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BE PG Scholarship Application Form 09.doc
School of the Built Environment
Postgraduate Scholarship Scheme
Application Form for
\u25a1Full-time UK/EU School Scholarship
\u25a1Part-time UK/EU School Scholarship
\u25a1Full-time Indian School Scholarship

\u25a1Full-time Hodgkinson Scholarship
\u25a1John Henry Brookes Scholarship
\u25a1Jon Snow Scholarship (DEP applicants only)
\u25a1Martin Wilkinson Fund Scholarship (DEP applicants only)
\u25a1Brookes Africa Scholarship Scheme (DEP applicants only)
\u25a1Robert Adam Architects (IARD applicants only)
\u25a1Jones Lang LaSalle (IRE applicants only)

(Please tick all of which you are applying)
1. DETAILS OF MASTERS DEGREE PROGRAMMEPlease read scholarship detail leaflet before completing form
Title of Programme:
Proposed start date:
(mm-yyyy)
Mode of study:Full-time\u25a1
Part-time\u25a1
Duration of programme:1 year\u25a1
2 years\u25a1
2. PERSONAL DETAILS
Title (eg Mr/Ms/Miss/Mrs etc):
Male
\u25a1
Female
\u25a1
Please tick
Surname/
Family Name:
Nationality:
First Name:
Country of domicile/
Area of permanent residence:
Address for correspondence:
Postcode:
Home address (if different):
Postcode:
Tel:
Tel:
*Email:
Email:
*Email is our preferred method of communication therefore please print your address clearly
BE PG Scholarship Application Form 09.doc
3. YOUR EDUCATION (including professional qualifications and training programmes)
Dates(from-to)
Institution (include location)
Subject(s)
Result & Classification
(eg BA Hons 2.1)
4. YOUR EMPLOYMENT/PROFESSIONAL EXPERIENCE/UNPAID OCCUPATIONS
Dates(from-to)
Brief details eg job title, company name, main responsibilities
5. YOUR ENGLISH PROFICIENCY
If your main language is not English, please tell us about any English language qualifications which you hold:

a) IELTS score (the normal minimum requirement is 6 or 6.5, depending on the programme\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026 b) TOEFL score (the normal minimum requirement is 550 or 600, depending on the programme\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026 c) Any other English qualification which you hold, or are about to take\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026

6. FINANCING YOUR STUDIES
Are you applying for any other funding to support your postgraduate studies?
Yes
\u25a1
No
\u25a1
If no, move to Section 7
If Yes: (a) Are you applying for any other
Scholarships/grants/awards?
Yes\u25a1
Name of award making body\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026
(b) Are you applying for other sources of
funding, eg a loan or sponsorship? Yes\u25a1
Details\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026..
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