FACULTY OF ENGINEERING Scholarships Application Form Please complete this form if you are applying for an Excellence or Achievement Scholarship from one of the Schools within the Faculty of Engineering. A PERSONAL DETAILS Title (eg Miss/Mrs/Mr/Dr/Prof) Family Name (Surname) Given Names (First Name(s)) Gender Male Female Previous Family Name (if changed) Date of Birth Day Month Year Permanent Home Address Correspondent Address (if different) Telephone Telephone Fax Fax Email Email Country of Birth Nationality SCHOLARSHIPS APPLICATION FORM B COURSE/PROGRAMME OF STUDY In order to be eligible to apply for the scholarship you must have received either a conditional or unconditional offer of a place on a course/programme of study within the Faculty of Engineering at the University of Leeds. Application Reference (for undergraduate students this is the UCAS number, for postgraduate students this is the student registration number that is shown on your offer letter. Tick the box to confirm that you have received a conditional or unconditional offer from the University of Leeds. Enter the qualification and title of the course you have been accepted on: Qualification Title/name of course applied for (eg BSc, BEng, MEng, MSc, PhD) Year of Entry (in what year will you start the course) Yes No Are you/your family paying for all your tuition fees? Are you/your family paying for all of your living expenses? If you answered no to either of the two above please give details of where you have secured, or hope to secure, financial assistance from. 2 SCHOLARSHIPS APPLICATION FORM C SUPPORTING STATEMENT Why do you think you are a particularly suitable candidate for a scholarship? The information provided on this form is accurate and correct Date Signature NOW PLEASE RETURN THE COMPLETED SCHOLARSHIP APPLICATION FORM TO THE ADMISSIONS TEAM THAT HAS BEEN DEALING WITH YOUR APPLICATION FOR THE ABOVE STATED COURSE (see over for Admission Team contact information). SCHOLARSHIP DECISION – OFFICE USE ONLY Conditional/Unconditional Scholarship awarded C U Yes No Yes No If NO please provide details Candidate Accepted the Scholarship 3 SCHOLARSHIPS APPLICATION FORM ADMISSION TEAM CONTACT INFORMATION When posting the application write to the relevant admissions team (see below) at The University of Leeds, Leeds, LS2 9JT, UK. Alternatively email your application as below. If you experience difficulty in completing the form use the contact telephone numbers provided. Undergraduate Admissions Teams School of Civil Engineering ugcivil@leeds.ac.uk +44 (0)113 343 2262 School of Computing ugadmit@comp.leeds.ac.uk +44 (0)113 343 5821 School of Electronic & Electrical Engineering electronics@leeds.ac.uk +44 (0)113 343 2012 School of Mechanical Engineering ugmech@leeds.ac.uk +44 (0)113 343 2149 School of Process, Environmental & Materials Engineering ugspemeadmissions@leeds.ac.uk +44 (0)113 343 2535 Postgraduate Admissions Teams - Taught Courses School of Civil Engineering pgcivil@leeds.ac.uk +44 (0)113 343 2302/2308 School of Computing pgadmit@comp.leeds.ac.uk +44 (0)113 343 5465 School of Electronic & Electrical Engineering electronics@leeds.ac.uk +44 (0)113 343 2035 School of Mechanical Engineering pgmech@leeds.ac.uk +44 (0)113 343 2149 School of Process, Environmental & Materials Engineering tpgspemeadmissions@leeds.ac.uk +44 (0)113 343 2343 Postgraduate Admissions - Research Degrees Graduate Office for: Civil Engineering Computing Electronic & Electrical Engineering Mechanical Engineering Process, Environmental & Materials Engineering phd@engineering.leeds.ac.uk +44 (0) 113 343 8000 +44 (0) 113 343 8001 (fax) 4