D M P T

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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.
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