FACULTY OF ENGINEERING

Excellence and New Course Scholarship Application Form

Please complete this form if you are applying for an Excellence or New Course Scholarship from one of the Schools within the Faculty of Engineering. The five schools are: School of Civil Engineering School of Computing School of Electronic & Electrical Engineering School of Mechanical Engineering

School of Process, Environmental & Materials Engineering A PERSONAL DETAILS Family Name (Surname)

Title (eg Miss/Mrs/Mr/Dr/Prof)

Given Names (First Name(s))

Previous Family Name (if changed)

Gender Male

Female

Date of Birth Day

Month

Year

Permanent Home Address

Correspondent Address (if different)

Telephone Fax Email Country of Birth

Telephone Fax Email Nationality

EXCELLENCE SCHOLARSHIP APPLICATION FORM

COURSE/PROGRAMME OF STUDY

In order to be eligible to apply for the scholarship you must have received either a conditional or unconditional offer of a place on a course/programme of study within the Faculty of Engineering at the University of Leeds. Application Reference (for undergraduate students this is the UCAS number, for postgraduate students this is the student registration number that is shown on your offer letter. Tick the box to confirm that you have received a conditional or unconditional offer from the University of Leeds. Enter the qualification and title of the course you have been accepted on: Qualification Title/name of course applied for

(eg BSc, BEng, MEng, MSc, PhD)

Year of Entry (in what year will you start the course)

Yes Are you/your family paying for all your tuition fees? Are you/your family paying for all of your living expenses?

No

If you answered no to either of the two above please give details of where you have secured, or hope to secure, financial assistance from.

Which scholarship are you applying for? Excellence Scholarship New Course Scholarship

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SUPPORTING STATEMENT

Why do you think you are a particularly suitable candidate for this Excellence Scholarship?

The information provided on this form is accurate and correct Date Signature

NOW PLEASE RETURN THE COMPLETED SCHOLARSHIP APPLICATION FORM TO THE ADMISSIONS TEAM THAT HAS BEEN DEALING WITH YOUR APPLICATION FOR THE ABOVE STATED COURSE (see over for Admission Team contact information).

SCHOLARSHIP DECISION OFFICE USE ONLY Conditional/Unconditional Scholarship awarded If NO please provide details C Yes U No

Candidate Accepted the Scholarship

Yes

No

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ADMISSION TEAM CONTACT INFORMATION

When posting the application write to the relevant admissions team (see below) at The University of Leeds, Leeds, LS2 9JT, UK. Alternatively email your application as below. If you experience difficulty in completing the form use the contact telephone numbers provided.

Undergraduate Admissions Teams

School of Civil Engineering School of Computing School of Electronic & Electrical Engineering School of Mechanical Engineering School of Process, Environmental & Materials Engineering ugcivil@leeds.ac.uk +44 (0)113 343 2262 ugadmit@comp.leeds.ac.uk +44 (0)113 343 5821 electronics@leeds.ac.uk +44 (0)113 343 2012 ugmech@leeds.ac.uk +44 (0)113 343 2149 ugspemeadmissions@leeds.ac.uk +44 (0)113 343 2535

Postgraduate Admissions Teams - Taught Courses

School of Civil Engineering School of Computing School of Electronic & Electrical Engineering School of Mechanical Engineering School of Process, Environmental & Materials Engineering pgcivil@leeds.ac.uk +44 (0)113 343 2302/2308 pgadmit@comp.leeds.ac.uk +44 (0)113 343 5465 electronics@leeds.ac.uk +44 (0)113 343 2035 pgmech@leeds.ac.uk +44 (0)113 343 2149 tpgspemeadmissions@leeds.ac.uk +44 (0)113 343 2343