The University of Ulster Fund Gateway Scholarship (Full-Time Student) Application Form Funded by graduates and friends of the University of Ulster, the Gateway Scholarship (Full-Time Student) will provide additional financial support to a student from a disadvantaged background who has demonstrated a commitment to Ulster. The Scholarship will provide financial support of £1,000 for each academic year of the course, excluding work placement, subject to the continued availability of funds. Second and third year awards are conditional on the student being in good academic standing and will be made at the discretion of the University of Ulster Fund Disbursement Committee. To apply students must: be in receipt of a University of Ulster Widening Access Bursary; be enrolled on the first year of a full-time undergraduate programme; have their current course as their CF choice. To ensure that the Scholarship is able to support students in circumstances where the need is greatest, the University of Ulster Fund Disbursement Committee will, in considering applications, give preference to applicants who are able to demonstrate indicators of multiple disadvantage, for example those who are first in family to attend university or who grew up in a low participation neighbourhood. In addition, attendance record at Ulster may be taken into consideration. Application Form Deadline Please complete this application form and return to the University of Ulster Fund before 4pm on Friday 16th November 2012. Applications received after this time will not be considered. Applications can be submitted by email to [email protected] or by post to: University of Ulster Fund Room 08K04 University of Ulster Jordanstown campus Shore Road Newtownabbey County Antrim BT37 0QB It is your responsibility to ensure that all sections of the form are completed. If there is any information missing when the deadline passes, your application will not be considered by the University of Ulster Fund Disbursement Committee. Statement of Support Applicants are asked to provide a statement of support from a teacher or principal of their school. This statement will outline the student’s ability, commitment and potential, demonstrated while at school. A template for the statement of support is included at the end of this application form. It is the student’s responsibility to contact their school to request this statement of support, and to ensure that it is received by the deadline. If you have any questions please contact the University of Ulster Fund at [email protected] or 028 9036 8379. This statement of support should be emailed to [email protected] before 4pm on Friday 16th November 2012. Application Form and Assessment Eligibility will be assessed solely on the information provided in this form, therefore please ensure that all relevant information that could affect your application is included. All applications will be subject to an initial assessment conducted by the University of Ulster Fund staff. Applications considered eligible will be forwarded to the University of Ulster Fund Disbursement Committee for further assessment. Your application will remain confidential between you, University of Ulster Fund staff and members of the Disbursement Committee. The award of the Scholarship is dependent upon funds being available and will be at the discretion of the awarding University of Ulster Fund Disbursement Committee. Competition for the Scholarship will be high, so unfortunately meeting the eligibility criteria does not mean you are guaranteed a Scholarship. Presentation of Scholarships The successful applicant will be notified by 1st December 2012. The Gateway Scholarship (Full-Time Student) will be presented at the University of Ulster Fund Annual Awards on Wednesday 12th December 2012 at the Jordanstown campus. The recipient of the Scholarship will be encouraged to attend the presentation. As a condition of the Scholarship, the successful applicant will be expected to advocate for the University of Ulster Fund when necessary and give a testimonial on the impact of the Scholarship. APPLICANT INFORMATION Your Details: Name Student ID Email Telephone Parental Address Course of study Year of study Campus 1. Please give contact details for the person providing your statement of support: Name Title Email Phone Address 2. Are you in receipt of a University of Ulster Widening Access Bursary? Yes / No 3. What school did you attend? PERSONAL STATEMENTS 4. In no more than 250 words please tell us why you chose the University of Ulster and your course of study. Why do you want to undertake higher education? 5. In no more than 500 words please tell us what impact you think your course of study will have on your future, in particular any ambitions you want to achieve and how this Scholarship would help you achieve your goals. 6. In no more than 500 words please outline any obstacles you have overcome while working towards a university education. (Obstacles include family problems, having little family experience of university education, difficult personal circumstances.) Declaration – please read carefully I confirm that the information given on this form is true and accurate. If any information is subsequently found to be inaccurate, the University of Ulster Fund Disbursement Committee reserves the right to terminate any Scholarship awarded to me and require the return of any money paid. Applicant signature: Date: This application form should be returned to the University of Ulster Fund before 4pm on Friday 16th November 2012. Submit by email to [email protected], or by post to University of Ulster Fund Room 08K04 University of Ulster Jordanstown campus Shore Road Newtownabbey County Antrim BT37 0QB Some of the information you have provided may be used anonymously to help give potential donors an impression of the range of students who apply to and receive funding from the University of Ulster Fund. The information will be used in such a way that you will not be identifiable at any point. I do / I do not wish my data to be used in this manner. (This will not affect your application) The University of Ulster Fund Gateway Scholarship (Full-Time Student) Request for a confidential Statement of Support Funded by graduates and friends of the University of Ulster, the Gateway Scholarship (Full-Time Student) will provide additional financial support to a student from a disadvantaged background who has demonstrated a commitment to Ulster. The Scholarship will provide financial support of £1,000 for each academic year of the course, excluding work placement, subject to the continued availability of funds. Second and third awards are conditional on the student being in good academic standing and will be made at the discretion of the University of Ulster Fund Disbursement Committee. To ensure that the Scholarship is able to support students in circumstances where the need is greatest, the Disbursement Committee will, in considering applications, give preference to applicants who are able to demonstrate indicators of multiple disadvantage; for example those who are first in family to attend university or who grew up in a low participation neighbourhood. In addition, attendance record at Ulster may be taken into consideration. Please complete the following statement of support in as much detail as possible, outlining the applicant’s commitment to study, their ability and their potential, as well as their participation in extracurricular activities while at school. Competition for the Scholarship will be high, so please include all information which could affect this application. The statement of support will remain confidential between you, University of Ulster Fund staff and Disbursement Committee. If you have any questions regarding this application, please contact the University of Ulster Fund on [email protected], or 028 9036 8379. Please ensure that you return this statement of support to [email protected] before 4pm on Friday 16th November 2012. Statements received after this time will not be included in consideration of applications. Your Details: Name Position School Address Email Telephone Student’s name: Please provide information regarding the applicant’s suitability for the Gateway Scholarship (Full-Time Student). To assist us in differentiating between students, please describe in as much detail as possible the applicant’s potential, their ability and their commitment to study. Include information on extracurricular activities or extra classes taken etc. Signed: Date:
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