DPU 60th ANNIVERSARY DOCTORAL SCHOLARSHIP
APPLICATION FORM FOR STUDY COMMENCING
SEPTEMBER 2016
PLEASE READ THE DPU 60th ANNIVERSARY DOCTORAL 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
- select -
Date of Receipt
6. Gender
M
F
CONTACT DETAILS
7. Personal Email Address
11. Address for Correspondence
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
Development Planning
14. UCL Department/Institute
15. UCL Faculty
Bartlett Development Planning Unit
Bartlett Faculty of the Built Environment
16. Name of Proposed Principal UCL Supervisor
17. Fees Status
18. Method of Study
- select -
Full-Time
19. Proposed Starting Date
20. Qualification Sought
21. Admissions/Enrolment Status
September
2016
M.Phil/PhD
Formal
application made
Month
Year
(M.Phil./PhD, EngD, etc)
(Please tick the relevant box)
Formal application
approved
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. low 1 – 6 high)
Expected final
class/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%)
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
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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 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
Duration
year (in GBP £) (in years)
Purpose
(e.g. Tuition fees, maintenance)
Status
Notification date
(if not secured)
- select - select - select Languages
27. List any languages you can speak, read, write and your level of proficiency in each
Language
Proficiency
Read
Write
Speak
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- select -
- select -
- select -
- select -
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SUPPORTING DOCUMENTS
The documents listed below MUST be attached to this application. Without them your application is invalid.
28. Indicate in the right-hand column which documents you have enclosed. Further information on required documents is provided in the guidance notes.
Research Proposal
Academic Reference 1 (see below the required template 1 – related to the most recently completed studies or intended to complete this academic year)
Academic Reference 2 (see below the required template 2 – related to your academic studies)
Academic Reference 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 DPU PhD Programme Director (c.marx@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 DPU PhD Programme Administrator by e-mailing m.caseygillman@ucl.ac.uk or posting to: PhD Programme Director, Bartlett Development Planning Unit, University College London, 34 Tavistock Square,
London WC1H 9EZ.
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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 proposed supervisor or any other academic.
Lay Summary
Please explain clearly the purpose and potential significance of the proposed research in relation to the DPU’s broader vision and mission. (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)
Personal statement
Please describe how this award will support your career development (max 500 words)
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This reference form is available to be downloaded separately from the scholarship webpage if required.
Applicant Full Name
RESEARCH ACADEMIC REFERENCE FORM 1
1. How long have you known the applicant?
2. In what capacity do you know the applicant?
3. The applicant is/was in top
% of students I have taught throughout my academic career.
4. The applicant is/was in top
% of students in the current year cohort.
5. Please comment on the applicant’s research potential, academic performance, prizes and scholarships won, research skills, relevant personal
qualities, motivation and suitability for the intended programme or research project, as well as his/her career aims and prospects. Where
applicable, explain the grading structure of the qualifications attained and provide information about the distribution of grades within the cohort of
students with which you are comparing this student.
(Please comment below or include a separate signed letter on headed paper. If a separate letter is provided we still require the other sections on this form to be completed)
6. Recommendations
I strongly recommend this applicant for the above scholarship
I recommend this applicant for the above scholarship
I do not recommend this applicant for the above scholarship
I am unable to comment
CONTACT DETAILS
Title
First name
Last name
Name of Institution
Address
Line 1
Position
Line 2
Line 3
Tel
City
Email
Country
Postcode
Under the terms of the 1998 Data Protection Act, an applicant has the right to access any reference submitted to UCL. Please tick this box if you do not wish the
applicant to have access to this reference.
Signature
Date
Thank you for your co-operation in completing this form. Please enclose the printed version of this form and a letter (if preferred) in an envelope and EITHER
sign across the seal before returning it to the applicant OR send it directly to the DPU PhD Programme Administrator by e-mailing m.casey-gillman@ucl.ac.uk
or posting to: PhD Programme Director, Bartlett Development Planning Unit, University College London, 34 Tavistock Square, London WC1H 9EZ
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This reference form is available to be downloaded separately from the scholarship webpage if required.
Applicant Full Name
RESEARCH ACADEMIC REFERENCE FORM 2 (PROPOSED
SUPERVISOR)
1. How long have you known the applicant?
2. In what capacity do you know the applicant?
If the applicant is a new UCL student and you are not able to comment on applicant’s academic performance please go to section 5b.
3. The applicant was in top
% of students I have taught throughout my academic career.
4. The applicant was in top
% of students in the current year cohort.
5a. Please comment on the applicant’s research potential, academic performance, prizes and scholarships won, research skills, relevant personal
qualities, motivation and suitability for the intended programme or research project, as well as his/her career aims and prospects. Where
applicable, explain the grading structure of the qualifications attained and provide information about the distribution of grades within the cohort of
students with which you are comparing this student.
(Please comment below or include a separate signed letter on headed paper. If a separate letter is provided we still require the other sections on this form to be completed)
5b. Please comment on the applicant’s research potential and how it will fit into the Department research strategy.
(Please comment below or include a separate signed letter on headed paper. If a separate letter is provided we still require the other sections on this form to be completed)
6. Recommendations
I strongly recommend this applicant for the above scholarship
I recommend this applicant for the above scholarship
I do not recommend this applicant for the above scholarship
I am unable to comment
CONTACT DETAILS
Title
First name
Last name
Name of Institution
Address
Line 1
Position
Line 2
Line 3
Tel
City
Email
Country
Postcode
Under the terms of the 1998 Data Protection Act, an applicant has the right to access any reference submitted to UCL. Please tick this box if you do not wish the
applicant to have access to this reference.
Signature
Date
Thank you for your co-operation in completing this form. Please enclose the printed version of this form and a letter (if preferred) in an envelope and EITHER
sign across the seal before returning it to the applicant OR send it directly to the DPU PhD Programme Administrator by e-mailing m.casey-gillman@ucl.ac.uk
or posting to: PhD Programme Director, Bartlett Development Planning Unit, University College London, 34 Tavistock Square, London WC1H 9EZ
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This reference form is available to be downloaded separately from the scholarship webpage if required.
Applicant Full Name
RESEARCH ACADEMIC REFERENCE FORM 3 (optional)
1. How long have you known the applicant?
2. In what capacity do you know the applicant?
3. The applicant is/was in top
% of students I have taught throughout my academic career.
4. The applicant is/was in top
% of students in the current year cohort.
5. Please comment on the applicant’s research potential, academic performance, prizes and scholarships won, research skills, relevant personal
qualities, motivation and suitability for the intended programme or research project, as well as his/her career aims and prospects. Where
applicable, explain the grading structure of the qualifications attained and provide information about the distribution of grades within the cohort of
students with which you are comparing this student.
(Please comment below or include a separate signed letter on headed paper. If a separate letter is provided we still require the other sections on this form to be completed)
6. Recommendations
I strongly recommend this applicant for the above scholarship
I recommend this applicant for the above scholarship
I do not recommend this applicant for the above scholarship
I am unable to comment
CONTACT DETAILS
Title
First name
Last name
Name of Institution
Address
Line 1
Position
Line 2
Line 3
Tel
City
Email
Country
Postcode
Under the terms of the 1998 Data Protection Act, an applicant has the right to access any reference submitted to UCL. Please tick this box if you do not wish the
applicant to have access to this reference.
Signature
Date
Thank you for your co-operation in completing this form. Please enclose the printed version of this form and a letter (if preferred) in an envelope and EITHER
sign across the seal before returning it to the applicant OR send it directly to the DPU PhD Programme Administrator by e-mailing m.casey-gillman@ucl.ac.uk
or posting to: PhD Programme Director, Bartlett Development Planning Unit, University College London, 34 Tavistock Square, London WC1H 9EZ.
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