ࡱ> Q bjbj >eiei#J FF8NR<Uf n&"&&&E^uGTHTTTTTTT$WZTiuID|EuIuITFF&&DUPPPuIF&&TPuITPP:eQ,6Q &`I&3JQ TZU0UQ [J [QQ[QuIuIPuIuIuIuIuITTMuIuIuIUuIuIuIuI[uIuIuIuIuIuIuIuIuIX : Application for the UCL Institute for Global Health (IGH) African Graduate Scholarships Academic Year 2024-25 Sponsored by CP Charitable Trust, and the  HYPERLINK "https://www.ish.org.uk/" International Student House Before completing this application, please note that: The scholarships provide a small number of awards towards tuition fees and living costs while studying at IGH. Scholarships administered by IGH are only available to selected students who intend to pursue an MSc in Global Health and Development at the UCL Institute for Global Health. Scholarships are not available to study other degrees at 911 or at any other institution. Successful candidates will not receive the entire scholarship funds directly. Tuition fees and accommodation costs are deducted from the award. Scholarship deadlines are adhered to strictly. No scholarship application will be accepted after the deadline date indicated. A selection committee will consider applications. The decision of the selection committee is final and not subject to appeal. Candidate Criteria Candidates must be African nationals, residents of an African country at the time of application, and must have received an unconditional offer to study the MSc in Global Health and Development. Candidates must demonstrate financial need, and provide evidence (letters, etc) that they have applied to other funding bodies for support or that they have some personal funding to cover for travelling and initial expenses. Please see the covering letter accompanying this application form for further information and instructions. Candidates must complete and return the application form to IGH (address at end of form). Complete applications must be submitted by 31st May 2024 Candidates must demonstrate concrete plans to utilise the MSc. A. Personal Details Title  FORMCHECKBOX  Mr  FORMCHECKBOX  Mrs  FORMCHECKBOX  Ms  FORMCHECKBOX  Miss  FORMCHECKBOX  Dr Gender  FORMCHECKBOX  Female  FORMCHECKBOX  Male Date of Birth: UCL Student Number Surname: First Names: Correspondence Address: Post Code: Country: Tel: Fax: Email: Nationality: B. Programme of Study Details This scholarship is available to students who intend to pursue an MSc in Global Health and Development at 911. Have you applied for the MSc in Global Health and Development?  FORMCHECKBOX Yes  FORMCHECKBOX  No If yes, what is your UCL student number? Have you received an offer?  FORMCHECKBOX Yes  FORMCHECKBOX  No If yes, please also enclose a copy of your most recent offer letter from UCL. Have you ever deferred entry to the programme?  FORMCHECKBOX Yes  FORMCHECKBOX  No Have you applied for the African Graduate scholarship previously?  FORMCHECKBOX Yes  FORMCHECKBOX  No C. Financial Circumstances and Background This scholarship is intended for students in financial need, those who would be unable to study at 911ithout financial assistance. PAST/CURRENT PRIZES, AWARDS AND SCHOLARSHIPS We may request proof (copies of award letters/certificates) of the information you give below. Name Institution/Awarding BodyName of Prize/Award/ScholarshipTotal Value (in GBP )Start DateEnd DatePurpose (e.g. Tuition fees, maintenance) FILLIN \* MERGEFORMAT   FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       OTHER FUNDING FOR INTENDED STUDY AT UCL List any funding you intend to apply for and/or have applied for and/or secured relating to the intended programme. Name of Institution/Award BodyName of Prize/Award/ScholarshipValue per year (in GBP )Duration (in years)Purpose (e.g. tuition fees, maintenance)Status (Applied, secured or intended to apply) Notification date (if not secured)   FORMTEXT        FORMTEXT         FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       In the 12 months immediately preceding the start of your programme at UCL, have you been/are you currently/ will you be: Please check all that apply and provide details: (X)Employer/s name and locationStart Date (MM/YY)End Date (MM/YY)Monthly salary that you receive  Working Full Time   FORMCHECKBOX   FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       Working Part-Time   FORMCHECKBOX   FORMTEXT        FORMTEXT         FORMTEXT        FORMTEXT       Unemployed   FORMCHECKBOX   FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       Please provide evidence of income from employer. Do you have dependants? Yes  FORMCHECKBOX  No  FORMCHECKBOX  If yes, how many dependants are in your household? This scholarship will not cover expenses for travelling, visa, initial expenses when arriving to the UK, or potential expenses related to writing the dissertation. How much savings do you have that you could contribute to your studies at 911? (in GBP ) (please provide proof of savings) E. Curriculum Vitae Please attach a copy of your most recent Curriculum Vitae or resume. Please ensure that it contains details of both your educational and employment history. Please also provide proof of your higher education achievements (photocopies of certificates etc.) F. Interview We may invite you to attend an interview. Please state your availability. Are you available for interview by phone or Skype? Yes  FORMCHECKBOX  No  FORMCHECKBOX   If yes, when is the most appropriate time to contact you? G. References Please include two written references (one academic, one from your employer) Please also state the names and addresses of the two people who have provided the references that you are returning with this application. Please ensure that the letters are confidential (i.e. sealed envelopes with a signature across the seal). If references are sent by e-mail the referees need to send the letters directly to  HYPERLINK "mailto:igh.prospective@ucl.ac.uk" igh.prospective@ucl.ac.uk Name: Name: Position: Position: Address: Address:  Telephone/Fax Number:9:WXeimno{|̻wwaPPP70jh& B5PJUaJmH nH sH tH !h& B5PJaJmH nH sH tH *jh& B5PJUaJmH nH sH tH !h*5PJaJmH nH sH tH !h+5PJaJmH nH sH tH !h .5PJaJmH nH sH tH !h g5PJaJmH nH sH tH !h 5PJaJmH nH sH tH !hW5PJaJmH nH sH tH 'h .h .5PJaJmH nH sH tH h>h+ h .h .:Xno|    & F `'&dPgdV2 & F `'&dPgd . `'&dPgd . `'gd .$$ l(@&a$gd{$$ l(@&a$gd+$$ l(@&a$gd*gd g   )  ) 0 Q R Z m r }}k}}k}Y}YYY}G}YYG}}"hgCJPJaJmH nH sH tH "h05CJPJaJmH nH sH tH "hCJPJaJmH nH sH tH (h .h .CJPJaJmH nH sH tH +h .h .5CJPJaJmH nH sH tH .h .h .56CJPJaJmH nH sH tH 'h .h*5PJaJmH nH sH tH +h& Bh*0J5PJaJmH nH sH tH *jh& B5PJUaJmH nH sH tH    )    ) - Q m ǵٟىqq__I+hh .5CJPJaJmH nH sH tH "h*CJPJaJmH nH sH tH /h .h .5CJPJ^JaJmH nH sH tH +h .h .5CJPJaJmH nH sH tH +h .h .CJPJ\aJmH nH sH tH "hgCJPJaJmH nH sH tH "h05CJPJaJmH nH sH tH (h .h .CJPJaJmH nH sH tH "hV2CJPJaJmH nH sH tH   - =&{hU `'-DM gd . `'&dPgd . & F `'&dPgds & F `'&dPgd* & F `'&dPgd . & F `'&dPgd . & F `'&dPgdF>A$ `'&d@&Pgd .  ) z )5<=įĝįybbbN9(h .h .CJPJaJmH nH sH tH &h:a+CJPJ^JaJmH nH sH tH ,h .h .CJPJ^JaJmH nH sH tH "hsCJPJaJmH nH sH tH "hq,CJPJaJmH nH sH tH "hCJPJaJmH nH sH tH (h .h .CJPJaJmH nH sH tH "hgCJPJaJmH nH sH tH +hh .5CJPJaJmH nH sH tH %h055CJPJaJmH nH sH tH =my|ðlllS:1h .h .5>*CJPJ\aJmH nH sH tH 1h .hs5>*CJPJ\aJmH nH sH tH %hsCJPJ\aJmH nH sH tH 1hsh .5>*CJPJ\aJmH nH sH tH .h gh g5CJH*PJaJmH nH sH tH %h g5CJPJaJmH nH sH tH %hs5CJPJaJmH nH sH tH %hCJPJ\aJmH nH sH tH +h .h .CJPJ\aJmH nH sH tH #%&'12@ABCMN\ınRn91jh .h?$PCJPJUaJmH nH sH tH 7jh .h?$PCJ0PJUaJmH nH sH tH (h .h?$PCJ0PJaJmH nH sH tH 1jh .h?$PCJ0PJUaJmH nH sH tH (h .h?$PCJPJaJmH nH sH tH %h?>*CJPJaJmH nH sH tH 8h .h .6@B*CJPJaJmH nH phsH tH ;h .h .56@B*CJPJaJmH nH phsH tH  &''OhQRu `'-DM gd . `'gd . 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"F"h"m[mmEEEEEE+hhU{5CJPJaJmH nH sH tH "h7CJPJaJmH nH sH tH (h#hNCJPJaJmH nH sH tH (h#h#CJPJaJmH nH sH tH %h#5CJPJaJmH nH sH tH +h;hN5CJPJaJmH nH sH tH %h8~5CJPJaJmH nH sH tH +hh-5CJPJaJmH nH sH tH +hh+o65CJPJaJmH nH sH tH !! "F"h"" `'$Ifgd;E `'$Ifgd `'$IfgdJ@h"""""""""""""""####### #"#$#&#(#<#֥և֥iMMMMM֥7jhhU{5CJPJUaJmHnHsH tH u:j3hhU{5CJPJUaJmH nH sH tH :jI3hhU{5CJPJUaJmH nH sH tH 4jhhU{5CJPJUaJmH nH sH tH +hh5CJPJaJmH nH sH tH +hhU{5CJPJaJmH nH sH tH %h5*5CJPJaJmH nH sH tH ""kdO2$$Iflֈm' "(n t0644 lap<yt"""""""$#&#N#P#x#z## `'$Ifgd <#>#@#B#D#F#H#J#L#N#P#R#f#h#j#l#n#p#r#t#v#x#z#|###########ǫǕǕwǫǕǕYǫǕ:j5hhU{5CJPJUaJmH nH sH tH :j4hhU{5CJPJUaJmH nH sH tH +hhU{5CJPJaJmH nH sH tH 7jhhU{5CJPJUaJmHnHsH tH u4jhhU{5CJPJUaJmH nH sH tH :j34hhU{5CJPJUaJmH nH sH tH !#############$ $$$$$$$$$$ $"$6$ӸӚӸ|`````Ӹ7jhhU{5CJPJUaJmHnHsH tH u:j7hhU{5CJPJUaJmH nH sH tH :j6hhU{5CJPJUaJmH nH sH tH 4jhhU{5CJPJUaJmH nH sH tH +hhU{5CJPJaJmH nH sH tH +hh5CJPJaJmH nH sH tH ##kd5$$Iflֈm' "(n t0644 lap<yt#######$ $H$J$L$t$v$$ `'$Ifgd6$8$:$<$>$@$B$D$F$H$J$L$N$b$d$f$h$j$l$n$p$r$t$v$x$$$$$$$$$$$ǫǕǕwǫǕǕYǫǕ:je8hhU{5CJPJUaJmH nH sH tH :j7hhU{5CJPJUaJmH nH sH tH +hhU{5CJPJaJmH nH sH tH 7jhhU{5CJPJUaJmHnHsH tH u4jhhU{5CJPJUaJmH nH sH tH :jy7hhU{5CJPJUaJmH nH sH tH "$$$$$$$$$$$$$$$$$$$%%%ӻrTr88887jhhU{5CJPJUaJmHnHsH tH u:jI:hhU{5CJPJUaJmH nH sH tH 4jhhU{5CJPJUaJmH nH sH tH 4j9h5CJPJUaJmH nH sH tH %h5CJPJaJmH nH sH tH .jh5CJPJUaJmH nH sH tH +hhU{5CJPJaJmH nH sH tH +hh5CJPJaJmH nH sH tH $$kd8$$Iflֈm' "(n t0644 lap<yt$$$$$$$ % %4%6%^%`%% `'$Ifgd %%% % %%%"%$%&%(%*%,%.%0%2%4%6%8%L%N%P%R%T%V%X%Z%\%^%`%b%v%x%z%|%ȲȲȲȲvȲȲX:j;hhU{5CJPJUaJmH nH sH tH :j5;hhU{5CJPJUaJmH nH sH tH :j:hhU{5CJPJUaJmH nH sH tH +hhU{5CJPJaJmH nH sH tH 4jhhU{5CJPJUaJmH nH sH tH 7jhhU{5CJPJUaJmHnHsH tH u"|%~%%%%%%%%%%%%%ȲvcP:'%h\5CJPJaJmH nH sH tH +h;hI5CJPJaJmH nH sH tH %h#5CJPJaJmH nH sH tH %hJ@5CJPJaJmH nH sH tH %h595CJPJaJmH nH sH tH %hN5CJPJaJmH nH sH tH +hh5CJPJaJmH nH sH tH +hhU{5CJPJaJmH nH sH tH 4jhhU{5CJPJUaJmH nH sH tH 7jhhU{5CJPJUaJmHnHsH tH u %%kd!<$$Iflֈm' "(n t0644 lap<yt%%%%%>&?&t&u&t''''''(((( ) )l)n))) `'-DM gd . `'gd- `'gdI `'gd .%&&&&&$&%&&&'&)&,&׷y[@5h .h-@B*CJPJaJmH nH phsH tH ;h .h-56@B*CJPJaJmH nH phsH tH Dj=h g56@B*CJPJUaJmH nH phsH tH 5h g56@B*CJPJaJmH nH phsH tH >jh g56@B*CJPJUaJmH nH phsH tH (h .h-CJPJaJmH nH sH tH %hI5CJPJaJmH nH sH tH  ,&-&;&<&=&>&?&@&s&t&u&v&ݿݿjWD1#jhTUmHnHu%hy]5CJPJaJmH nH sH tH %hN5CJPJaJmH nH sH tH %hI5CJPJaJmH nH sH tH -jh g5CJPJUaJmHnHtH u/h-@B*CJPJaJmH nH phsH tH Jj=h .h-56@B*CJPJUaJmH nH phsH tH ;h .h-56@B*CJPJaJmH nH phsH tH Djh .h-56@B*CJPJUaJmH nH phsH tH  v&&&&'''h's't'''''''''''(Ƴ٠ًs^K5^^+h .h .>*CJPJaJmH nH sH tH %hK>*CJPJaJmH nH sH tH (h .h .CJPJaJmH nH sH tH .h .h .56CJPJaJmH nH sH tH (h .h .CJPJaJmH nH sH tH %h!@5CJPJaJmH nH sH tH %h}5CJPJaJmH nH sH tH %hT5CJPJaJmH nH sH tH %h\5CJPJaJmH nH sH tH %h;Q5CJPJaJmH nH sH tH (L((((((((((() ) )4)=)D)E)F)R)S)fKKK5h g56@B*CJPJaJmH nH phsH tH >jh g56@B*CJPJUaJmH nH phsH tH "h64CJPJaJmH nH sH tH "hKCJPJaJmH nH sH tH .h .h .56CJPJaJmH nH sH tH %hK>*CJPJaJmH nH sH tH +h .h .>*CJPJaJmH nH sH tH (h .h .CJPJaJmH nH sH tH S)T)U)W)Z)[)i)j)k)l)m)ݽa;a%*jhTCJPJUaJmHnHtH uJjS>h .h .56@B*CJPJUaJmH nH phsH tH Djh .h .56@B*CJPJUaJmH nH phsH tH 5h .h .@B*CJPJaJmH nH phsH tH ;h .h .56@B*CJPJaJmH nH phsH tH >jh g56@B*CJPJUaJmH nH phsH tH Dj=h g56@B*CJPJUaJmH nH phsH tH  m)n)))))))))))))* * *****+S+T+U+g++++뙙뇇q__J_q(h"Bh"BCJPJaJmH nH sH tH "h"BCJPJaJmH nH sH tH +jh"BCJPJUaJmH nH sH tH "hW CJPJaJmH nH sH tH "hKCJPJaJmH nH sH tH +h .h .>*CJPJaJmH nH sH tH .h .h .56CJPJaJmH nH sH tH "hTCJPJaJmH nH sH tH (h .h .CJPJaJmH nH sH tH ))))) *+++++++ `'$Ifgd . `'-DM gd . `'gd . ++++++++++++++++++++sWss8=h|uh|uB*CJOJPJQJ^JaJmH nH phsH tH 6h .h .56CJOJPJQJaJmH nH sH tH "h|uCJPJaJmH nH sH tH (h .h .CJPJaJmH nH sH tH (h .hRtCJPJaJmH nH sH tH "hRtCJPJaJmH nH sH tH "h .CJPJaJmH nH sH tH +jh"BCJPJUaJmH nH sH tH ,h h"B0JCJPJaJmH nH sH tH +++++++rrcZc $Ifgd|u `'$Ifgd|u `'$Ifgd .}kd>$$Ifl07( t0644 layt .+++++++++++++++++  &'()*+,ϺϺϺϺmXX(h .hRtCJPJaJmH nH sH tH "hRtCJPJaJmH nH sH tH (h .h9MCJPJaJmH nH sH tH "h .CJPJaJmH nH sH tH U"h9MCJPJaJmH nH sH tH (h .h .CJPJaJmH nH sH tH 6h .h .56CJOJPJQJaJmH nH sH tH (h|uh|uCJPJaJmH nH sH tH +++++rrr `'$Ifgd .}kd5?$$Ifl07( t0644 layt .+++++rrr `'$Ifgd .}kd?$$Ifl07( t0644 layt .+++rrr `'$Ifgd .}kd)@$$Ifl07( t0644 layt .Telephone/Fax Number: Email: Email:   H. Personal statement Please give details of your current financial circumstances, including other contributions that you may receive from anyone during the course of your programme at 911 (e.g. members of your family or anyone else). State why you think the IGH scholarship selection committee should award this scholarship to you including details of how the skills and qualification obtained will be applied on your return to your home country. (Please attach a separate page if necessary).  I. Declaration I declare that the information supplied by me on this form is, to the best of my knowledge, accurate and complete. (If sending the application form by email, please scan this page so that we have a signature) I understand that my application is valid only if all required information is provided and all required supporting documents (which will not be returned) are enclosed. I agree to inform the Institute for Global Health ( HYPERLINK "mailto:igh.prospective@ucl.ac.uk" igh.prospective@ucl.ac.uk) immediately of any other scholarships, grants or award I am offered or awarded subsequent to submitting this application, and to provide details and proof of their details if requested. I understand that additional funding awarded from another source may be taken into account in the calculation of any scholarship I may receive. Applicants Signature: Date: Please return this form (by email  HYPERLINK "mailto:igh.prospective@ucl.ac.uk" igh.prospective@ucl.ac.uk) by the 31st May 2024 CONFIDENTIALIGH Office Use Only (Applicants, please do not write in the areas below.) 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