Commission Form– UK Scholar Awards 2017-18
Full Name:
Award Applied For:
Please indicate below what award category you are applying for. You may only apply for one award.
All-DisciplinesScholar Award
British Heart Foundation Scholar Award
Cyber Security Scholar Award
Elon University Scholar Award
Fight for Sight Research Award
Lloyd’s of London Scholar Award
NI Public Sector Award
Police Research Award
Robertson Visiting Professorship
Royal Society of Edinburgh Scholar Award
Royal College of Surgeons Award
Scottish Studies Scholar Award
University of South Florida Scholar Award
Urology Foundation Scholar Award
Interview Location
Please indicate your preferred interview location. We cannot guarantee your preference but will do our best to accommodate your wishes
1st Choice 2nd Choice
London
Edinburgh
Belfast
Travel and Application History
Please address each of the following prompts
- Specify all previous study, research orsimilar experiences in the United States, explaining in what capacity, location and approximate dates this took place.
- List any significant periods spent abroad, specifying location, duration of stay and purpose.
- Indicate all previous Fulbright applications you have made, giving the year, programme/award category and the outcome.
Where did you see/hear about this programme?
Check all that apply:
Google Search
Fulbright Commission Website
US Department of State Website
University Communication Please state the University:
Previous Applicant
Flyer or Poster Please state where:
Prospects.co.uk
Social Media
Linked In
Other, Please specify
Newspaper/Journal (please specify)
Email or E-Alert (please specify)
Other Website: (please specify)
Other source: (please specify)
Data Protection
- In the event that you are unsuccessful in this competition, the Fulbright Commission would like to retain your basic information for statistical analysis and to monitor trends. The information the Commission would like to retain is; your name, address, gender, DOB, home institution, discipline, Award/Affiliation/Supervisor, and degree level.
If you object to us retaining this information, please tick here:
- In the event that you are unsuccessful in this competition, the Fulbright Commission would like to retain your basic information as described above, and your email address, so that we can notify you of new award opportunities and invite you to participate in the occasional survey.
If you object to the Commission retaining this information and contacting you after the competition is complete, please tick here:
Confirmation of Documentation
Before submitting your application, please confirm that you have included all of the necessary documents. Your application will not be considered complete if it is missing any of these elements.
Embark Application Form
Commission Form
Host Invitation Letter/Correspondence
Curriculum Vitae
Copy of Passport Bio Page(s)
Teaching Report/Syllabi (if applicable)
Promissory Statement (if applicable)
Airfare/insurance estimates/proof of salary (BHF Award only)
Signature
Please sign and date below to confirm that you have uploaded all the necessary documents listed above (digital signature is acceptable):
Signed:
Date:
Equal Opportunities Form – UK Scholar Awards 2016-17
The Fulbright Commission is committed to the promotion of equality of opportunity in all aspects of its policy, practices and procedures. To make this meaningful we need to monitor the effectiveness of our policies, by analysing statistical information. We would be grateful if you could provide us with the following information, which will ensure our statistics are accurate and representative of people who are seeking programmes and awards through the Fulbright Commission.
The information you provide will not be used as part of the selection process and the data will remain anonymous.
Date of Birth
Gender
Male Female Prefer not to say
Ethnic Group
Choose one section from a to f, then tick the appropriate box to indicate your ethnic background
a. White
Scottish English Welsh Irish Any other white background*
*Please specify:
b. Mixed
White and Black Caribbean White and Black African White and Asian
Any other mixed background* *Please specify:
c. Asian or Asian British
Indian Pakistani Bangladeshi Any other Asian Background*
*Please specify:
d. Black or Black British
Caribbean African Any other Black background*
*Please specify:
e. Chinese
f. Other ethnic background*
*Please specify:
Disability
Do you consider yourself to be disabled?
YesNoPrefer not to say
1