Application form - University College London

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M&N UCL SCHOLARSHIP APPLICATION
SCHOLARSHIP ELIGIBILITY CRITERIA
To be eligible for the M&N UCL Scholarship, applicants must:
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be domiciled in Hong Kong before the commencement of their studies;
AND hold an offer of admission to study at UCL on an undergraduate full-time degree within any Department.
Preference will be given to students who are admitted to either the LLB Law or BSc Economics programme.
SCHOLARSHIP VALUE, TERMS AND CONDITIONS
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The value of the Scholarship is £20,000 per year for three years of undergraduate study.
The Scholarship may not be held alongside other scholarships, studentships, awards, loans or bursaries.
The scholarship cannot be transferred to another institution, nor deferred to a later year.
Payment will only be made if the recipient is registered and enrolled for an Undergraduate Degree programme at UCL.
All funding is subject to the provisions of the General Regulations.
PLEASE READ CAREFULLY AND FOLLOW ADVICE GIVEN
 Your application must be complete at the date of the deadline in order to be valid. We are not able to acknowledge
receipt of application forms. Incomplete applications are invalid and will not be processed.
 If you would like to be considered for funding for more than one programme, you should submit separate scholarship
applications (incl. full documentation) for each of the programmes for which you are seeking funding.
 Please ensure that all information is typed if possible. The presentation and legibility of your application does matter. If
you are unable to type the form and required documents, please explain why, and make sure you write legibly (print in
black ink).
 Please complete all relevant fields. Do not provide information on separate sheets unless the form asks you to do so.
 Please make sure you include a valid email address on the form.
 Please only send us complete applications (i.e. applications including all required documents). All applications received
by the relevant application date are treated equally; sending your application early will not increase your chances.
 Please enclose any additional documentation required for your application to be valid. Please do not enclose any
documents not requested.
 Only applications including all supporting documents as per page 5 on the application form will be accepted.
 Before posting your application to us, please re-read it carefully for accuracy and make sure you keep a copy of your
application for your files.
 If possible, please do not fold your application, but use an A4 envelope to post it to us.
 Please do not include your scholarship application with your application for admission. Each application must be sent
separately to the relevant sections within UCL.
 Only successful applicants and reserve candidates will be notified
Post to:
Student Funding Office, G19
Registry & Academic Services,
University College London,
Gower Street,
London
WC1E 6BT,
United Kingdom
PLEASE DO NOT SUBMIT THIS
PAGE WITH YOUR
APPLICATION
Email to:
studentfunding@ucl.ac.uk
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M&N UCL SCHOLARSHIP APPLICATION
Please complete ALL sections if only by ticking the ‘no’ box or entering not applicable (n/a).
PERSONAL DETAILS (It is important to give your Family name and first names as they appear on your passport)
Surname/Family Name
First Name/s
Title
- select -
Date of Birth dd/mm/yyyy
HKG Permanent ID
No
Nationality
CONTACT DETAILS (If successful, we will contact you by email)
Email Address
Mobile/Cell phone
CORRESPONDENCE ADDRESS (Please inform us if this address changes)
Street Address
Postcode
City and Region/County/Province/State
Country
Telephone inc. country code
UCL UNDERGRADUATE PROGRAMME/COURSE
UCAS application submitted date
Qualification sought
UCAS No.
BA, BSc, BEng, MEng, MSci etc.
Programme/Course Title
UCL Department/Institute
Method of Study
- select -
Admissions/Enrolment Status
Programme Start Date:
Expected or Actual registration /enrolment
- select -
mm/yyyy
Fee Status (specified in the offer letter)
Please select
2
SCHOOL EDUCATION – qualifications already obtained
Detail your education since academic year 2005/06 (for 2013/14 entrants to UCL)
School/College Name and Location (City, Country)
Start Date (mm/yyyy)
End Date (mm/yyyy)
SECONDARY EDUCATION – qualifications currently being taken
Detail qualifications yet to be awarded.
School/College Name and Location
(City, Country)
Qualification achieved/pending
(e.g. A Levels, Baccalaureate, IB, Abitur,
etc.)
Graduation Date (mm/yyyy)
Grading Structure/System
highest - lowest
Overall Grade/GPA/Class
Best possible grade:
Fail grade:
EMPLOYMENT, TRAINING AND WORK EXPERIENCE
Where relevant to the programme or Scholarship requirements
Employer name and location
Start Date
End Date
city, country
mm/yyyy
mm/yyyy
Position held
Language at
work
PAST/CURRENT PRIZES, AWARDS AND SCHOLARSHIPS AWARDED
We may request proof (copies of award letters or certificates) for the information you provide below.
Name of Prize, Award or Scholarship
Purpose
Overall value GB £ Date awarded
Please list only those awarded on the basis
of academic merit/achievement
What was the prize, award or
Scholarship awarded for?
3
if applicable
(mm/yyyy)
as applicable
FINANCIAL CIRCUMSTANCES and BACKGROUND
This Scholarship is intended for academically able students in financial need, who would be unable – without financial
help – to study at UCL. Please give full details of your current financial circumstances.
All information provided is treated in the strictest confidence.
Continue on separate sheet if necessary
ANNUAL BASIC COST OF STUDY
Cost Item
Annual Tuition Fees
Amount GBP£
Annual Living Costs (basic cost incl. local travel)
Travel costs (Home to UCL/UCL to Home)
TOTAL ANNUAL COST
£0.00
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PERSONAL STATEMENT
What are you educational and career ambitions and goals, and what difference would this Scholarship make to your
life? (300 words max.)
Continue on separate sheet if necessary
SUPPORTING DOCUMENTS (ALL APPLICANTS)
The documents listed below MUST be attached to this application. Without them your application is invalid.
Indicate in the right-hand column to confirm that you have enclosed all relevant documents.
Photocopies of official school/college certificates and transcripts (incl. English translation if in foreign language).
If official transcripts are not available, then please provide an academic reference (must be on the referee’s letterheaded paper, signed and dated by the referee, and submitted in a sealed, stamped envelope which is signed
across the seal).
Photocopies of documents proving financial circumstances. For example, summary/schedule of the family's
financial means - i.e. assets, income, liabilities and expenses, bank statements for the last six months, parents’ tax
assessments and/or evidence of bursaries and scholarships received whilst at school.
CONFIDENTIALITY - DATA PROTECTION ACT (1998)
University College London is a data controller in terms of the 1998 legislation. The Student Funding Office (SFO)
follows UCL policy in matters of data protection. The data requested in this form is covered by the notification
provided by UCL under the Data Protection Act. Personal data will be used to administer your award as appropriate,
and for statistical purposes and electronic records keeping.
The data will not be passed to any other third party without your consent, except when UCL is required to do so by
law. Any formal enquiries concerning the use of data noted here should be addressed to the UCL Data Protection
Officer. Once you are happy with your application, please print the form and date and sign below. Please keep a copy
for your files.
APPLICANT’S DECLARATION
By submitting this application to UCL on
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(Submission date), I,
(Name), declare that
I understand that my application is valid only if all required information is provided and all required additional
documents enclosed;
the information I have provided is accurate and true to the best of my knowledge;
If required, I authorise UCL to provide a copy of my application to the funders of the scheme in the event that my
application should be successful.
I understand that documents submitted with this application will not be returned to me.
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