School of English Application Form for MA Tuition Fee Scholarships (2015 entry) About You Title: Mr/Mrs/Miss /Ms/ Other ________________________________ First Name: Surname Date of Birth: Full correspondence address: Postcode: Contact telephone number Email address: Applicant or Student ID Supervisors (current or provisional): Your Academic Background Academic Prizes and achievements to date: Please write a brief outline of any academic prizes awarded, personal achievements etc. to date. Personal statement: Please provide a personal statement to support your scholarship application, explaining why you have chosen this particular course and how you anticipate it will benefit your future career plans. (approx. 200 words) Checklist Please tick to confirm: I confirm that I hold an offer to study at the School of English I understand that the reference(s) supplied as part of my Masters course application will be used in support of this scholarship application. I also confirm that I have ensured that the Admissions Office has received said reference(s) in time for this scholarship deadline. I confirm that the information supplied is correct. I understand that giving false information, and / or withholding information, could result in an awarded scholarship being withdrawn. Please return this form to the School of English by email to: english-masters@nottingham.ac.uk, by noon on Tuesday 28th April 2015. The form can be scanned and emailed if preferred. Please note that if a Masters Tuition Fee Scholarship is awarded to someone who is subsequently granted a scholarship from another source – such as a Midlands3Cities Nottingham Masters Studentship – then that person will be required to relinquish the MA Tuition Fee Scholarship. Data Protection Information and supporting documentation supplied by you with this application will be used for the sole purpose of assessing your application for financial support and will be retained for one year after graduation. Some information, including the outcome of the application will be held on a computerbased system maintained in accordance with the provisions of the Data Protection Act 1998. As the information is of a confidential/sensitive nature it cannot be processed in any way without your signed consent. This form can be provided in alternative formats, e.g. Braille, large font. Please contact the School of English for information on 0115 9515917 or email englishmasters@nottingham.ac.uk