APPLICATION FORM: COMMONWEALTH
DISTANCE LEARNING SCHOLARSHIP
THIS FORM SHOULD BE COMPLETED BY THE CANDIDATE AND MUST NOT BE HANDWRITTEN
All sections of the application form must be completed or your application will not be considered
for the scholarship.
Title of Master’s programme for which you are applying, please tick:
MA Education and International Development
MA Education, Gender and International Development
MA Education, Health Promotion and International Development
Title (Mr/Mrs/Ms/Dr)
First name
Surname
Place of Birth
Date of Birth
Surname at Birth if Different from
Present Name
Sex
Nationality and/or Citizenship
Correspondence address
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Male
Female
Telephone number
Email
Please provide full details of your
educational and professional
qualifications with dates, degree class
and awarding bodies
Qualifications
Date awarded
Test taken / Level achieved
Date
Job title / Brief Description of Role
Dates
(from-to)
Qualifications should be listed in date
order with the most recent first
English Language Qualifications
Please state here any English Language
Qualifications you have obtained, e.g
IELTs
(Please note that Rwandan applicants
must have an IELTS certificate dated
after 1st October 2015)
Please provide details of your previous
periods of employment
Your previous employment should be
listed in date order with the most
recent first
Current employment and job title
If you are currently employed, does
your employer know about, and
support, your current application for
this Scholarship?
Please attach evidence of this.
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Personal Statement
Structure of personal supporting statement
A. Previous experience:
a. What previous professional or academic experiences have influenced your decision to
apply to the UCL Institute of Education (IOE) and to this programme? (200-250 words)
B. Your approach to study:
a. Given your existing academic and professional experiences, what topics, issues and
content do you wish to learn about from a programme of study at UCL IOE? What are
your experiences of distance/online learning? (Please keep in mind that good internet
access is required) (250-300 words)
C. Use of learning
a. In which ways do you envisage you will use the knowledge and skills you will gain on
the programme? What impact do you hope to have on your immediate colleagues
and/or your professional community? In what ways will the Scholarship enable you to
build on your current networks and make a fuller contribution to social and educational
development nationally and internationally? (350-400 words)
SUPPORTING DOCUMENTATION
The following documents must be attached to this application form; if these documents are not
enclosed your application will not be considered.


A transcript of your degree, or most recent studies
A letter of support from your employer – indicating that, should you be successful, they will
allow you time for study and allow you to study for a period in London between January and
April 2018
You should send your application and supporting documentation by email to
c.wilkinson@ioe.ac.uk
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STATEMENT BY APPLICANT
I confirm that the above statements are true and correct and that I am attaching with this application
the supporting documentation requested above.
I confirm I have good access to the internet (you may be asked further about this)
I also confirm that I am not seeking funding from any other source regarding this programme of
study.
Signature of Applicant:
Date:
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