Scholarship Submission Form

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Simpson Scholarship
Submission Form
Please complete all sections of this form – incomplete submissions will not be accepted. Your
completed submission form, essay and references should be emailed to
simpsonscholarship@accaglobal.com – the next submission deadline is 1 May 2015.
You must ensure that you meet three of the following criteria before submitting your
application for a scholarship (click on the boxes to confirm):
I am registered as an ACCA Qualification student.
All fees due up to 1 May 2015 have been paid in full – including my 2014 annual
subscription (if applicable).
I have completed the Knowledge module of the Fundamentals level of the ACCA
Qualification and have achieved an average mark of 80% or over – at my first attempt.
or
I was awarded exemptions for the Knowledge module papers and have sat and achieved
66% or over for at least two ACCA Qualification papers in the Fundamentals Skills module
or the Professional level (or conversion equivalent from the Professional Scheme for
students registered with ACCA before 2008) – at my first attempt.
YOUR DETAILS
Student registration number
First name/Western name
Surname/family name
Home address
Town/city
County/state
Post/zip code
Country
Telephone number
(including international
dialling code
Email address
CHECKLIST
You must ensure that the following documents are submitted with your application form:
Completed Simpson Scholarship Submission Form.
Essay: ‘How the award of a scholarship will help me to realise my full potential’.
Contact details of two references.
Failure to include the required documents will result in your application being rejected.
DECLARATION
I submit my application on the basis that I have met the criteria for application.
I certify that the essay is all my own work and that I have not colluded with anyone, or
reproduced any work which is not my own.
If I am successful, I agree to my profile being used for publicity purposes.
FOR OFFICE USE ONLY
Application received (date)
Registered student
Completed Knowledge module
Essay received
No of words
Reference 1
Reference 2
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