UNIVERSITY COLLEGE LONDON UCL DIVISION OF MEDICINE DIVISION OF MEDICINE POSTGRADUATE TAUGHT BURSARIES APPLICATION FORM 2016/17 IMPORTANT INFORMATION: Value The Division of Medicine is offering eight Division of Medicine Postgraduate Taught Bursaries of £2500 each. The award amount will be deducted from the cost of fees at the Home/EU rate. Eligibility These bursaries are available to Home/EU applicants applying for entry in 2016/17. All applicants must have a conditional or unconditional offer to study on a taught Masters programme at the UCL Division of Medicine. This award is open to both full-time and part-time applicants applying for the following programmes: MSc Advanced Biomedical Imaging MSc Clinical Drug Development MSc Clinical and Public Health Nutrition MSc Drug Design MSc Eating Disorders and Clinical Nutrition two awards of £2500 two awards of £2500 two awards of £2500 two awards of £2500 two awards of £2500 Application Please submit this application form to gemma.martin@ucl.ac.uk by 31st July 2016. The Division is unable to consider any applications submitted after this deadline. Successful applicants will be contacted by 21 August 2016. If you have not heard from us by this date we regret that your application has been unsuccessful. Please complete all the information below and submit with your application. PERSONAL DETAILS 1. Admissions Application Number: 2. Title (Mr, Miss, Dr, Prof etc.): 3. First Name: 4. Family Name: 5. Nationality 6. Email address: 7. Telephone: PROGRAMME OF STUDY FOR WHICH BURSARY FUNDING IS INTENDED 8. Programme/Course Title: 9. Method of study (Full-time/Part-time): 10. Fee status (Home or EU): EDUCATION 11. Detail your education since entering high school. Start with the most recent qualification. Where appropriate include professional qualifications. Name of College/Awarding Body (state country if outside the UK) Start Date dd/mm/yy End Date dd/mm/yy Qualifications (e.g. BSc, BA A Level) Degree Title: Subject studied and grades obtained (e.g. Economics 75%) Overall class/GPA (e.g. 2.1, 5.5) Grading Scale/Rang e of grades (e.g. low 1 – high 6) EMPLOYMENT, TRAINING AND WORK EXPERIENCE 12. List employment relevant to the programme of study. Name and Address of Employer Start Date dd/mm/yy End Date dd/mm/yy Position held and main duties PAST, CURRENT PRIZES, AWARDS AND SCHOLARSHIPS 13. List only those awarded on the basis of academic merit/achievement. Name of Institution/Awarding Body Name of Prize/Award/Scholarship Total Value Start Date dd/mm/yy End Date dd/mm/yy Purpose (e.g. Tuition Fees, maintenance) OTHER FUNDING FOR INTENDED STUDY AT UCL 14. List any funding you intend to apply for and/or have applied for and/or have secured relating to the intended programme. Name of Institution/Awarding Body Name of Prize/Award/Scholarship Total Value Duration Start Date dd/mm/yy End Date dd/mm/yy Purpose (e.g. Tuition Fees, maintenance) FINANCIAL PERSONAL STATEMENT 15. Please explain why you are applying for financial support from UCL and give full details of your current and expected financial circumstances – 500 words maximum. PERSONAL STATEMENT 16. Please provide us with a statement detailing your academic interests; your interests in the chosen programme; your interests in studying at UCL; your education ambitions and your career goals – 500 words maximum TERMS AND CONDITIONS 1. Eligible candidates, who are proposed to start the course in 2016/17, must apply for the award by 31st July 2016. 2. To be considered for the award, applicants must - by the date of the scheme application deadline - hold an offer of admission to one of the degree programmes listed above (conditional or unconditional). 3. The award is made on the basis of a combination of academic excellence and financial need. 4. The award will be made by the Council upon the recommendation of a selection panel. 5. The value of each award is £2500, which will go towards Home/EU fees. 6. The award is tenable for 1 year and is subject to satisfactory academic progress. 7. The award will be applied to the recipient’s fees at the time of enrolment. 8. Award recipients are obliged to inform UCL (Student Funding Office) immediately of any other funding they are awarded toward their UCL programme of study. 9. All awards are subject to the provisions of the UCL’s General Regulations for Scholarships, Awards, Bursaries, Prizes and Medals. 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 the required information is provided. Signature: Date: Please submit this application form to gemma.martin@ucl.ac.uk by 31st July 2016.