Masters Studentship 2018-19

Application Form

Please refer to the guidance notes provided separately. The deadline for applying is 3 July 2018

Part 1: Personal Information

Applicant Number:
Title (Mr, Mrs, Ms etc):
Surname:
First name(s):
Date of birth:
Contact address:
Tel /Mobile:
Fax:
Email:
Gender: / Male / Female

Part 2: Intended Programme of Study & Academic Qualifications

  1. Have you been offered a place on a programme at the School?
/ Yes
☐ / No
☐
  1. Mode of study
/ Full time
☐ / Part time
☐
  1. Title of intended postgraduate degree programme?

  1. What is your highest level qualification?

  1. What is your actual/expected Undergraduate degree classification?
/ 1st
☐ / 2:1
☐ / Other
☐

Part 3: Widening Participation Questions

(Please tick all that apply. Please note that these questions will help to identify whether you are from a group that is evidentially under-represented among the School’s taught masters population)
Yes / No
  1. Have you ever been in Local Authority Care?
/ ☐ / ☐
  1. Do you have caring responsibilities for an ill or disabled family member?
/ ☐ / ☐
  1. Do you consider yourself to have a disability?

  1. Are you, or have you been, in receipt of Disabled Students Allowance (DSA)?

  1. Are you the first in your immediate family to enter higher education?
/ ☐ / ☐
  1. What was your postcode immediately prior to the start of your undergraduate degree?
/ ☐ / ☐
  1. What were the occupations of your parents/guardians when you were aged 14?
/ ☐ / ☐
Occupation one:
Occupation two:

Part 4: Supporting Documentation

Applicants must provide evidence to support claims made in Part 3 of this form.
The following documents are required in respect of the relevant questions. These can be submitted electronically or in hardcopy but must be sent together with the application form:
  1. Local Authority Care – Please provide a letter from your Local Authority confirming the exact
dates of care.
  1. Carer of a family member – documentation confirming that you are in receipt of a Carer’s Allowance or a notification letter from your Local Authority
4./5. Disabled Student Allowance (DSA) – Letter confirming your award while an undergraduate student or
equivalent medical evidence.
  1. Postcode prior to undergraduate degree – Utility bill or bank statement showing date and full address.

Confidentiality:
Your Postgraduate Scholarship Scheme application will be considered by a panel of senior members of staff within the School. It may be necessary for additional supporting information to be sought from other School staff. The School of Advanced Study processes all personal data in accordance with the Data Protection Act 1998.
Declaration
I confirm that the information provided is accurate and complete to the best of my knowledge. I confirm that I have read and understood the eligibility criteria, conditions of the award and regulations relating to the postgraduate scholarship scheme. I understand that giving false information will automatically disqualify my application
Signed: / Date:

CONTACT

If you have any queries on any aspect of the application process, please contact the SAS Registry Office:

School of Advanced Study Registry, University of London, Ground Floor, Senate House, South Block, Malet Street,
London, WC1E 7HU, Email:

Phone: +44 (0)20 7862 8873

Website:

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