Oxford Bursaries Application Form

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Oxford Centre for Islamic Studies UK
Undergraduate Scholarship
Application Form 2015/16
About the scholarship
This application form is for students who wish to apply for an Oxford Centre for Islamic Studies
Scholarship and who have received an offer to commence undergraduate study at the University of
Oxford in 2015. The scholarships are offered by the Oxford Centre for Islamic Studies. Awards will be
made on the basis of financial need and academic merit to the candidates who, in the view of the
Scholarship Committee, are most deserving. The decision of the Scholarship Committee is final.
Enquiries regarding the scholarship should be directed to Student Fees and Funding at the University
of Oxford via an email to student.funding@admin.ox.ac.uk. Please mark your email ‘UG OCIS
Scholarships’.
Eligibility
Applications will be accepted from students applying for admission to any undergraduate degree
except medicine. Candidates should be students ordinarily resident in the UK from Muslim
communities who will benefit from an award towards their fees and maintenance costs. Applicants
should note that any available household income information may be shared with OCIS. Applicants
will be expected to apply for any government support to which they are entitled, but will not be
required to take out any government loans. Applications will not be considered from those who wish
to undertake a second undergraduate degree.
Award
The scholarship will cover University tuition fees at the Home fee rate for 3 or 4 years depending on
the length of the course and will also provide a maintenance allowance for the same period.
Scholarship payments in the second and subsequent years are subject to satisfactory progress being
made, and on receipt of annual reports that students will be expected to write at the end of each
academic year detailing their academic progress and participation in University and College life. You
are required to complete scholarship reports during each academic year of your scholarship which
will inform the University’s report to the donor.
Completing the application form
You should complete the application as completely and accurately as possible and ensure that the
following documents are provided:

If applicable, a copy of your financial notification from your funding awarding body. If you have
not yet received this please forward it to Student Fees and Funding as soon as this is received
and provide an estimate in Part C.

Two references, at least one of which must be academic, and neither referee should be related
to you. Referees do not have to be Muslim. References should be sent directly by the referee to
us and it is your responsibility to ensure that Student Fees and Funding receives your
references by the deadline. We regret that we are unable to contact referees on your behalf.
Please fill in the form as clearly and completely as possible either electronically or in black ink. Where
possible, please ensure that the form is printed as a single-sided document.
Application forms should be sent to OCIS Scholarship, Student Fees and Funding, University of
Oxford, Examination Schools, 75 – 81 High Street, Oxford, OX1 4BG or
student.funding@admin.ox.ac.uk by 12 noon on Friday 20 February 2015.
Oxford Centre for Islamic Studies UK
Undergraduate Scholarship
Application Form 2015/16
Please note the deadline for receipt of complete applications is 12 noon on Friday 20 February
2015.
When tick boxes appear, please tick all those that apply.
Part A: PERSONAL DETAILS
Title (tick one box only)
Mr
Mrs
Miss
Surname or family name:
First name(s):
Preferred given (if applicable):
Date of birth:
Your full correspondence address:
Telephone number:
Email address:
UCAS number:
Part B: COURSE DETAILS
Course title (e.g. BA History, MMath Mathematics):
College:
Ms
Other
Oxford Centre for Islamic Studies UK
Undergraduate Scholarship
Application Form 2015/16
Part C: FINANCIAL INFORMATION
Name of applicant:
UCAS number:
All candidates will be expected to apply for any non-repayable government support to which they are
entitled, but will not be required to take out any government loans.
Candidates must send a copy of their financial support notification letter (where applicable) with this
application form, or send a copy to Student Fees and Funding as soon as you receive it. If it will not
be possible to supply a copy of this notification by 1 June 2015 you should email
student.funding@admin.ox.ac.uk before this date to inform them of this.
Please give details of any funding you have secured or intend to apply for, in addition to the OCIS
Scholarship, to support you for each year of your course. State the value in GBP£.
FUNDING SOURCE
2015/16
2016/17
2017/18
2018/19
Government Maintenance Grant
£
£
£
£
Government Maintenance Loan
£
£
£
£
Own Income/Savings
£
£
£
£
Relatives/Friends
£
£
£
£
Agencies/Trusts/Foundations
£
£
£
£
Private Sponsors
£
£
£
£
Loans
£
£
£
£
Other
£
£
£
£
If you have included funding that has not yet been secured, please indicate when this is likely to be:
Oxford Centre for Islamic Studies UK
Undergraduate Scholarship
Application Form 2015/16
Part D: SUPPORTING STATEMENT
Name of applicant:
UCAS number:
Please explain how obtaining the scholarship would assist in the achievement of your academic
goals. You should include information on your current studies, your choice of subject and plans for
your time at Oxford, and any future aspirations.
DECLARATION
I confirm that I am ordinarily resident in the UK and am from a Muslim community. I consent to the collection and processing
of relevant personal data by the University, colleges and funding bodies, as applicable, subject to the provisions of the Data
Protection Act (1998). I understand that the information provided on this form will be held and used for the purpose of
processing my application for study, for student administration and for funding purposes. I declare that the information that I
have given on this form is correct and complete to the best of my knowledge. I understand that giving false information will
automatically disqualify my application.
Signed:
Name:
Date:
Oxford Centre for Islamic Studies UK
Undergraduate Scholarship
Application Form 2015/16
PART E1: REFERENCE 1
The student named below is applying for an Oxford Centre for Islamic Studies UK Scholarship,
offered by the Oxford Centre for Islamic Studies. Awards are made to UK students from Muslim
communities who would benefit from financial support. The Committee would be grateful for a brief
comment on the student’s academic abilities as well as any other matters you consider relevant.
References cannot be accepted from individuals who are related to the candidate.
Name of student:
Relationship to candidate:
Prof
Dr
Mr
Mrs
Ms
Other
Signed:
Print name:
Date:
Address:
Email address:
Please return this form to OCIS Scholarship, Student Fees and Funding, University of Oxford, Examination
Schools, 75 – 81 High Street, Oxford, OX1 4BG by 12 noon on Friday 20 February 2015.
Oxford Centre for Islamic Studies UK
Undergraduate Scholarship
Application Form 2015/16
PART E2: REFERENCE 2
The student named below is applying for an Oxford Centre for Islamic Studies UK Scholarship,
offered by the Oxford Centre for Islamic Studies. Awards are made to UK students from Muslim
communities who would benefit from financial support. The Committee would be grateful for a brief
comment on the student’s academic abilities as well as any other matters you consider relevant.
References cannot be accepted from individuals who are related to the candidate.
Name of student:
Relationship to candidate:
Prof
Dr
Mr
Mrs
Ms
Other
Signed:
Print name:
Date:
Address:
Email address:
Please return this form to OCIS Scholarship, Student Fees and Funding, University of Oxford, Examination
Schools, 75 – 81 High Street, Oxford, OX1 4BG by 12 noon on Friday 20 February 2015.
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