APPLICATION FOR INTERNATIONAL

POSTGRADUATE SCHOLARSHIP 2010/2011

Ten Goldsmiths International Postgraduate Scholarships are available to students

studying for a taught Masters’ degree at Goldsmiths. The scholarship provides a
fee waiver of £5,000. Deadline to apply is 1 April 2010.
INSTRUCTIONS:
• Ensure your application and supporting documents are TYPED if possible. If you are unable
to type the form, please make sure you write legibly (print in black ink).
• You must include an EMAIL ADDRESS on the form.
• Your reference(s) must be signed, dated and printed on letter-headed paper.
• Provide COPIES of transcripts and certificates, not originals.
• You must have applied for a place on your chosen course before 1 April 2010.
• If you would like this form to be sent to you in an alternative format, please contact us.

SECTION A – PERSONAL DETAILS

Surname/Family Name:      
First Name/s:      
Title:      
Date of Birth (dd/mm/yyyy):      
Nationality:      

CONTACT
Email Address:      
Telephone (include country code):      

CORRESPONDENCE ADDRESS
Street Address:      
City and Region /County/
     
Province/ State:
Postcode:      
Country:      

INTENDED PROGRAMME OF STUDY AT GOLDSMITHS

Qualification Sought (e.g. MA):      
Programme/Course Title:      
Goldsmiths Department:      
Mode of study (FT or PT)      
Type of offer held (if you hold
one e.g. unconditional or      
conditional):
Programme Start Date:      
Fee Status
     
(UK/EU/International):
Student ID number (if known):      

SECTION B – ACADEMIC AND WORK HISTORY

1
EDUCATION FROM THE AGE OF 17
Start with current or most recent, and include professional qualifications where appropriate
Institution Start End Qualificati Subjec Overal Possible grade
Name & date Date on t l range
Location (city (mm/yyy (mm/yyy achieved Grade, (highest – lowest
and country) y) y) (e.g. A GPA e.g. 1-6, A-F, 100% -
Levels, IB, or 0%)
Abitur, BA, Class
BSc, MA…..)
                                         
                                         
                                         
                                         
                                         
                                         
                                         
                                         

EMPLOYMENT, TRAINING AND WORK EXPERIENCE

Where relevant to the programme or scholarship requirements
Employer name and location Start Date End Date Languag
Position held
(city and country) (mm/yyyy) (mm/yyyy) e at work
                             
                             
                             
                             

PRIZES, AWARDS AND SCHOLARSHIPS AWARDED FOR PREVIOUS

STUDY/RESEARCH
We may request proof of the information you give below.
Name of Prize, Award or Purpose Overall value Date awarded
Scholarship What was the prize, GB£ (mm/yyyy) or
Please list only those awarded on award or scholarship if applicable Duration
the basis of academic awarded for? as applicable
merit/achievement
                       
                       
                       
                       

SECTION C – SUPPORTING DOCUMENTS

2
You MUST attach the documents listed below, regardless of which scholarship you
have applied for. Without them your application will be deemed invalid.

Please indicate in the right-hand column which documents you have

x
enclosed.
Photocopies of official college and university degree certificates and transcripts
Academic Reference relating to your current or most recently completed course (e.g.
from personal tutor)
Personal statement explaining why you feel you are a deserving candidate for this
scholarship (one A4 page max – Arial 11 pt)

SECTION D – APPLICANT’S DECLARATION

Please read the following statements and sign below to indicate acceptance of
these terms:
 I declare that the information I have provided on this form is correct to the best of my
knowledge
 I consent to my data being processed and shared with college staff for the purposes of
selection, assessment, payment, reporting and monitoring
 I understand that if, subsequent to submitting my application, information I have
supplied in support of my application is found to be incorrect, Goldsmiths College
reserves the right to reject the application
 I understand that the personal data which I have provided on this form may be stored in
paper and/or electronic form in accordance with Goldsmiths College policies on Data
Protection (available at: http://www.gold.ac.uk/data-protection/) and with the
provisions of the Data Protection Act (1998)

Signature: Date:

EMAIL APPLICATIONS: If you are emailing your application to us (along with

scanned documents) please tick this box to indicate your acceptance of the above
terms:

Please return this form to:

Bursaries & Scholarships Officer, Student Support RHB 124, Goldsmiths, University of
London, New Cross, London SE14 6NW or by email to bursary-sship@gold.ac.uk