SCS BURSARY APPLICATION
FOR OFFICE USE ONLY
PERSONAL DETAILS
Database
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
Application number
Date of Receipt
6. Country of Domicile (the country in which you are ordinarily resident. We may request evidence of this.)
SN
CONTACT DETAILS
All supporting
7. Personal Email Address
documents
11. Address for Correspondence
8. UCL Email Address (if applicable)
Line 1
Eligible
YES
NO
Line 2
9. Tel (incl. country code)
Line 3
Notes
City
10. Mobile/Cell Phone (incl. country
Postcode/Zip
Country
code)
12. Dates when address is valid (dd/mm/yy)
From:
To:
PROGRAMME OF STUDY FOR WHICH SCHOLARSHIP FUNDING IS INTENDED
13. Programme/Course Title
Eligibility check
MSc applicant
EDUCATION – qualifications already obtained and pending
14. Detail your education since entering Higher Education. Start with the most recent qualifications. Where appropriate include
professional qualifications.
Name of College/
University/Awarding Body
Start
date
dd/mm/yy
(state country if outside the UK)
End date
dd/mm/yy
Qualification
(e.g. A levels,
BA, 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)
EMPLOYMENT, TRAINING AND WORK EXPERIENCE
15. List last three employers and any previous positions relevant to the programme of study or scholarship requirements.
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
Salary (gross)
PAST/CURRENT PRIZES, AWARDS AND SCHOLARSHIPS
16. 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
Page 1 of 2
End date
dd/mm/yy
Purpose
(e.g. Tuition fees, maintenance)
OTHER FUNDING FOR INTENDED STUDY AT UCL
17. List any funding you intend to apply for and/or have applied for and/or have secured for the intended programme (DO NOT INCLUDE THESE AWARDS).
Name of
Institution/Awarding Body
Name of
Prize/Award/Scholarship
Value per
year (in GBP
£)
Duration
(in years)
Purpose
(e.g. Tuition fees,
maintenance)
Status
Notification date (if
not secured)
- select - select - select - select -
FINANCIAL CIRCUMSTANCES
Although this award is given on academic merit, we may consider the financial circumstances of students in order to make a final decision.
18.
FINANCIAL PERSONAL STATEMENT
Please explain why you are applying for financial support from UCL and give full details of your current and expected financial circumstances. You
may also include past circumstances which have impacted on your current situation. Please include relevant information about any dependents that
are supported by the household income and any exceptional expenditure that falls outside of the above calculations.
This text box will expand. You must include a word count at the top of the statement - 500 words maximum.
Continue on separate sheet if necessary and title this “S18”
19.
ACADEMIC PERSONAL STATEMENT
Please provide us with a statement detailing your academic interests; why you have chosen this programme of study; your interest in studying at
UCL; your educational ambitions and how you think this programme will help with your career goals.
This text box will expand. You must include a word count at the top of the statement - 500 words maximum.
Continue on separate sheet if necessary and title this “S19”
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 Department of Security and Crime Science (scs@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.
Once you have completed your application, please print the form, add the date and sign below. If you are sending this application by email,
you may type your name and date, and email the forms as an attachment. Please note, if sending via email, supporting documentation
should be limited to only one extra attachment if at all possible (i.e. all supporting documents to be included in one pdf).
Signature
Date
Please return this form together with any supporting documents listed above to UCL Department of Security and Crime Science
via email (scs@ucl.ac.uk) or, if unable to use email, post it to: SCS Bursary Applications, UCL Department of Security and Crime Science, 35 Tavistock Square,
LONDON WC1H 9EZ.
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