Please read the guidance notes before completing this form. You must tick all scholarships you are applying for. When completing your application you should use Calibri font size 11, if possible.
Ahmet Ertegun Memorial Scholarship
The Bright Oceans Corporation Scholarship
The D. H. Chen Foundation Scholarship
Oxford Centre for Islamic Studies Scholarship
Palgrave Brown Scholarship / Palgrave Brown UK Scholarship
Reach Oxford Scholarship
Simon and June Li Scholarship
Vicky Noon Educational Foundation
Scholarship
Hill Foundation Scholarship
SECTION B – PERSONAL INFORMATION
Title (tick one box only): Mr Ms Other (please indicate)
Surname or family name:
First name(s): / Middle name(s):
Date of birth:
Correspondence address: / Permanent address (if different):
Email address:
Telephone number:
Country of citizenship: / Country of residence:
UCAS number:
SECTION C – COURSE DETAILS
Please give details of the course at Oxford for which you are applying for funding.
Degree / Subject / College
Only applications from candidates who have been offered a place at the University of Oxford for entry in 2016/17 will be considered.
SECTION D – FINANCIAL INFORMATION
Name of applicant: / UCAS number:
Please give details of any funding you have already firmly secured for each year of your course. State the value in GBP£ and the type of expenses (e.g. fees, living costs) covered. Please enter £0 where you will not receive income from the source(s) listed. Please note that the Hill Foundation Scholarship is based on academic merit and potential only and does not take financial need into account.
FUNDING SOURCES / TYPE OF EXPENSES / 2016/17 / 2017/18 / 2018/19 / 2019/20
Own income/savings / £ / £ / £ / £
Relatives/friends / £ / £ / £ / £
Other scholarships / £ / £ / £ / £
Private sponsors / £ / £ / £ / £
Loans / £ / £ / £ / £
Other (please give details)
£ / £ / £ / £
£ / £ / £ / £
Total / £ / £ / £ / £
Please give details of any funding you have applied for or intend to apply for to support your studies at Oxford. State the value in GBP£ and the type of expenses (e.g. fees, living costs) covered. Please enter £0 where you will not receive income from the source(s) listed.
FUNDING SOURCES / TYPE OF EXPENSES / AWARD NOTIFICATION DATE / LEVEL OF AWARD / DURATION OF AWARD
£
£
£
£
How have you funded your studies so far? (e.g. merit-based scholarship)
What is your parent’s annual income (pre-tax)? / £
SECTION E – SUPPORTING STATEMENT FOR ALL SCHOLARSHIPS
Name of applicant: / UCAS number:
Please explain how the scholarship would assist in the achievement of your academic goals and why you feel that you merit this financial support. You may wish to include information about your financial circumstances, current studies and future aspirations. Please ensure that you read the scholarship profile to check if you need to provide any additional information. Please use the space provided and do not expand this section or attach additional pages.
SECTION F – ADDITIONAL SUPPORTING STATEMENT FOR VICKY NOON EDUCATIONAL FOUNDATION SCHOLARSHIP
Name of applicant: / UCAS number:
In addition to completing Section E, please set out (in no more than 200 words) how you intend to contribute to Pakistan on your return, and how your studies in Oxford will help with this. Please use the space provided and do not expand this section or attach additional pages.
SECTION G – ADDITIONAL SUPPORTING STATEMENT FOR REACH OXFORD SCHOLARSHIP
Name of applicant: / UCAS number:
In addition to completing Section E, please answer the following three questions:
1. Financial Need Why are you applying for this scholarship and how will it enable you to study at Oxford? Please include information about your financial situation with reference to the figures provided in Section D.
2. Social Commitment How would you use the education you receive at Oxford for the benefit of your community? Please include details of any relevant activities you are currently involved in.
3. Educational Opportunities What educational opportunities are available in your own country to study your chosen subject at undergraduate level?
Please use the space provided and do not expand this section or attach additional pages.
SECTION H – REFERENCES
Name of applicant: / UCAS number:
Please give the names of two people with direct knowledge of your academic work (e.g. former or current teachers) who are not related to you, and who you have asked to complete reference forms in support of your application.
REFEREE NAME AND OCCUPATION / ADDRESS OF REFEREE / RELATIONSHIP TO YOU
SECTION I – CHECKLIST
Please check the relevant scholarship details very carefully before submitting your application. Then tick the boxes below.
HAVE YOU… / TICK IF YES
Fully completed the application form? Incomplete or late applications will not be considered.
Completed Section F if you are applying for a Vicky Noon Educational Foundation Scholarship?
Completed Section G if you are applying for a Reach Oxford Scholarship?
Enclosed one copy of your college offer letter?
Asked the two referees named in Section H to send references to Student Fees and Funding?
SECTION J – DECLARATION
Once you have completed the above, please read the declaration below and sign to agree with the terms.
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 (not required if submitting electronically):
Print name: / Date:
Student Fees and Funding
January 2016