UCC COLLEGE OF ARTS, CELTIC STUDIES & SOCIAL SCIENCES Government of Ireland International Scholarship (for students from China) APPLICATION FORM 2015/2016 Please consult the Terms and Conditions of the Scholarship, complete this application form in accordance with the instructions and check that you have included the following: Yes Completed Application Form Evidence that you have graduated with the equivalent of an honours primary degree in a relevant Arts/Humanities/Social Sciences subject at Second Honours Grade 1 level or higher from a Chinese University. No Pending (If you have not yet graduated, successful scholarship applicants may be given a conditional offer pending evidence to be supplied before September 2015). Evidence of English Language competency: IELTS 6.5 (with no individual section lower than 5.5) or TOEFL equivalent. (If this evidence is not yet available, successful scholarship applicants may be given a conditional offer pending evidence to be supplied before September 2015). In addition, you must ask a full-time member of a university who is familiar with your work to send an academic reference separately, on the specific Referee Report Form supplied for this purpose. References submitted directly by applicants will not be accepted – they must be submitted by the referee themselves before the closing date. Please ensure your referee has a copy of your completed application form, to help them complete their reference. Yes No Have you sent the Referee Report Form to your academic referee, along with a copy of your completed application form, and advised them of the date by which they must submit the reference? Applications should be typed, not handwritten. The completed application form and supporting documentation must be emailed by Monday 8th June 2015 to graduateschool.cacsss@ucc.ie Important Notes: Incomplete applications will not be considered. Applications received after the deadline will not be considered. Hard copy applications will not be accepted, including those sent by post or fax. All applications will be acknowledged by email within five working days. Page 1 of 4 College of Arts, Celtic Studies and Social Sciences, University College Cork Government of Ireland Scholarship (for students from China) 2015/2016 Application Form Applicant Name: Taught Masters Programme applied for: PAC application number: You MUST include a PAC number. You’ll receive this number when you apply for your chosen Masters programme at www.pac.ie/ucc. 1. ADDRESS WHERE YOU CURRENTLY LIVE: 2. DATE OF BIRTH: 3. E-MAIL ADDRESS: 4. TELEPHONE: 5. UNDERGRADUATE CAREER: (include details of any qualifying examinations to enter postgraduate studies.) Name of Institution(s) Attended: Years Registered From: To: Title of Qualification(s): Subjects: Awarding Institution(s): Title of Qualification(s): Subjects: Awarding Institution(s): Level/ Class/ Grade: Date Conferred: 6. POSTGRADUATE CAREER: Name of Institutions(s) Attended: Years Registered From: To: Level/ Class/ Grade: Date Conferred: Page 2 of 4 College of Arts, Celtic Studies and Social Sciences, University College Cork Government of Ireland International Scholarship (for students from Brazil) 2015/2016 Application Form 7. LIST GRANTS AND SCHOLARSHIPS ALREADY AWARDED AND ALSO THOSE APPLIED FOR IN 2015. (Failure to disclose such awards will result in disqualification.) 8. OTHER RELEVANT ACADEMIC OR PERSONAL DETAILS: 9. COUNTRY OF CITIZENSHIP ________________________________________________________ 10. STATEMENT OF INTEREST [word count of 1000 words not to be exceeded] Please address the following: 1. your reasons for wanting to pursue the particular Taught Masters programme you have chosen 2. what research topic(s)or areas in particular interest you and why 3. your interest in Ireland and how you will promote links with Ireland [insert word count] 11. PLEASE STATE HOW/WHERE YOU HEARD ABOUT THIS SCHOLARSHIP: Page 3 of 4 College of Arts, Celtic Studies and Social Sciences, University College Cork Government of Ireland International Scholarship (for students from Brazil) 2015/2016 Application Form Yes No 12. Have you sent the Referee Report Form to your academic referee, along with a copy of your completed application form, and advised them of the date by which they must submit the reference? DECLARATION BY APPLICANT I declare that the above particulars are correct and understand that the circulated “Terms and Conditions” of this scholarship apply. I accept that failure to abide by the “Terms and Conditions” may disqualify me from this scholarship. Signature of Applicant: Date: Important Notes: Incomplete applications will not be considered. Applications received after the deadline will not be considered. Hard copy applications will not be accepted, including those sent by post or fax. All applications will be acknowledged by email within five working days. Page 4 of 4 College of Arts, Celtic Studies and Social Sciences, University College Cork Government of Ireland International Scholarship (for students from Brazil) 2015/2016 Application Form