Amelia Jackson Senior Studentship

2018–19

APPLICATION FORM

Personal Information:

Name:
Address for correspondence, if not “Exeter College”:
Email:
Tel:

Education History:

Planned course of study in 2018–19 and expected completion date:
Current Degree and expected completion date (if applicable):
Please provide details of any other Degrees you may have already completed:

Funding Information:

Please provide details of any Scholarships and studentships already applied for, and outcome (where known). Please note that candidates who are eligible for UK Research Council funding must have applied for this source of funding.
Please provide details of any further funding awards already held (a) for the current or previous academic years, (b) for the 2018–19 academic year:

Referee

If you have already started the graduate degree for which you will be reading in Michaelmas Term 2018, and will therefore as outlined in the further particulars, be submitting an academic reference in support of the application, please provide their details below.

Name:
Address for correspondence, if not “Exeter College”:
Email:
Tel:

Please note that it is each candidate’s responsibility to ask these referees to submit their reference for the attention of the Academic Dean the closing date.

The deadline for the receipt of applications and references is 12 noon British Summer Time on Tuesday, 3rd April 2018. Please return this form to or to the College Office pigeon hole, via the Lodge. If you have any queries about making an application please contact

Students will be notified of the outcome of their application at the end of Week 4 Trinity Term.

The information provided on this form will be held in accordance with the provisions of the Data Protection Act 1998. Personal data provided will be used solely by the College for the purposes of your application, statistical purposes and electronic record keeping. The data will not be passed to any other third party without your consent.

By signing this form you are consenting to us accessing and using the information held by the College and University in relation to your current and previous academic performance, and course application.

Signed:

Print Name and Date:

OFFICE USE ONLY
Course Title:
Course Duration:
Course Fee Liability 2018–19:
Reference Received
Sign and Date