
(state country if outside the UK)
Start date
dd/mm/yy
End date
dd/mm/yy
Qualification
(e.g. ABA,
BSc)
Degree Title: Subjects studied and grades
obtained (e.g. Economics – 75%, Politics – 70%)
Overall class/
grade/GPA
(e.g. 5.5)
Grading Scale/
Range of grades
(e.g. lowest – 6
high)
Expected final
score/grade/
GPA (e.g. 5.5)
Grading Scale/
Range of grades
(e.g. low 1 – 6 high)
EDUCATION – qualification currently being taken
22b. Detail qualifications yet to be awarded. Where appropriate include professional qualifications.
Name of College/University/
Awarding Body
(state country if outside the UK)
Start date
dd/mm/yy
End date
dd/mm/yy
Qualification
(e.g. BA, BSc)
Degree Title: Subjects studied and grades
obtained so far
(e.g. Economics – 75%, Politics – 70%)
TO BE COMPLETED BY NOMINATING UCL DEPARTMENT BEFORE RETURNING TO UCL STUDENT FUNDING OFFICE (The box below must
be ticked)
On behalf of the department I hereby confirm that the information above correctly reflects the documentation provided by the applicant.
Department Name
Staff Member Name
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Date
EMPLOYMENT, TRAINING AND WORK EXPERIENCE
23. List employment relevant to the programme of study or scholarship requirements only.
Name and Address of Employer
(state country if outside the UK)
Start date
dd/mm/yy
End date
dd/mm/yy
Position held and main duties
LIST OF PUBLICATIONS
24. Provide an up-to-date list of publications in clear chronological order with the most recent work first. Please include reports, thesis, dissertations, conference
presentations and work published in the public domain. For books, please provide full title, date of publication and publisher; for articles, include details of the relevant
journals; for publications that have appeared online, state the full web address. (Please do NOT include or enclose publications’ abstracts, summaries or copies).

PAST/CURRENT PRIZES, AWARDS AND SCHOLARSHIPS
25. List only those awarded on the basis of academic merit/achievement. We may request proof (copies of award letters/certificates) of the information you give below.
Name of
Institution/Awarding Body
Name of Prize/Award/Scholarship
Total Value
(in GBP £)
Start date
dd/mm/yy
End date
dd/mm/yy
Purpose
(e.g. Tuition fees, maintenance)
OTHER FUNDING FOR INTENDED STUDY AT UCL
26. List any other funding you intend to apply for and/or have applied for and/or secured relating to the intended programme.
Name of
Institution/Awarding Body
Name of
Prize/Award/Scholarship
Value per year Duration
(in GBP £)
(in years)
Purpose
(e.g. Tuition fees, maintenance)
Status
Notification date
(if not secured)
- select - select - select - select SUPPORTING DOCUMENTS
The documents listed below MUST be attached to this application. Without them your application is invalid.
27. Indicate in the right-hand column which documents you have enclosed. Further information on required documents is provided in the guidance notes.
Reference Templates are available at: http://www.ucl.ac.uk/prospective-students/scholarships/graduate/UK-EU_Res/grs
Research Proposal/Outline (see next page)
Academic Reference 1 (reference template 1 – related to the most recently completed studies or intended to complete this academic year)
Academic Reference 2 (reference template 2 – from your current/intended research supervisor at UCL)
Academic Reference 3 (reference template 3 - optional)
Photocopies of official college and university degree certificates and transcripts (incl. English translation if in foreign language)
Documents cannot be returned.
APPLICANT’S DECLARATION
To the best of my knowledge, the information on this application is accurate and complete. I understand that my application is valid only if all required information is
provided and all required supporting documents (which will not be returned to me) are enclosed.
I agree to inform the UCL Student Funding Office (studentfunding@ucl.ac.uk) immediately of any other scholarships, grants or awards I am offered or awarded (by an
external sponsor/institution, other offices within UCL or my admitting department) subsequent to submitting this application, and to provide details and proof of their
details if requested. I understand that any additional funding awarded from another source may be taken into account in the calculation of any scholarship I may
receive.
Data Protection Act 1998: I agree to UCL processing personal data contained on this form or other data which UCL may obtain from me or other people or organisations
while I am applying for funding. I agree to the processing and disclosure of such data for any purposes connected with my studies or my funding while on UCL’s
premises or for any other legitimate purpose, including the compilation of statutory statistical and personal returns that UCL is obliged to make to government or other
agencies.
Signature
Date
Please return this form together with all supporting documents listed above to the UCL Department where you are registered or to which you have
been admitted. Full list of UCL Departments can be obtained on http://www.ucl.ac.uk/departments/a-z/
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Applicant Full Name
RESEARCH PROPOSAL
Please show your understanding of and interest in the area of research and the project. The selection committee members are not likely to be specialists in your area.
The proposal should be written by you, not your supervisor or any other Departmental staff.
Lay Summary
Please explain CLEARLY – in language understood by academics from any discipline – the purpose and potential significance of the proposed research (max. 200 words)
Specialist Summary
Please describe the aim of your research and the methodology that you will use and the potential significance of this study to your discipline. (max. 500 words)
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