Deadline and submission

The deadline for submission of the annual report is 21 October 2016 - all reports must be

sent so that they arrive on or before this date.

All reports should be emailed as an attachment to . Alternatively,

reports can be posted to the following address: QUEST Coordinator, Institution of Civil Engineers,

One Great George Street, Westminster, London, SW1P 3AA.

If, as part of your scholarship, you are sponsored by a company please forward a copy of your report to your mentor/manager at your sponsor company.

Before completing this form, please make sure you consult the ‘Annual Report Guidance’ document.

Section A

1. Personal information

Name / ICE membership number

2. Contact details

Before you complete the rest of the form please log on to MyICE at ice.org.uk/myice and review/update your contact details.

I have verified my contact details via MyICE and updated where necessary (please tick)

3. Course details

University / Qualification (e.g. MEng) / Full title of course
(e.g. Civil Engineering) / Course duration (e.g. 4 years) / Year of graduation
Have you changed course or have there been any significant alterations to your course? / Yes / No

If yes, please explain the changes and/or alterations below. Examples of significant alterations are; a change in qualification, course title, duration and when you are due to graduate.

*If you’ve changed course or made significant alterations to your course please email with your ICE membership number and new course details so your membership record can be kept up to date.

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Section B

4. Academic results

Please list your results from the previous academic year – we require these so that your

academic performance can be recorded and monitored.

Module title / Percentage or grade / Pass or fail
Overall result

5. Personal Tutor details

Your university Personal Tutor must fill in, sign and date this section of the report confirming you have successfully passed the academic year.

I confirm that these results are correct and the Scholar has progressed to the next year of study.

Tutor’s Name
Position
Email
Signed* / Date

*A handwritten signature is required; any reports without a handwritten signature will not be accepted

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Section C

6. Main report

In this section you are asked to reflect on what you have learnt and achieved during the previous

academic year and whilst on your summer work placement. Before completing this section

please make sure you consult the ‘Annual Report Guidance’ document. The number of words

is the minimum we expect but you must keep within the allocated space.

1. Your experiences this year (300 words)
2. Goals for the future (150 words)
3. Extra-curricular activities (100 words)

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Section D

7. Activities promoting civil engineering and the scholarship

You must participate in a minimum of three activities during your time as a QUEST Scholar

that promote civil engineering and the scholarship. Please list the activities you have

participated in during the previous academic year ONLY.

Location / Date
Description of activity (please also state which organisation the activity was through, for example ICE)
Location / Date
Description of activity (please also state which organisation the activity was through, for example ICE)
Location / Date
Description of activity (please also state which organisation the activity was through, for example ICE)
Name of company / Start date / End date
Please detail where the placement was located and give a brief description of the nature of the work and your involvement in it

8. Summer work placement details

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