The Friends of the University of Warwick in Singapore

The Friends of the University of Warwick in Singapore

Scholarship Application Form

Please email your completed application to the Warwick Singapore office at by the date shown below.

Application closing date:
17th March 2017 (midnight) (date and time as 11:59pm SGT as shown on the email upon receipt)

Eligibility criteria:

These scholarships are available to Singaporean nationals and Permanent Residents who can demonstrate that:

· They are the first in their family to experience international higher education

· They are financially disadvantaged (family income of less than $2,500 per month / per capita income not exceeding $625 per month) and/or

· They are on financial assistance from their current school / Ministry of Education

· They have an offer of a place on an undergraduate programme from Warwick before applying for the scholarship.

Applicants should read these eligibility guidelines before completing this form. It is the applicant’s responsibility to ensure that the application and supporting documentation reach us by the deadline. Please ensure all relevant questions are answered as only complete applications will be considered.

SECTION A (APPLICANTS TO COMPLETE)

1. Your name:

Surname: / First Name: / Sex:
Male / Female

2. Your date of birth (Date / Month / Year):

Age:

3. Your Singapore National Registration Identity Card (NRIC) number:

4. Your permanent home address:

5. Your contact details:

Tel (Home): / Tel (Mobile):
E-mail address:

6. The Warwick undergraduate course for which you have been offered a place for 2017 entry:

Course Name: / UCAS Course Code

7. Are you the first in your family to experience international higher education?

8. Please tell us about your parents’ occupations and give an indication of their yearly salary:

Mother
Father

9. Your UCAS Identification number:

10. Previous secondary school / college / university attended (starting with the most recent institution):

Year / Institution

11. Academic Qualifications (please provide all the relevant exam results):

Level / Course / Subjects studied / Grades / Qualifications awarded
GCSE / IGCSE / Diploma of Secondary Education or equivalent
GCE A-level /
International Baccalaureate or equivalent
Foundation Programme /
Higher Diploma /
University Degree

12. State other Academic or English Language Qualifications, if any:

Name of Test / Score / Year obtained

AWARDS AND EXTRA-CURRICULAR ACTIVITIES

13. List, in point form, the awards or certificates you have received, if any.

14. List, in point form, the extra-curricular activities you have been involved in, e.g. sports, inter-school events, social services or cultural activities.

15. YOUR APPLICATION

Tell us why you should receive a Friends of the University of Warwick in Singapore Trust scholarship (300 words)

DECLARATION

I acknowledge and agree that the personal data provided by means of this application will be used for activities relating to the processing of my application for an award of the scholarship. I declare that I have read and understood the eligibility and selection criteria as outlined in the Scholarship Guidelines to Applicants and that the information I have supplied on this form is, to the best of my knowledge, complete and correct. I acknowledge that any scholarship offer and/or scholarship could be withdrawn if I have misrepresented my past and/or present circumstances and that this termination may take place at any stage during the tertiary course.

Signature of applicant: ______Date:______

CHECKLIST OF SUPPORTING DOCUMENTS REQUIRED

Please submit your completed application form together with the following documents to by 17th March 2017 ((midnight) (date and time as 11:59pm SGT as shown on the email upon receipt):

1. Copy of applicant’s NRIC / FIN (front and back)

2. Copy of NRIC / FIN of applicant’s parents / guardians and immediate family members

3. Evidence of financial assistance from current school

4. Evidence of family income

i) Parents’ / guardians’ latest Notice of Assessment (NOA) from IRAS

ii) Parents’ / guardians’ last 12 months’ CPF contribution history

iii) Parents’ / guardians’ last 3 months’ salary advice

5. SECTION B (FORM TEACHER REFERENCE)

Friends of the University of Warwick in Singapore Trust 2016 Scholarship

Note to referee: Your response will be of great assistance to our scholarship award decisions in ascertaining the student’s academic capabilities, diligence and verification of their economic status. All comments will be used for scholarship selections only. Thank you.

Applications closing date: 17th March 2017 (midnight) (date and time as 11:59pm SGT as shown on the email upon receipt). Please observe the applications closing date carefully as the screening process will soon take place afterwards.

Please send this reference by email to the Warwick Singapore Office at .

Name of Applicant (& UCAS Number, if known): ______

Details of Referee:

Name:
School / Institution:
Title / Position:
Address:
Phone: / E-mail:

The information provided above is to the best of my knowledge and is fair and accurate.

Signature of Referee:______Date:______