Application for the UCM Scholarship

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To be sent in before March 1 , 2014 to the Admissions Office of University College Maastricht
The UCM Scholarship is aimed at highly talented students from outside the EEA (European
Economic Area) who wish to follow the Liberal Arts & Sciences program at University College Maastricht.
Please annex the following:

Motivation letter why you wish to obtain this scholarship

1.

Personal information

Surname:

........................................................................................................................

First name:

........................................................................................................................

Date of birth:

....................... Place of birth: .............................................................................

Nationality:

........................................................

Present address (postal address):

Gender:

Female

Male

..................................................................................................

Zip code & city: ........................................................................................................................

Country:

........................................................................................................................

Telephone:

...........................................

Email:

........................................................................................................................

2.

Mobile:

.........................................................

Other scholarships

Have you applied for any other scholarships?

Yes

No

Have you received a decision concerning the scholarship application(s)?

Yes

No

If yes, have you been awarded any scholarship(s)?

Yes

No

If yes, Name of the scholarship(s): ..............................................................................................

Total amount of the scholarship(s):

Monthly payment

....................

Single payment

....................

Other

....................

Institution:

........................................................................................................................

Country:

........................................................................................................................

3.

Required signature

I herewith apply for the UCM Scholarship and declare that I have completed this form to the best of my knowledge.

Date

................................................

Place

................................................

Signature of the applicant ...........................................................................................................