graduate application pack 2010-11

8/9/2019 Graduate Application Pack 2010-11

1/32

Application Pack Graduate Studies Prospectus 20102011


2/32

NOTES


3/32

Board of Graduate Studies

HOW TO APPLY PAGE 1 OF 5


4/32HOW TO APPLY PAGE 2 OF 5


6/32


8/32

NOTES


9/32APPLICATION FORM INSTRUCTIONS PAGE 1 OF 4


11/32


13/32

!!

! PAGE 1 OF 8 !!

"#$%&$'(!)%*+,,+-.!$.%!/01-2$#,1+3!)332+0$'+-.!4-#*!5"6)7/)48 !

!

!

Board of Graduate Studies!

!

!

!!4+9!:-!31-'-;#$31!1(#((!.-!2$#;(#!'1$.!'1+,!>-9!$.%!!-?!1+;1!@&$2+':

!!

! Type of application !532($,(!'+0A!-.(!>-9!>(2-B8 !

ADMISSION ! CONTINUATION ! RE-ADMISSION !C!$*!0#(.'2:!$! graduate !,'&%(.'!$'!!'1(!D.+E(#,+':!-?!F$*>#+%;(!$.%!B+,1!'-! continue !-.!$.-'1(#!0-,(

C!B$,!3#(E+-&,2:!$! graduate !,'&%(.'!!$.%!B+,1!'-!$332:!?-#! re-admission !!'-!$.-'1(#!0-,(

C!B+,1!'-!$332:!?-#! admission !!$,!$!;#$%&$'(!,'&%(.'!$'!'1(!D.+E(#,+':!-?!F$*>#+%;(

! Please see http://www.admin.cam.ac.uk/offices/gradstud/current/continuing ! !

G$E(!:-&!3#(E+-&,2:!$332+(%!'-!'1(!D.+E(#,+':!-?!F$*>#+%;(!?-#!;#$%&$'(!$%*+,,+-.,!-#!,'&%+(%!$'!'1(!D.+E(#,+':!-?!F$*>#+%;(!$,!$.!&.%(#;#$%&$'(!-#!;#$%&$'(!,'&%(.'H !

!

7-!:-&!B+,1!'-!>(!0-.,+%(#(%!?-#! AHRC or other Research Council funding H!5IG-*(J!$.%!IKDJ!?((!,'$'&,!,'&%(.',!-.2:8 ! !!

!

SECTION A: To be completed by all applicants!

A(1) Personal details !

Name (as on passport) Name (previous) !! If you had a different name during any previousstudy at Cambridge, please include it here.L$,'!5?$*+2:8! ! ! L$,'!5?$*+2:8! !

4+#,'! ! !4+#,'! !

M'1(#!.$*(,! ! !M'1(#!?+#,'!.$*(,! !

=+'2(!5N#ON#,ON+,,O7#!('08! ! !=+'2(!5N#ON#,ON+,,O7#!('08! !

Date of Birth! ! !

! ! !

77! NN! PPPP!

Sex

!!N$2( ! !!4(*$2( !

Nationality and residence !

!F-&.'#:!-?!3(#*$.(.'!#(,+%(.0(! !

Q$'+-.$2+':! !

).:!,(0-.%!.$'+-.$2+':! !

F-&.'#:!-?!>+#'1! !!

7-!:-&!#(@&+#(!$!E+,$!!'-!(.'(#!'1(!DRH!

!P(, !!Q- !

S$,,3-#'!Q&*>(#T! !

! !!

!

A(2) Contact Information !

! Mailing Address !! Home (permanent) Address (if different)

Q&*>(#O,'#(('! ! !

! ! !

=-B.!-#!0+':! ! !

F-&.':O3#-E+.0(O,'$'(! ! !

S-,'$2!0-%(! ! !

F-&.'#:! ! !

=(2(31-.(!52$.%2+.(8! ! !

!=1+,!$%%#(,,!+,!E$2+%!&.'+2T!

! ! ! 77ONNOPPPP!!

!!

C!1$E(!2+E(%!$'!'1+,!$%%#(,,!,+.0(T!! ! ! 77ONNOPPPP!!

!N->+2(!S1-.(!

K*$+2!)%%#(,,! Please write very clearly, we will use your email tocommunicate with you during the application process.!

!

A(3) Programme of Study !

Date you wish to start 5'+0A!-.(!-.2:8 !

!U!M0'!VWUW!!

X!Y$.!VWUU!!

UW!)3#!VWUU!!

Study mode 5'+0A!-.(!-.2:8

!!4&22Z=+*(!

!!S$#'Z=+*(!

S2($,(!.-'(T!+'!+,!;(.(#$22:!.-'!3-,,+>2(!'-!->'$+.!$!,'&%(.'!E+,$!'-!,'&%:!3$#'Z'+*([!not all courses are available part-time Z!see Prospectus.

Details of your programme of study . F-.,&2'!'1(!$33#-3#+$'(!(.'#:!+.!'1(!"#$%&$'(!/'&%+(,!S#-,3(0'&,!>(?-#(!0-*32('+.;!'1(!?+(2%,!+.!'1+,!,(0'+-.

Course code Programme of study or research area Department Final Award Duration


14/32

!

4DLL!Q)NK! !!

! PAGE 2 OF 8 !

!

A(4) College membership (Please consult the College Selection Criteria section in the Prospectus; Continuing Students see below)

You may choose up to two Cambridge Colleges to consider your application

C.!'1(!F-22(;(!F1-+0(!4-#*!>(2-B\!B#+'(!]U]!+.!'1(!>-9!.(9'!'-!:-!U,'!01-+0(!F-22(;(\!$.%!]V]!+.!'1(!>-9!.(9'!'-!:-!V.%!01-+0(!F-22(;(#+%;(!>(?-#(\!32($,(!$2,-!B#+'(!'1(!.$*(!-?!:-!3#(E+-&,!F-22(;(!+.!'1(!IK9+,'+.;!F-22(;(!N(*>(#,1+3J!,(0'+-.!-.!'1(!#+;1'

College Choice Form: to be completed by ALL Applicants. ! ! Existing College Membership

Do not tick the boxes - you must write a number to show your order of preference. !

!F1#+,'J,!

!F1+22!

!F2$#(!

!F2$#(!G$22!

!F-#3&,!F1#+,'+!

!7$#B+.!

!7-B.+.;!

!K**$.&(2!

!4+'^B+22+$*!!"+#'-.!

!"-.E+22(!$.%!F$+&,!!

!G-*(#'-.!

!G&;1(,!G$22!

!Y(,&,!

!R+.;J,!

!L&0:!F$E(.%+,1!_!

!N$;%$2(.(!

!N#$:!K%B$#%,!_!

! (formerly New Hall )!

!Q(B.1$*!_!!S(*>#-A(!

!S('(#1-&,(!!

!`&((.,J!

!6->+.,-.!

!/'!F$'1$#+.(J,!

!/'!K%*&.%J,!

!/'!Y-1.J,

!/(2B:.!

!/+%.(:!/&,,(9!

!=#+.+':!

!=#+.+':!G$22!!a-2?,-.!

!M3(.!)332+0$'+-.!!

!C?!:-&!$#(!$2#($%:!$!*(*>(#!-?!$!F$*>#+%;(!F-22(;(\! please indicate which one

CONTINUING STUDENTS:C?!:-&!$#(O1$E(!>((.!$!3-,';#$%&$'(!,'&%(.'!$'!F$*>#+%;(\!32($,(!,((!'1(!b-$#%J,!B(>,+'(!#(;$#%+.;!:-!F-22(;(!01-+0(T!BBB,(@&(.'2:\!32($,(!%(,0#+>(!:-!B-#A!>(2-B[!:-!$00-&.'!,1-&2%!>(!+.'(22+;+>2(!'-!$.:-.(!B1-!+,!.-'!$!,3(0+$2+,'!+.!:-!?+(2%

!

!


15/32

!

4DLL!Q)NK! !!

! PAGE 3 OF 8 !!

!

A(7) Scholarships, prizes and other distinctions obtained (list only the most important):

Name of award Reason for award Date of award Value of award, if any

! ! ! !

! ! ! !

! ! ! !

!

! A(8) If you have made other applications to Cambridge this year, give details here:

Degree Programme of study or research area Department

! ! !

! ! !!

! A(9) If you have made applications to other institutions this year, give details here:

Degree Major subject Institution Faculty Country! ! ! ! !

! ! ! ! !!

! A(10) Employment History !

From To Post Held Name and Address of Employer

! ! ! !

! ! ! !

! ! ! !

!

Are you currently employed? P(,! !!Q-! !

!

Will you be employed at least 40% full-time by the University of Cambridge while studying for this course? P(,! !!Q-! !!

! A(11) Names and addresses of your academic referees: !

! First academic referee5)LL!F)Q7C7)=K/8!

Q$*(! !

=+'2(! !

)%%#(,,! !

! !

=-B.!-#!0+':! !

F-&.':O/'$'(!-#!S#-E+.0(! !

F-&.'#:! !

S-,'$2!F-%(! !

K*$+2! !!

! Second academic referee5)7NC//CMQ/!F)Q7C7)=K/!MQLP8!

!

!

!

!

!

!

!

!

!!

! ! ! !


16/32

!

4DLL!Q)NK! !!

! PAGE 4 OF 8 !

!

A(12) Summary details of research proposal or reason for applying for the course

C?!:-&!B+,1!'-!B-#A!&.%(#!$!3$#'+0&2$#!,&3(#E+,-#\!,'$'(!'1$'!3(#,-.J,!.$*(!1(#(T! !!

! )332+0$.',!?-#!S17\!N/0!-#!NL+''!-.2:

=+'2(!$.%!,'$'(*(.'!-?!:-!#(,($#01!%(;#((!3#-3-,$2\!-#!#($,-.!?-#!B$.'+.;!'-!&.%(#'$A(!'1(!0-,(T!

!

!

A(13) Part-time research degrees !

C?!:-&!3#-3-,(!'-!,'&%:!?-#!$!3$#'Z'+*(!#(,($#01!%(;#((\!32($,(!,'$'(!:-!#($,-.,!?-#!B+,1+.;!'-!,'&%:! part-time 1(#(#+%;(!B+22!1(23!:-&!$01+(E(!'1(,(!$+*,

!


17/32

!

4DLL!Q)NK! !!

! PAGE 5 OF 8 !!

!

SECTION BTo be completed by all applicants who wish to be considered for awards offered by the Cambridge Trusts

!

=1(!F$*>#+%;(!=#&,',!5B1+01!+.02&%(!'1(!"$'(,!F$*>#+%;(!=#&,'\!'1(!F$*>#+%;(!F-**-.B($2'1!=#&,'\!'1(!F$*>#+%;(!ME(#,($,!=#&,'\!$.%!$,,-0+$'(%!'#&,',!$.%!'1(+#!0-22$>-#$'-#,8!-??(#!,01-2$#,1+3,!$.%!3$#'Z0-,'>,$#+(,!'-!,'&%(.',!?#-*!-E(#,($,!$.%!'1(!K-3($.!D.+-.5(902&%+.;!'1(!D.+'(%!R+.;%-*8!B1-!;$+.!$%*+,,+-.!'-!'1(!D.+E(#,+':!-?!F$*>#+%;(-&'!'1(!=#&,',!$.%!'1(+#!$B$#%,

! C?!:-&!$#(!eligible !5+-9!$.%!0-*32('(! all of section B !$,!?&22:!$,!3-,,+>2(

! C?!:-&!$#(!not !(2+;+>2(!?-#!$B$#%,!-??(#(%!>:!'1(!F$*>#+%;(!=#&,',!5+

4-#!+.?-#*$'+-.!$>-&'!:-!?((!,'$'&,!32($,(!,((!'1(!"#$%&$'(!/'&%+(,!S#-,3(0'&,(!'$A(.!+.'-!$00-&.'!B1(.!0-.,+%(#+.;!:-!$0$%(*+0!$332+0$'+-.!?-#!$!32$0(

D.+E(#,+':!F-*3-,+'+-.!4((!5$..&$2!$*-&.'8! e!

F-22(;(!?((!5 estimated $..&$2!$*-&.'8! e!

N$+.'(.$.0(!$22-B$.0(!5$..&$2!$*-&.'8! e!

! !

Total estimated ANNUAL financial commitment required ! e!

! !

B(2) Funds you are confident of raising ANNUALLY Please give as much detail as possible of the funds you are able to raise annually

Source ! ! a year

Family contribution32($,(!;+E(!,-(\!+! !

!

e!

Personal funds32($,(!;+E(!,-(\!+!

!

e!

Loans32($,(!;+E(!,-(\!+


18/32

!

4DLL!Q)NK! !!

! PAGE 6 OF 8 !

!

B(3) Applications for other scholarships/awards for which you are under consideration or have been awarded

G$E(!:-&!$332+(%!-#!$#(!:-&!3#-3-,+.;!'-!$332:!?-#!$.:!-'1(#!$B$#%,H P(,! !! Q-! !! If yes please give details below !

Awarding body Tenable atCambridge?

Awarded? Y/N

Tenure(years)

Date awarded/To be awarded

Annual Value

! ! ! ! ! !

! ! ! ! ! !

! ! ! ! ! !

! ! ! ! ! !

! ! ! ! ! !

! ! ! ! ! !

! ! ! ! ! !!

Note)332+0$.',!*&,'!A((3!'1(!F$*>#+%;(!=#&,',!$.%!'1(!b-$#%!-?!"#$%&$'(!/'&%+(,!+.?-#*(%!+?!'1(#(!$#(!$.:!01$.;(,!'-!'1(!+.?-#*$'+-.!;+E(.!+.!questions B(2) and B(3) 2(!$'!F$*>#+%;(!?-#!B1+01!'1(:!1$E(!$2#($%:!$332+(%!-#!B1+01!'1(:!$#(!$B$#%(%!,&>,(@&(.'!'-!'1+,!$332+0$'+-.

B(4) Application to the Cambridge Trusts (overseas and EU candidates only)

Have you applied to the Cambridge Trusts for a scholarship/bursary before? P(, Q-! !

C?!:(,\!?-#!B1+01!:($#!-?!(.'#:!'-!'1(!D.+E(#,+':H! !!

!

!

Have you received a scholarship/bursary from the Cambridge Trusts before? P(,! !!Q-! !!

!! !

C?!:(,\!32($,(!,3(0+?:!>(2-B!B+'1!%('$+2,!$.%!%$'(,

!

!!B(5) Personal reference !

Personal referee !5MgK6/K)/!)Q7!KD!F)Q7C7)=K/!)SSLPCQ"!=M!F)Nb6C7"K!=6D/=/!MQLP8!

Q$*(! !

)%%#(,,! !

! !

! !

=-B.!-#!0+':! !

F-&.':O/'$'(!-#!S#-E+.0(!!

F-&.'#:! !

S-,'$2!F-%(! !

! !

=+'2(!5N#ON#,ON+,,O7#!('08!!!

K*$+2! ! !!!!!!!!!!

!!!!


19/32


20/32

!

4DLL!Q)NK! !!

! PAGE 8 OF 8 !

!

SECTION C To be completed by all applicants

!

C(1) Next of kin !

Q$*(! !

)%%#(,,! !

! !

! !

=-B.!-#!0+':! !

F-&.':\!3#-E+.0(!-#!,'$'(! !

S-,'0-%(OF-&.'#:! !

=(2(31-.(! !

! !

!

!!C(2) How did you hear about graduate programmes at Cambridge? e.g. Prospectus, Internet, British Council, Careers Service etc (please specify)

! !C(3) Declaration and Data Protection !

=1+,! %-0&*(.'! ?-#*,! '1(! 2(;$2! >$,+,! -?!:-! $332+0$'+-.!'-! F$*>#+%;(

!U! 7)=)! S6M=KF=CMQ!)F=! 5Uhhi8T!C! $;#((!'-! '1(!D.+E(#,+':!-?! F$*>#+%;(\!0-22(;(,! -?! '1(! D.+E(#,+':! -?! F$*>#+%;(\! "$'(,!

F$*>#+%;(!=#&,'!$.%!'1(!F$*>#+%;(!F-**-.B($2'1\!-#!ME(#,($,!=#&,'!5$,!$33#-3#+$'(8!3#-0(,,+.;!3(#,-.$2!%$'$!0-.'$+.(%+.*:!$332+0$'+-.!3$3(#,!B1('1(#!3#-E+%(%!+.!0-.?+%(.0(!-#!.-'!!>:!-'1(#!+.%+E+%&$2,!-#!+.,'+'&'+-.,\!+.!,&33-#'!-?!*:!$332+0$'+-.\! $,3$#'!-?!'1(!$%*+,,+-.,\!#(;+,'#$'+-.!$.%!?&.%+.;!3#-0(,,(,:!'1(! D.+E(#,+':! -? F$*>#+%;(\ 0-22(;(, -? '1( D.+E(#,+': -? F$*>#+%;(\ "$'(, F$*>#+%;( =#&,'! $.% '1( F$*>#+%;(!F-**-.B($2'1\!-#!ME(#,($,!=#&,'!5$,!$33#-3#+$'(8!B+22!!1$E(!>((.!3#-E+%(%!0-.?+%(.'+$22:(!&,(%!?-#!!3-,(,!-?!,'$??!'#$+.+.;

!

V!!C!0(#'+?:!'1$'!$22!'1(!+.?-#*$'+-.!;+E(.!+.!'1+,!$332+0$'+-.!+,!0-*32('(!$.%!$00$'(\!$.%!C!&.%(#,'$.%!'1$'!+?!C!1$E(!;+E(.!?$2,(!-#!*+,2($%+.;! +.?-#*$'+-.!'1(!D.+E(#,+':! -?!F$*>#+%;(!B+22! .-'!$%*+'!*(!$,! $!"#$%&$'(!-#! S-,';#$%&$'(!, '&%(.'\! $.%!*$:! '$A(!2(;$2!$0'+-.!$;$+.,'!*(

!

f!

C!0(#'+?:!'1$'!C!$*!'1(!-#+;+.$2!$.%!,-2(!$&'1-#!-?!$22!B-#A!,&>*+''(%!$,!3$#'!-?!'1+,!$332+0$'+-.\!(90(3'!B1(#(!02($#2:!+.%+0$'(%!-'1(#B+,(

!

jCC!&.%(#,'$.%!'1$'!+?!*:!$332+0$'+-.!+,!&.,&00(,,?&2\!'1(!3$3(#,!#(2$'+.;!'-!+'!B+22!>(!%(,'#-:(%\!$.%!0$..-'!>(!#('.(%

!

!! ! !

Q)NK!5S6CQ=8! /C"Q)=D6K! 7)=K!577ONNOPPPP8!!

!

!C(4) SUBMISSION !

=1+,!?-#*!+,!-.2:!3$#'!-?!:-!$332+0$'+-.!'-!F$*>#+%;(

S2($,(!$2,-!,((!'1(!%$'$!3#-'(0'+-.!,'$'(*(.'!?-#!'1(!G+;1(#!K%&0$'+-.!/'$'+,'+0,!);(.0:!5GK/)8!$'!www.hesa.ac.uk/index.php/content/view/141/171 !

!!

)!?((!-?! GBP 35 !?-#!($01!;#$%&$'(!$%*+,,+-.!$332+0$'+-.!+,!$332+0$>2(

Applications without payment will not be processed.!F-*32('(%!3$3(#!$332+0$'+-.,!*&,'!>(!$00-*3$.+(%!>:!$!01(@&(!-#!>$.A(#J,!%#$?'!?-#! GBP 35 !*$%(!3$:$>2(!'-!I The University of Cambridge J!$.%!*&,'!>(!%#$B.!-.!$!DR!>$.A!$00-&.'$.A

Your full name, address, date of birth and details of the course applied for must be written on the back of the bankers draft or cheque.


21/32

!

(CONTINUES OVERLEAF)

S(#,-.$2!7$'$!/1(('!!

!

!!=1(!+.?-#*$'+-.!-.!'1+,!,1(('!+,!3(#,-.$2!$.%!B+22!.-'!>(!*$%(!$E$+2$>2(!'-!$.:!?$0&2':!-#!%(3$#'*(.'!&.2(,,!-#!&.'+2!$.!-??(#!-?!$%*+,,+-.!1$,!>((.!*$%(!'-!:-&+2+':!6(,-(!F(.'#(

! C!1$E(!.-!%+,$>+2+':!5WW8!

! C!$*!>2+.%O3$#'+$22:!,+;1'(%!5WV8!

! C!$*!%($?O1($#+.;!+*3$+#(%!5Wf8!

! C!$*!$!B1((201$+#!&,(#!-#!1$E(!*->+2+':!%+??+0&2'+(,!5Wj8!!

! C!.((%!3(#,-.$2!0$#(!,&33-#'!5WX8!

! C!1$E(!*(.'$2!1($2'1!%+??+0&2'+(,!5Wl8!

! C!1$E(!$.!&.,((.!%+,$>+2+':!5Wk8!

! C!1$E(!'B-!-#!*-#(!-?!'1(!$>-E(!5Wi8!

!

!C!1$E(!$.!)&'+,'+0!/3(0'#&*!7+,-#%(#!-#!),3(#;(#J,!/:.%#-*(!5UW8!

!C!1$E(!$!/3(0+?+0!L($#.+.;!7+??+0&2':!5(! C!1$E(!$!%+,$>+2+':!.-'!2+,'(%!$>-E(!5hl8!

! C.?-#*$'+-.!#(?&,(%!5hk8!

!!

Board of Graduate Studies !!


22/32

!

4DLL!Q)NK! !!

!(3) Ethnic Origin

Please tick the appropriate box to indicate your background. If you do not wish to provide information in this section, tick the Informationrefused box. !!

! a1+'(!!5UW8!

! b2$0A!-#!b2$0A!b#+'+,1!c!F$#+>>($.!5VU8!

! b2$0A!-#!b2$0A!b#+'+,1!c!)?#+0$.!5VV8!

! M'1(#!b2$0A!>$0A;#-&.%!5Vh8!

! ),+$.!-#!),+$.!b#+'+,1!c!C.%+$.!5fU8!!

! ),+$.!-#!),+$.!b#+'+,1!c!S$A+,'$.+!5fV8!!

! ),+$.!-#!),+$.!b#+'+,1!c!b$.;2$%(,1+!5ff8!

! F1+.(,(!5fj8!

! M'1(#!),+$.!>$0A;#-&.%!5fh8!

! N+9(%Za1+'(!$.%!b2$0A!F$#+>>($.!5jU8!

! N+9(%Za1+'(!$.%!b2$0A!)?#+0$.!5jV8!

! N+9(%Za1+'(!$.%!),+$.!5jf8!

! M'1(#!N+9(%!>$0A;#-&.%!5jh8!

! M'1(#!K'1.+0!>$0A;#-&.%!5iW8!

! C.?-#*$'+-.!#(?&,(%!5hi8! !(3) About your financial situation

5=1+,!+.?-#*$'+-.!+,!1(23?&2!'-!F-22(;(,!B1-!.((%!'-!(,'+*$'(!'1(!2+A(2+1--%!-?!:-&!>(+.;!$>2(!'-!'$A(!&3!:-!32$0(8!!!C?!:-&!$#(!.-'!,&00(,,?&2!+.!->'$+.+.;!$!,01-2$#,1+3\!B+22!:-&!>(!$>2(!'-!?&.%!:-!,'&%+(,!?#-*!3#+E$'(!?&.%,H!!

! P(,!

! Q-!(please tick)

!!!!!!!!!!

! !

/+;.$'(! 7$'(!

!!!!!!!!!!!

!


23/32

)0$%(*+0!6(?(#(.0(!C.,'#&0'+-.!4-#*!U


For applicants for admission only (not continuationor re-admission)

!

INSTRUCTIONS FOR A REFEREE SUPPORTING AN APPLICATION FOR ADMISSION

(1) To be completed by the applicant !

Proposed Study 7(;#((!=:3(! ! !! !4&22!=+*(!! !S$#'!=+*(! !

S#-;#$**(!-?!,'&%:!-#!#(,($#01!$#($!

!

! !

7(3$#'*(.'! !! !

! ! ! ! ! ! ! !)332+0$'+-.!Q&*>(#!!

Applicants NameL$,' !5?$*+2:8! !

4+#,'!53(#,-.$28 ! !

=+'2(!! ! !!!5N#ON#,ON+,,O7#!('08!

Contact Details !

K*$+2! !

=(2(31-.(! !

Date of Birth !! !

! ! !

77! NN! PPPP!

Sex

! !N$2(!!!!!!!

! !4(*$2(!

Applicants Signature

! !!

/+;.$'(! ! 7$'(!577ONNOPPPP8!

(2) To be completed by the referee !

Referees NameQ$*(! !

S-,+'+-.! !

Institution

C.,'+'&'+-.!Q$*(! !

7(3'O4$0&2':! !

Referees Contact DetailsK*$+2! !

=(2(31-.(! !

)%%#(,,! !

F+':! !

F-&.'#:! !

G-B!2-.;!1$E(!:-&!A.-B.!'1(!$332+0$.'H!

C.!B1$'!0-.'(9'!%-!:-&!A.-B!1+*O1(#H! !

=1+,!?-#*!+,!.-'!'1(!#(?(#(.0(

The paper should be the letterhead of your institution: if you are not able to use a letterhead, please attach your businesscard. The reference should also be signed, as we cannot accept electronic or scanned signatures. Please address referencesto The Secretary of the Board of Graduate Studies and make sure you sign and date the reference.

S2($,(!0-**(.'!-.!'1(!$332+0$.'J,!$0$%(*+0!?+'.(,,!$.%!;(.(#$2!,&+'$>+2+':!'-!&.%(#'$A(!'1(!3#-3-,(%!0-,(!-?!#(,($#01!-#!,'&%:\!+.!#(2$'+-.!'-!'1(!@&$2+?+0$'+-.!,-&;1'-&'!1+,O1(#!$>+2+':!'-!*$.$;(!%+??(#(.'!#(,3-.,+>+2+'+(,!,+*&2'$.(-&,2:

7)=)!S6M=KF=CMQ!)F=!5Uhhi8T!S2($,(!+.%+0$'(\!>:!'+0A+.;!!'1(!>-9!>(2-B\!+?!:-&!$;#((!'-!'1+,!#(?(#(.0(!>(+.;!#(2($,(%!'-!'1(!3(#,-.!+.!#(,3(0'

!-?!B1-*!+'!+,!B#+''(.\!,1-&2%!'1$'!3(#,-.!,((A!+',!%+,02-,((2-B\!B(!B+22!$,,&*(!'1$'!:-&!%-!.-'!$;#((!'-!'1(!%+,02-,(!-?!:-!#(?(#(.0(!+?!'1(!3(#,-.!0-.0(#.(%!,((A,!+',!%+,02-,((!#(@&+#(%!'-!*$A(!$!%+,02-,(!+##(,3(0'+E(!-?!:-!B+,1(,

! !

6(?(#((J,!/+;.$'(! 7$'(!577ONNOPPPP8!

!

(4) DELIVERY

To deliver, please:U8!K.02-,(!'B-!0-3+(,!5DR!$332+0$.',8!-#!'1#((!0-3+(,!5.-.ZDR!$332+0$.',8!-?!#(?(#(.0(!+.!$!/K)LK7!(.E(2-3(

V8!/+;.!:-!.$*(!$0#-,,!'1(!,($2!$.%!0-E(#!+'!B+'1!02($#!'$3(

f8!6('.!'1(!(.E(2-3(!'-!'1(!$332+0$.'

!


24/32

NOTES


25/32

)0$%(*+0!6(?(#(.0(!C.,'#&0'+-.!4-#*!V


For applicants for admission only (not continuationor re-admission)

!

INSTRUCTIONS FOR A REFEREE SUPPORTING AN APPLICATION FOR ADMISSION


Proposed Study 7(;#((!=:3(! ! !! !4&22!=+*(!! !S$#'!=+*(! !

S#-;#$**(!-?!,'&%:!-#!#(,($#01!$#($!

!

! !

7(3$#'*(.'! !! !

! ! ! ! ! ! ! !)332+0$'+-.!Q&*>(#!!

Applicants NameL$,' !5?$*+2:8! !

4+#,'!53(#,-.$28 ! !

=+'2(!! ! !!!5N#ON#,ON+,,O7#!('08!

Contact Details !

K*$+2! !

=(2(31-.(! !

Date of Birth !! !

! ! !

77! NN! PPPP!

Sex

! !N$2(!!!!!!!

! !4(*$2(!


! !!

/+;.$'(! ! 7$'(!577ONNOPPPP8!



S-,+'+-.! !

Institution

C.,'+'&'+-.!Q$*(! !

7(3'O4$0&2':! !


=(2(31-.(! !

)%%#(,,! !

F+':! !

F-&.'#:! !

G-B!2-.;!1$E(!:-&!A.-B.!'1(!$332+0$.'H!

C.!B1$'!0-.'(9'!%-!:-&!A.-B!1+*O1(#H! !

=1+,!?-#*!+,!.-'!'1(!#(?(#(.0(

The paper should be the letterhead of your institution: if you are not able to use a letterhead, please attach your businesscard. The reference should also be signed, as we cannot accept electronic or scanned signatures. Please address referencesto The Secretary of the Board of Graduate Studies and make sure you sign and date the reference.

S2($,(!0-**(.'!-.!'1(!$332+0$.'J,!$0$%(*+0!?+'.(,,!$.%!;(.(#$2!,&+'$>+2+':!'-!&.%(#'$A(!'1(!3#-3-,(%!0-,(!-?!#(,($#01!-#!,'&%:\!+.!#(2$'+-.!'-!'1(!@&$2+?+0$'+-.!,-&;1'-&'!1+,O1(#!$>+2+':!'-!*$.$;(!%+??(#(.'!#(,3-.,+>+2+'+(,!,+*&2'$.(-&,2:

7)=)!S6M=KF=CMQ!)F=!5Uhhi8T!S2($,(!+.%+0$'(\!>:!'+0A+.;!!'1(!>-9!>(2-B\!+?!:-&!$;#((!'-!'1+,!#(?(#(.0(!>(+.;!#(2($,(%!'-!'1(!3(#,-.!+.!#(,3(0'

!-?!B1-*!+'!+,!B#+''(.\!,1-&2%!'1$'!3(#,-.!,((A!+',!%+,02-,((2-B\!B(!B+22!$,,&*(!'1$'!:-&!%-!.-'!$;#((!'-!'1(!%+,02-,(!-?!:-!#(?(#(.0(!+?!'1(!3(#,-.!0-.0(#.(%!,((A,!+',!%+,02-,((!#(@&+#(%!'-!*$A(!$!%+,02-,(!+##(,3(0'+E(!-?!:-!B+,1(,

! !

6(?(#((J,!/+;.$'(! 7$'(!577ONNOPPPP8!

!

(4) DELIVERY

To deliver, please:U8!K.02-,(!'B-!0-3+(,!5DR!$332+0$.',8!-#!'1#((!0-3+(,!5.-.ZDR!$332+0$.',8!-?!#(?(#(.0(!+.!$!/K)LK7!(.E(2-3(

V8!/+;.!:-!.$*(!$0#-,,!'1(!,($2!$.%!0-E(#!+'!B+'1!02($#!'$3(

f8!6('.!'1(!(.E(2-3(!'-!'1(!$332+0$.'

!

!

!


26/32

NOTES


27/32

S(#,-.$2!6(?(#(.0(!4-#*

Board of Graduate Studies !!


Proposed Study

7(;#((!=:3(! ! !! !4&22!=+*(!! !S$#'!=+*(!! !

S#-;#$**(!-?!,'&%:!-#!#(,($#01!$#($!

!

! !

7(3$#'*(.'! !! !

! ! ! ! ! ! ! !)332+0$'+-.!Q&*>(#!!(if already available )! !

Applicants Name

L$,'! 5?$*+2:8! !

4+#,'!53(#,-.$28 ! !

=+'2(!! ! !!!5N#ON#,ON+,,O7#!('08!

Contact Details !

K*$+2! !

=(2(31-.(! !

Date of Birth !! !

! ! !

77! NN! PPPP!

Sex

! !N$2(!!!!!!!

! !4(*$2(!


!!

/+;.$'(! ! 7$'(!577ONNOPPPP8

!



S-,+'+-.! !

Institution

C.,'+'&'+-.!Q$*(! !


=(2(31-.(! !

)%%#(,,! !

F+':! !

F-&.'#:! !

G-B!2-.;!1$E(!:-&!A.-B.!'1(!$332+0$.'H!

C.!B1$'!0-.'(9'!%-!:-&!A.-B!1+*O1(#H!

!(3) Assessment

Please give below your candid assessment of the applicants personal and social qualities, achievements, future plans and any other factors relevant to the application for awards from the Trusts. The Trustees are looking for applicants with outstanding academicrecords but also with personal qualities that mark them out as potential leaders capable of making significant contributions tosociety. The Trustees attach the greatest importance to the personal reference, warmly thank referees in advance for their help andapologise that the number of applications prevents them from acknowledging receipt of this reference.

G-B!1+;12:\!>:!'1(!*-,'!,'#+.;(.'!B-#2%B+%(!,'$.%$#%\!B-&2%!:-&!#$'(!'1(!$332+0$.'!?-#!$.!$B$#%!?#-*!'1(!F$*>#+%;(!=#&,',\!>($#+.;!+.!*+.%!'1(!,'#(.;'1!-?!'1(!0-*3('+'+-.H!

Tick as appropriate Comments

K90(3'+-.$2!

! /'#-.;!

6(,3(0'$>2(!

Q-'!/'#-.;!

)#(!'1(!$332+0$.'J,!@&$2+?+0$'+-.,!$33#-3#+$'(!?-#!'1(!0-,(!-?!;#$%&$'(!,'&%:!-#!#(,($#01!$'!F$*>#+%;(\!$.%!+.!B1$'!B$:,!B+22!'1(!3#-3-,(%!,'&%:!>(!#(2(E$.'!'-!'1(!.((%!-?!'1(!$332+0$.'J,!0-&.'#:H!

!

!


28/32

(4) Reference

Please give below your assessment of the applicants leadership potential and commitment to improving the lives of others. Pleaseattach a separate letter if necessary.

!

!

(5) DECLARATION AND DATA PROTECTION

7)=)!S6M=KF=CMQ!)F=!5Uhhi8T!S2($,(!+.%+0$'(\!>:!'+0A+.;!'1(!>-9!>(2-B\!+?!:-&!$;#((!'-!'1+,!#(?(#(.0(!>(+.;!#(2($,(%!'-!'1(!3(#,-.!+.!#(,3(0'!-?!B1-*!+'!+,!B#+''(.\!,1-&2%!'1$'!3(#,-.!,((A!+',!%+,02-,((2-B\!B(!B+22!$,,&*(!'1$'!:-&!%-!.-'!$;#((!'-!'1(!%+,02-,(!-?!:-!#(?(#(.0(!+?!'1(!3(#,-.!0-.0(#.(%!,((A,!+',!%+,02-,((!#(@&+#(%!'-!*$A(!$!%+,02-,(!+##(,3(0'+E(!-?!:-!B+,1(,

! !

6(?(#((J,!/+;.$'(! 7$'(!577ONNOPPPP8! !

(6) DELIVERY:

To deliver, please:U8!K.02-,(!-.(!0-3:!-?!'1(!3(#,-.$2!#(?(#(.0(!+.!$!/K)LK7!(.E(2-3(

V8!/+;.!:-!.$*(!$0#-,,!'1(!,($2!$.%!0-E(#!+'!B+'1!02($#!'$3(

f8!F2($#2:!B#+'(!mSK6/MQ)L!6K4K6KQFK!MQ!bKG)L4!M4!nF)Q7C7)=KJ/!Q)NKop!-.!'1(!?#-.'!-?!'1(!(.E(2-3(

8!6('.!'1(!(.E(2-3(!'-!'1(!$332+0$.'

!


29/32


GRADUATE APPLICATION CHECKLIST


30/32GRADUATE APPLICATION CHECKLIST


31/32GRADUATE APPLICATION CHECKLIST


32/32

NOTES

graduate application pack 2010-11

Documents