UCL – INSTITUTE FOR GLOBAL HEATLH APPLICATION FOR THE

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14 AUSTRALIAN ADVOCACY INSTITUTE BELINDA FROST
3 REGIONAL INSTITUTE OF EDUCATION BHUBANESWAR (NATIONAL
7 NAMN……………………………… PERSONNUMER……………………… KAROLINSKA INSTITUTET BIOMEDICINUTBILDNINGEN TENTAMEN

Application for the Centre for International Health and Development (CIHD)

UCL – INSTITUTE FOR GLOBAL HEATLH


Application for the UCL Institute for Global Health (IGH)

African Graduate Scholarships

Academic Year 2020-21


Sponsored by

CP Charitable Trust, and the International Student House


Before completing this application, please note that:


Candidate Criteria


A. Personal Details


Title Mr Mrs Ms Miss Dr Gender Female Male

Date of Birth: UCL Student Number

Surname: First Names:

Correspondence Address:

Post Code: Country:

Tel: Fax:

Email: Nationality:


B. Programme of Study Details


This scholarship is available to students who intend to pursue an MSc in Global Health and Development at UCL.


Have you applied for an MSc in Global Health and Development? Yes No


If yes, what is your UCL student number?


Have you received an offer? Yes No


If yes, please also enclose a copy of your most recent offer letter from UCL.

Have you ever deferred entry to the programme? Yes No


Have you applied for the African Graduate scholarship previously? Yes No


C. Financial Circumstances and Background


This scholarship is intended for students in financial need, those who would be unable to study at UCL without financial assistance.


PAST/CURRENT PRIZES, AWARDS AND SCHOLARSHIPS

We may request proof (copies of award letters/certificates) of the information you give below.


Name Institution/Awarding Body

Name of Prize/Award/Scholarship

Total Value (in GBP £)

Start Date

End Date

Purpose (e.g. Tuition fees, maintenance)



     


     


     


     


     


     


     


     


     


     


     


     


     


     


     


     


     


     


     


     


     


     


     


     


OTHER FUNDING FOR INTENDED STUDY AT UCL

List any funding you intend to apply for and/or have applied for and/or secured relating to the intended programme.


Name of Institution/Award Body

Name of Prize/Award/Scholarship

Value per year (in GBP £)

Duration (in years)

Purpose (e.g. tuition fees, maintenance)

Status (Applied, secured or intended to apply)

Notification date (if not secured)


     


     


     


     


     


     


     


     


     


     


     


     


     


     


     


     


     


     


     


     


     


     


     


     


     


     


     


     


In the 12 months immediately preceding the start of your programme at UCL, have you been/are you currently/ will you be:

Please check all that apply and provide details:


(X)

Employer/s name and location

Start Date (MM/YY)

End Date (MM/YY)

Monthly salary that you receive


Working Full Time




     


     


     


     


Working Part-Time



     


     



     


     


Unemployed




     


     


     


     


Please provide evidence of income from employer.



Do you have dependants? Yes No


If yes, how many dependants are in your household?


This scholarship will not cover expenses for travelling, visa, initial expenses when arriving to the UK, or potential expenses related to writing the dissertation. How much savings do you have that you could contribute to your studies at UCL? (in GBP £)

(please provide proof of savings)



E. Curriculum Vitae


Please attach a copy of your most recent Curriculum Vitae or resume. Please ensure that it contains details of both your educational and employment history. Please also provide proof of your higher education achievements (photocopies of certificates etc.)


F. Interview


We may invite you to attend an interview. Please state your availability.


Are you available for interview by phone or Skype? Yes No


If yes, when is the most appropriate time to contact you?




G. References


Please include two written references (one academic, one from your employer)

Please also state the names and addresses of the two people who have provided the references that you are returning with this application. Please ensure that the letters are confidential (i.e. sealed envelopes with a signature across the seal). If references are sent by e-mail the referees need to send the letters directly to [email protected]




Name:


Name

Position:


Position:

Address:


Address:




Telephone/Fax Number:


Telephone/Fax Number:

Email:


Email:





H. Personal statement

Please give details of your current financial circumstances, including other contributions that you may receive from anyone during the course of your programme at UCL (e.g. members of your family or anyone else). State why you think the IGH scholarship selection committee should award this scholarship to you including details of how the skills and qualification obtained will be applied on your return to your home country. (Please attach a separate page if necessary).

























































I. Declaration


I declare that the information supplied by me on this form is, to the best of my knowledge, accurate and complete. (If sending the application form by email, please scan this page so that we have a signature)


I understand that my application is valid only if all required information is provided and all required supporting documents (which will not be returned) are enclosed.


I agree to inform the Institute for Global Health ([email protected]) immediately of any other scholarships, grants or award I am offered or awarded subsequent to submitting this application, and to provide details and proof of their details if requested. I understand that additional funding awarded from another source may be taken into account in the calculation of any scholarship I may receive.



Applicant’s Signature: Date:



Please return this form (by post or email) by the 27 April 2020 to:



African Graduate Scholarship, UCL Institute for Global Health, 30 Guilford Street, London WC1N 1EH UK,

Tel +44 (0)20 7905 2707


CONFIDENTIAL—IGH Office Use Only

(Applicants, please do not write in the areas below.)


Graduate Application No: ____: _________ ____________


IGH Scholarship Selection Committee Comments


Comments and Date

5



CARDIFF INSTITUTE FOR THE BLIND EMPLOYMENT PACK
EARTHQUAKE ENGINEERING RESEARCH INSTITUTE OREGON STATE UNIVERSITY
FORMA PARA AYUDA FINANCIAL EL WOMEN’S WILDERNESS INSTITUTE


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