1
THE BEIT TRUST
APPLICATION FORM FOR POSTGRADUATE SCHOLARSHIPS
INTAKE 2018
(ZIMBABWE)
1.
Surname ..................................................................................................................................................
2.
First name(s) ...........................................................................................................................................
3.
(Title) Mr/Mrs/Miss/Ms/Dr..........................................................Male/Female .....................................
4.
Date of Birth (see note A) ..................................................... Age by 31 December 2017 ...................
5.
Nationality and Place of Birth .................................................................................................................
..................................................................................................................................................................
6.
Languages spoken ...................................................................................................................................
7.
Marital Status: Single/Engaged/Married/Divorced .................................................................................
8.
Age and profession of spouse .................................................................................................................
9.
Age & sex of dependent children ............................................................................................................
10.
Length of residence in Zimbabwe (give dates) .......................................................................................
11.
Address for correspondence: ..................................................................................................................
..................................................................................................................................................................
Email Address .........................................................................................................................................
Tel. No. / Cell No. ...................................................................................................................................
(You may be disqualified if you do not advise of changes or provide an incorrect email address.)
12.
Have you applied for a Beit Postgraduate Scholarship before? .............................................................
To study in which year? ..........................................................................................................................
Were your referees contacted? ......................... Were you shortlisted for an interview? .......................
13.
14.
Secondary school attended:
.............................................................................................................
A-level grades by subject:
....................................................................
..................................................................................
.....................................................................
...................................................................................
Name of university/ies where your undergraduate degree/s was taken (see note B):
..................................................................................................................................................................
Detail the degree i.e. BCom/BSc:
................................................................................................
Grade achieved:
................................................................................................
Date Graduated:
................................................................................................
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15.
Present Occupation (name of employer, position held and length of service): ......................................
..................................................................................................................................................................
..................................................................................................................................................................
16.
Previous Work Experience (name of employer/s and position/s held): ..................................................
..................................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................
17.
a)
Are you contracted or bonded in any way to your employer through receipt of any
previous grant or assistance or employment contract?
...................................................................................................................................................
b)
Will you be paid by your employer whilst studying?
....................................................................................................................................................
18.
Postgraduate studies to be pursued if Scholarship awarded (See note C).
This section is NOT for the joint-funded scholarships i.e. Beit-Leeds, Beit-Rhodes, etc.
a)
Description of Course and Qualification sought:
....................................................................................................................................................
....................................................................................................................................................
b)
Starting Date: .............................................................................................................................
c)
Duration of Course: ...................................................................................................................
d)
State the university/ies which you would like to attend (you should have applied for admission
to the university of your choice):
i)
.............................................................................................
Provisional Place: Yes/No
ii)
..............................................................................................
Provisional Place: Yes/No
iii)
.............................................................................................
Provisional Place: Yes/No
BEIT JOINT PARTNERSHIPS
Applicants will normally be expected to have applied to any of the partner universities chosen as listed
below:
19.
A Beit-Cambridge, (BC) Scholarship is a one-year taught Masters Degree at Cambridge University,
jointly funded by the Beit Trust and Cambridge University Trust. (See note D under “Instructions”
and for further information refer to Notes 11.a)
a)
Description of Course: .............................................................................................................
b)
Starting Date:
.............................................................................................................
c)
Duration of Course:
.............................................................................................................
d)
Have you applied to Cambridge?
e)
Provisional Place Offered: Yes/No
Yes/No
(If “No” please do so)
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20.
21.
22.
23.
24.
A Beit-Edinburgh (BE) Scholarship is a one-year taught Masters Degree at the University of
Edinburgh, jointly funded by the Beit Trust and University of Edinburgh. (See note D under
“Instructions” and for further information refer to Notes 11.b)
a)
Description of Course: .............................................................................................................
b)
Starting Date:
.............................................................................................................
c)
Duration of Course:
.............................................................................................................
d)
Have you applied to Edinburgh?
e)
Provisional Place Offered: Yes/No
Yes/No
(If “No” please do so)
A Beit-Glasgow (BG) Scholarship is a one-year taught Masters Degree in Biomedicine at the
University of Glasgow, jointly funded by the Beit Trust and University of Glasgow. (See note D under
“Instructions” and for further information refer to Notes 11.c)
a)
Description of Course: .............................................................................................................
b)
Starting Date:
.............................................................................................................
c)
Duration of Course:
.............................................................................................................
d)
Have you applied to Glasgow? Yes/No
e)
Provisional Place Offered: Yes/No
(If “No” please do so)
Beit-Leeds (BL) Scholarships (several) are one-year taught Masters Degrees at the University of
Leeds, jointly funded by the Beit Trust and University of Leeds. (See note D under “Instructions” and
for further information refer to Notes 11.d)
a)
Description of Course: .............................................................................................................
b)
Starting Date:
.............................................................................................................
c)
Duration of Course:
.............................................................................................................
d)
Have you applied to Leeds?
e)
Provisional Place Offered: Yes/No
(If “No” please do so)
Yes/No
A Beit-Oxford/Wadham College (BOW) Scholarship is a one-year taught Masters Degree at the
University of Oxford, jointly funded by the Beit Trust and University of Oxford. (See note D under
“Instructions” and for further information refer to Notes 11.e)
a)
Description of Course: .............................................................................................................
b)
Starting Date:
.............................................................................................................
c)
Duration of Course:
.............................................................................................................
d)
Have you applied to Oxford?
e)
Provisional Place Offered: Yes/No
(If “No” please do so)
Yes/No
A Beit-Strathclyde (BSC) Scholarship is a one-year taught Masters Degree at the University of
Strathclyde, jointly funded by the Beit Trust and University of Strathclyde. (See note D under
“Instructions” and for further information refer to Notes 11.f)
a)
Description of Course: .............................................................................................................
b)
Starting Date:
.............................................................................................................
c)
Duration of Course:
.............................................................................................................
d)
Have you applied to Strathclyde?
e)
Provisional Place Offered: Yes/No
Yes/No
(If “No” please do so)
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25.
26.
27.
28.
Beit-University of Cape Town (BCT) Scholarships (several) are one-year taught Masters Degrees
at the University of Cape Town, jointly funded by the Beit Trust and University of Cape Town. (See
note D under “Instructions” and for further information refer to Notes 11.g)
a)
Description of Course: .............................................................................................................
b)
Starting Date:
.............................................................................................................
c)
Duration of Course:
.............................................................................................................
d)
Have you applied to UCT?
e)
Provisional Place Offered: Yes/No
(If “No” please do so)
Yes/No
Beit-Rhodes University (BR) Scholarships (several) are taught Masters Degrees at Rhodes
University, jointly funded by the Beit Trust and Rhodes University. (See note D under “Instructions”
and for further information refer to Notes 11.h)
a)
Description of Course: .............................................................................................................
b)
Starting Date:
.............................................................................................................
c)
Duration of Course:
.............................................................................................................
d)
Have you applied to Rhodes?
e)
Provisional Place Offered: Yes/No
(If “No” please do so)
Yes/No
Beit-Stellenbosch University (BS) Scholarship (several) are taught Masters Degrees at Stellenbosch
University, jointly funded by the Beit Trust and Stellenbosch University. (See note D under
“Instructions” and for further information refer to Notes 11.i)
a)
Description of Course: .............................................................................................................
b)
Starting Date:
.............................................................................................................
c)
Duration of Course:
.............................................................................................................
d)
Have you applied to Stellenbosch?
e)
Provisional Place Offered: Yes/No
Yes/No
(If “No” please do so)
Sponsorship obtained for earlier degree courses: ...................................................................................
..................................................................................................................................................................
29.
Have you applied to any other sponsors in connection with other awards for a
Postgraduate course?
YES/NO
If yes, to whom and for what course? .....................................................................................................
..................................................................................................................................................................
30.
Interests & achievements (past and present) (See note E)
..................................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................
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31.
Preferred reading matter (including the titles of 3 or 4 books that have most influenced
excluding text books)
you
..................................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................
32.
Intentions on completion of the Scholarship (See note F)
..................................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................
33.
Is it your intention to return to Zimbabwe after your postgraduate studies? (See note G)
34.
Where do you intend to work after your post graduate studies?
YES/NO
..................................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................
35.
What opportunity have you had in the past 18 months to exhibit leadership qualities and how
you react?
did
..................................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................
36.
Write a Personal Statement to explain why you are seeking this Scholarship (See note H)
37.
Miscellaneous information (please add any further information you would wish the Board
take into account when considering your application) (See note I)
to
..................................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................
38.
Enclose a recent Health Certificate (see note J).
39.
Character Reference - Nominate only the Name, Postal Address, and Email Address of a
distinguished person who has known you for some time, who will provide a reference, to whom the
Trust can write (N.B. This must NOT be a relative, tutor or superior at work.)
The Trust will
correspond directly with the referee. (See Note 12)
..................................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................
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40.
Employer Reference - Nominate only the Name, Postal Address, Email Address of your employer
(if applicable). If you are not working, enter “N/A” and note that we will then require two Academic
Referees (see No. 43 “Academic References”.) The Trust will correspond directly with the referees.
(See Note 12)
..................................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................
41.
Academic Reference - Nominate only the Name, Postal Address, Email Address of TWO tutors who
will provide you with academic testimonials UNLESS you are working, in which case we will
require a testimonial from your employer (as above), PLUS One academic testimonial. The Trust
will correspond directly with the referees. (See Note 12)
a)..............................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................
b) (if not employed) ..............................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................
I hereby confirm that if shortlisted I shall be available for interview in Harare in early to mid November 2017.
Signature ......................................................................................... Date .........................................................
WE WILL NOT ACCEPT SUBMISSIONS BY EMAIL OR FAX
DO NOT STAPLE DOCUMENTS, HOWEVER PAPER CLIPS ARE ACCEPTABLE
If insufficient space is provided on the form, complete your answer(s) on a separate sheet of paper, referring
to the question concerned. A computer/typewriter may be used in completing the form. Handwriting should be
legible and in ink.
When you have completed the form, send a HARD COPY together with all necessary papers (allowing 2
weeks if posting from outside Harare) or by Courier to The Beit Trust Representative:
THE BEIT TRUST
5 Ludlow Road,
Newlands
Harare, Zimbabwe
P.O. Box CH 76
Chisipite, Harare, Zimbabwe
Tel: +263 4 788202/3
Email: [email protected]
TO REACH HIM NO LATER THAN 31 AUGUST 2017
All applications received will be acknowledged by email. Please contact us if you have not heard from
this Office.
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INSTRUCTIONS
WARNING: Every year, several promising applicants fail to achieve sponsorship because they do not
respond in time, or they do not provide all the information requested (e.g. email addresses omitted), or their
applications are poorly presented or illegible.
Please take care to read the guide notes below:
NOTE A: Candidates must be under the age of 30 (or 35 in the case of medical doctors or veterinary
surgeons) on the 31st December in the year in which application is made. Medical doctors should have
completed 18 months of internship and preferably a one year rural posting in Zimbabwe. Enclose a certified
copy of your birth certificate.
NOTE B: State degree(s) held and date(s) acquired or for which studies are at present in progress; the
name(s) of the university(ies) concerned; grade of degree(s) conferred. Enclose copies of relevant,
CERTIFIED certificates including CERTIFIED academic transcript of grades. State any academic or normal
employment work done before or after graduating and since leaving school (work experience is a decided
advantage). Applicants will not to be considered unless their first degree is of at least good second-class
honours (Merit). Consideration will not be given to those presently in their Honours year, the results for which
will not be known by the closing date for application.
NOTE C: Under (a) state what you hope to achieve; e.g. MSc in Computer Science; MA in History. Under
(d) you must decide which university(ies) you wish to attend. It is not necessary to have a confirmed place,
but a provisional place can be an advantage. Ensure any university(ies) selected offers the course of study you
want to pursue. For the joint-funded scholarships, complete one or more of Sections 19, 20, 21, 22, 23, 24,
25, 26, 27, 28, and 29. Once again a provisional place can be an advantage.
NOTE D:
The BC/BE/BG/BL/BOW/BSC, and in RSA BCT/BR/BS Scholarships are joint-funded and
are administered by the Beit Trust and the relevant University and different Scholarship terms apply.
(See the website www.beittrust.org.uk.)
NOTE E:
Give your interests, hobbies, sports, social, church, club commitments, charitable work, etc.
Mention any responsible positions held and include any achievements of special merit at secondary school,
university or elsewhere, and any voluntary social work.
NOTE F:
State the type of work you hope to do, or for which arrangements have already been made,
and your long-term aspirations.
NOTE G:
Only those candidates who indicate their intention to return to Zimbabwe upon completion of
their studies will be considered.
NOTE H:
Your Personal Statement should say briefly (one paragraph) how you think your further
training will benefit Zimbabwe and its development. Personal Statements should not exceed one typed
page.
NOTE I:
You may also give, if you wish, additional information that you would like to bring to the
attention of the Beit Trust Scholarship Selection Advisory Board. This statement should be signed and
attached to the application form. Please identify any specific or major challenge you have experienced in the
past 2 years to exhibit leadership qualities and how you rose to it.
NOTE J:
A fully qualified doctor should complete and sign the attached Medical Certificate.
N.B. There is no provision for travel or accommodation for a spouse.
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DETAILED INSTRUCTIONS
These instructions should be read very carefully before formal application is made for a Beit Trust
Scholarship. Failure to submit any documents as listed in Section 7, or comply with any other condition as
laid down may result in the application becoming void.
1.
PURPOSE OF THE SCHOLARSHIPS
A small number of Scholarships will be awarded annually to enable persons domiciled in Zimbabwe
to undertake postgraduate study (not first or honours degrees), normally in the UK, Ireland or South
Africa. The Trust cannot assist with degrees that are already under way.
2.
(a)
QUALIFICATIONS FOR SCHOLARSHIPS
Domicile in Zimbabwe means that the applicant must be living in that country as a “permanent
resident” and not as a “visitor” and that he or she has had the status of “permanent resident” for at least
three years prior to the date of application. Decision in cases of doubt about country of domicile will
be at the absolute discretion of the Advisory Board for Beit Trust Postgraduate Scholarships.
(b)
Preference will be given to applicants whose field of study and future work are considered most likely
to be of benefit to Zimbabwe.
3.
PLACE OF STUDY
The Scholarships may be held at universities or institutions approved by the Beit Trustees in the United
Kingdom, Ireland or South Africa. It is an added advantage for applicants to have a provisional place
at their university of choice. If shortlisted for an interview this becomes even more important.
4.
SCHOLARSHIPS AT UNIVERSITIES IN SOUTH AFRICA
Applicants are warned that the South African Government apply strict controls to the attendance of
foreign students at South African universities. Medical places are often highly competitive and the
process is sometimes cumbersome. It is therefore advantageous to have an offer of a place.
The student is required to pay a repatriation fee of about US$500 at the South African Consulate before
he/she can be granted a visa. This is intended as a guarantee that he/she will return to his/her parent
country at the conclusion of his/her studies.
5.
TENURE OF SCHOLARSHIPS
The Scholarships are normally to study for Masters Degrees but outstanding PhD candidates may be
considered. The Scholarships will be tenable for one year, and a maximum of four years for medical,
veterinary or PhD applicants.
The Scholarships are held on the approval of the Beit Trustees who may suspend or terminate a
Scholarship at their discretion. Only under very exceptional circumstances will the Trustees agree to
an extension of a Scholarship beyond the agreed maximum period.
The Beit Trust is sexless, apolitical, colour-blind and wholly focused on academic distinction. The
Trustees will instantly terminate their sponsorship of any Beit Scholar who engages in student
demonstrations, public activism and violent insurgency.
6.
VALUE OF THE SCHOLARSHIPS
The Trust will pay (all sums to be confirmed and therefore are only indicative):a) Cost of tuition and college fees.
b) A personal allowance of not less than £13,332 per annum in the UK (which is adjusted annually to the
cost of living in accordance with recommendations from an independent review authority). No extra
allowance is paid for the spouse or children of a Scholar.
c) A personal allowance in South Africa of not less that £10,625 (which is adjusted annually to the cost
of living). No extra allowance is paid for the spouse or children of a Scholar.
d) An arrival allowance of £1,200 in the UK or £250in South Africa.
e) An allowance of £450 for a laptop.
f) An allowance of £100 for printing of thesis.
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g) A departure allowance of £250 in the UK or £250 in South Africa paid on return to Zimbabwe.
h) An allowance for approved travel within the UK when necessary, as recommended by the Scholar’s
tutor.
i) In addition, the cost of economy air passage for outward journey will be paid for the successful
applicant, also return passage if returning to work in Zimbabwe. Airfares are not paid for spouses or
dependants.
NB
(1)
(2)
No allowance is paid for excess baggage (this is covered by the departure allowance).
Since the cost of living in South Africa is less than in the UK, South African rates are lower
but compare favourably to those paid in the UK.
7.
APPLICATIONS and CHECK LIST
The following information is required:(a) Evidence of age and nationality (certified copy of birth certificate OR relevant pages of your
passport).
(b) Evidence of domicile in Zimbabwe (certified copy of I.D. – National Registration Card)
(c) Provide your (legible) personal email address and cell number.
(d) i) Certified evidence of first degree awarded by a university or institution.
ii) Certified copy of academic transcript of grades
ii) Certified copies of O and A Level certificates
(e) Completion and return of attached medical certificate signed by a fully qualified doctor
(f) Provide email addresses for ALL referees.
(g) A Curriculum Vitae, only if you have worked or are currently employed. Do not include a C.V.
if you have not worked.
(h) For bonded candidates, a letter from your employer stating that leave of absence will be granted
(i) Personal statement
(j) Applications, with all the above information, must reach the Beit Trustees’ Representative by 31st
August 2017. We will not accept submissions by email or fax (Hard Copies Only). Please do
not staple documents.
8.
REQUIREMENTS OF SCHOLARS
Each Scholar will be required to submit to the Secretary of The Beit Trust, at least once a year and as
often as may be requested, a report on his/her work signed by a responsible officer of the institution at
which he/she is studying. Scholars are expected to pursue their studies diligently, to keep full terms
and to take research degrees where applicable. They will not be permitted to read for degrees or
diplomas other than those sanctioned, except with the specific, written permission of the Secretary.
At the end of the course, each Scholar is expected to provide a hard-bound, presentation copy of his/her
thesis (i.e. not a plastic file) to the Secretary of the Beit Trust.
9.
PUBLICATIONS BY SCHOLARS
Any Scholar who, during his/her tenure of the Scholarship, wishes to publish a book, or work on the
subject connected with his/her course of study shall first obtain the sanction of the Secretary to the
Beit Trustees and shall cause the words “Beit Scholar” to follow his/her name in the title of the
book or work.
10.
LEAVE OF ABSENCE FOR BONDED STUDENTS
Applicants, who have been in receipt of grants for their studies from the Government of Zimbabwe
and/or are contracted or bonded in any way, should obtain certificates of eligibility and permission to
apply for a scholarship, in writing from their employer. This should be attached to their application.
11.
BEIT CAMBRIDGE/EDINBURGH/GLASGOW/LEEDS/OXFORD/STRATHCLYDE/CAPE
TOWN/RHODES/STELLENBOSCH UNIVERSITY SCHOLARSHIPS
In addition to the normal Beit Scholarships, places for a taught Masters degree are offered as follows:
Applicants will normally be expected to apply to the partner universities listed below:
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a) CAMBRIDGE UNIVERSITY: A one-year taught Masters degree is offered at Cambridge
University. This single scholarship, known as the BC, will be competed for between all 3
beneficial territories (Malawi, Zambia and Zimbabwe) and is therefore not reserved specifically
for any one country. Those applicants interested in applying for a BC Scholarship should contact
the Cambridge University website: www.cam.ac.uk to ascertain what areas of study are available
before completing their application form.
b) UNIVERSITY OF EDINBURGH: A one-year taught Masters degree is offered at University of
Edinburgh. This single scholarship, known as the BE, will be competed for between all 3
beneficial territories (Malawi, Zambia and Zimbabwe) and is therefore not reserved specifically
for any one country. Those applicants interested in applying for a BE Scholarship should contact
the University of Edinburgh’s website: www.ed.ac.uk to ascertain what areas of study are available
before completing their application form.
c) UNIVERSITY OF GLASGOW: A one-year taught Masters degree in Biomedicine is offered at
University of Glasgow. This single scholarship, known as the BG, will be competed for between
all 3 beneficial territories (Malawi, Zambia and Zimbabwe) and is therefore not reserved
specifically for any one country. Those applicants interested in applying for a BG Scholarship
should contact the University of Glasgow’s website: www.gcu.ac.uk to ascertain what areas of
study are available before completing their application form.
d) UNIVERSITY OF LEEDS: One-year taught Masters degrees at the University of Leeds are
offered to students from Zimbabwe each year. The Scholarships are known as the Beit-Leeds
(BL) Scholarships and are jointly funded by The Beit Trust and the University of Leeds. Airfares
are not paid for spouses. Those applicants interested in applying for BL Scholarships should
contact the University of Leeds website: www.leeds.ac.uk to ascertain what areas of study are
available before completing their application form.
e) UNIVERSITY OF OXFORD/WADHAM COLLEGE: A one-year taught Masters degree is
offered at University of Oxford. This single scholarship, known as the BOW, will be competed
for between all 3 beneficial territories (Malawi, Zambia and Zimbabwe) and is therefore not
reserved specifically for any one country. Those applicants interested in applying for a BOW
Scholarship should contact the University of Oxford’s website: www.ox.ac.uk or
www.wadham.ox.ac.uk to ascertain what areas of study are available before completing their
application form.
f) UNIVERSITY OF STRATHCLYDE: A one-year taught Masters degree in Engineering is offered
at University of Strathclyde. This single scholarship, known as the BSC, will be competed for
between all 3 beneficial territories (Malawi, Zambia and Zimbabwe) and is therefore not reserved
specifically for any one country. Those applicants interested in applying for a BSC Scholarship
should contact the University of Strathclyde’s website: www.strath.ac.uk to ascertain what areas
of study are available before completing their application form.
g) UNIVERSITY OF CAPE TOWN: A taught Masters degree is offered at University of Cape Town
in South Africa. The scholarship is known as the Beit-Cape Town University Scholarship (BCT)
and is jointly funded by the Beit Trust and University of Cape Town. Those applicants interested
in applying for a BCT Scholarship should contact the University of Cape Town website:
www.uct.ac.za to ascertain what areas of study are available before completing their application
form.
h) UNIVERSITY OF RHODES: Taught Masters degrees are offered at Rhodes University in South
Africa. The scholarships are known as the Beit-Rhodes University Scholarship (BR) and are
jointly funded by the Beit Trust and Rhodes University. Those applicants interested in applying
for a BR Scholarship should contact the University of Rhodes website: www.ru.ac.za to ascertain
what areas of study are available before completing their application form.
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i)
UNIVERSITY OF STELLENBOSCH: Taught Masters degrees are offered at the University of
Stellenbosch. The scholarships are known as the Beit-Stellenbosch University Scholarship (BS)
and are jointly funded by the Beit Trust and Stellenbosch University. Those applicants interested
in applying for a BS Scholarship should contact the University of Stellenbosch website:
www.sun.ac.za to ascertain what areas of study are available before completing their application
form.
12.
Applicants must check with each nominated referee that s/he is willing to provide a reference.
Applicants must confirm the referee’s email address is current. The email addresses must be written
clearly and legibly as all correspondence is done through email. If a reference is requested by the
Scholarship Board, the referee must be able to submit this by the end of September.
13.
Personal data collected on this form will only be used for the purpose of student and course
administration as required by the Beit Trust and will only be disclosed to the Scholarship Selection
Board in the event that you are short-listed for interview.
14.
Applications that are incomplete will be ineligible for short-listing for interview.
15.
Applicants who are short-listed will be expected to make themselves available for interview by the
Board in-country. Such interviews usually take place in Harare in November. Reasonable expenses
incurred by applicants attending for interview from their places of residence in Zimbabwe will be
reimbursed by The Beit Trust. Such expenses should be claimed for bus, not air travel.
16.
Lobbying either Beit Trustees or Members of the Advisory Board is not permitted, and if attempted,
may disqualify the candidate.
DIRECTIONS TO 5 LUDLOW ROAD, NEWLANDS, HARARE
NO STAPLES ALLOWED
12
THE BEIT TRUST
Postal Address:
P O Box CH 76, Chisipite, Harare
Telephone: +263 4 788202/3
email: [email protected]
5 Ludlow Road
Newlands
Harare
Zimbabwe
BEIT TRUST POSTGRADUATE SCHOLARSHIPS
MEDICAL CERTIFICATE
Date: .....................................................................
Doctor’s Name: ......................................................................................................................................
Doctor’s Professional Qualifications: ....................................................................................................
Doctor’s Address: ..................................................................................................................................
................................................................................................................................................................
I have examined ...........................................................................................................................
an applicant for a Beit Trust postgraduate scholarship. From my knowledge of the applicant’s history
and as a result of my examination, it is my opinion that the applicant is in good health mentally,
emotionally and physically and is free from all communicable diseases. Nor has the applicant
suffered during the past ten years from any disorder likely to recur and impair activities in
postgraduate work.
Doctor’s Signature: ..................................................................................
If you think it necessary to explain or qualify any of the statements in this certificate, please add your
comments below ...........................................................................................................
......................................................................................................................................................
......................................................................................................................................................
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