NISFeP 3

California State University- Los Angeles

National & International Scholarships and Fellowships Program

2017 Gates Cambridge Scholarship Application Form

Please email this form and the following additional application components to NISFeP by August 31:

·  1 Letter of Recommendation

Important! This is not the complete Gates Cambridge application. The complete application will be available online beginning September 1. The questions below are for NISFeP to use to review your application. Once the online application is live, you must complete every question, including any and all questions not listed below.

For official information on theGates Cambridge Scholarship (which supersedes any information provided here), please visit http://www.gatescambridge.org/.

1.  Do you have a valid passport?

2.  If no, please explain:

Section A(3): Programme of Study

3.  Course Code: Programme of Study or Research Area:

Full time or Part Time: Duration (in years):

Final Award:

Section A(5): Current Study:

4.  Name of Institution: California State University Los Angeles

Subject: Degree:

Date Started: Country:

Faculty/Department:

Expected Grade: Date to Be Obtained:

Section A(6): Previous Degree-Level Study:

5.  Name of Institution:

Subject: Degree:

Date Started: Country: Faculty/Department:

Expected Grade: Date to Be Obtained:

6.  Name of Institution: Subject: Degree:

Date Started: Country: Faculty/Department:

Expected Grade: Date to Be Obtained:

7.  If you have worked on a research project, either for your first degree or subsequently, please describe your work below. Your account should be intelligible to anyone who is not a specialist in your field. If you have no such research experience, leave this black. Max 10 lines:

Section A(7): Scholarships, Prizes and Other Distinctions: (list only the most important)

8.  Name of award:

Reason for award:

Month: Year: Award value:

9.  Name of award:

Reason for award:

Month: Year: Award value:

10.  Name of award:

Reason for award: Level of need and enrollment status

Month: September Year: Award value:

Section A(8): Other Applications to Cambridge:

11.  If you have applied to Cambridge before, please list the details here:

Section A(9): Applications to other Institutions:

12.  If you are applying to other institutions, please list their name and program here:

Section A(10)Employment History:

13.  From: To: Present Post Held:

Name and Address of Employer: Tomas O’Grady 2173 Cedarhurst Dr, Los Angeles 90027

14.  From: To: Present Post Held:

Name and Address of Employer:

15.  From: To: Post Held:

Name and Address of Employer:

16.  Are you currently employed:

17.  Will you be employed at least 40% full-time by Cambridge while studying for this course:

Section A(12): Research Title or Reason for Applying:

18.  Title and statement of your research degree proposal, or reason for wanting to undertake this course. Max 14 lines:

19.  Your department may require a separate more detailed, research proposal. Does your department require an additional proposal:

20.  Name of Proposed Research Supervisor (Applicants for PhD, MSc, or MLitt only):

Section A(13): Part-Time research degrees:

21.  If you proposed to study for a part-time research degree, please state your reasons for wishing to do so here (Max 9 lines):

Section A(14): Additional Information in Support of your Application:

22.  You may write here your non-academic activities or special circumstances not evident from other answers in this application that you wish to draw to the attention of the assessors of your application. The Department to which you are applying may require a CV. You should only enter a CV here if the Department requires it. (Max 7 lines, 130 characters per line):

Section A(15): Career Goals and Aspirations:

23.  Please give an outline of your future career plans and intentions and explain how your proposed studies in Cambridge will help you to achieve these aims (Max 10 lines):

Section B(1): Gates Cambridge Scholarships:

24.  In no more than 500 words, explain why you are applying for a Gates Cambridge Scholarship and how you meet the four main criteria:

Section B(3): Cambridge Commonwealth, European and International Trust (Optional):

25.  If you are eligible and would like NISFeP to review your 500 word essay, please include it here:

National & International Scholarships and Fellowships Program (NISFeP)

King Hall D145 | 323-343-5964 |