St John’s College University of Cambridge
Application for admission to St. John’s College, University of Cambridge The John Crook Scholarship th
The closing date for receipt of applications is Monday, 7 November 2016. Please submit the completed application form electronically to
[email protected] .
Then print a copy, sign and post the complete application pack with all attachments to: The Scholarship Administrator, The Senior Tutor’s Office, St Jon’s College, Cambridge, CB2 1TP The application pack should include: • Transcripts of your University qualifications giving details of the courses taken and results obtained. • A recent sample of your academic work. This should be in the form of an essay or other coursework. • Certificates of your secondary school qualifications. • Copies of letters from Student Finance England, for the duration of your undergraduate studies.
Insert a passport size photograph
E-mail the “Applicant Recommendation Form” to your two referees and ask them to send their references by the closing th date of 7 November 2016, either by e-mail to
[email protected] or by mail to the address given above. th
It is expected that shortlisted candidates will be asked to attend an interview on Friday, 18 November 2016.
Proposed Course of Study at Cambridge University Course:
Degree (BA(Affil), MPhil, MAst):
Personal Details Title:
Date of Birth: Marital Status:
John Crook Scholarship Application Form 2016
First Name:
Surname: Place and Country of Birth:
Nationality:
Children (number and their ages):
1
St John’s College University of Cambridge Home Address:
Correspondence address (if different):
Telephone number:
Email address:
Secondary School Education Name and Address of School:
Year
Awarding Body
Subject
Higher Education – Current Studies University
John Crook Scholarship Application Form 2016
Subject
Examination Results
Degree
Level
Start Date
Result
Date to be obtained
Expected Grade
2
St John’s College University of Cambridge
Higher Education – Previous Studies (starting with the most recent) University
Subject
Degree
Start Date
End Date
Grade
Scholarships / Prizes / Distinctions
Please note down the scholarships, prizes and/or other distinctions that you have been awarded.
Personal Statement
Please write a personal statement about your interests and your academic aspirations and how the John Crook Scholarship and St John’s College will provide you with an education that will promote those aspirations. (Please do not exceed a total of 500 words.)
John Crook Scholarship Application Form 2016
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St John’s College University of Cambridge
John Crook Scholarship Application Form 2016
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St John’s College University of Cambridge
Parent / Guardian Information
NB Please complete this section to the best of your knowledge, even if your parents are deceased.
Father / Guardian Title:
First Name:
Date of Birth:
Surname: Place and Country of Birth:
Occupation:
Employment Status:
Academic Qualifications:
Professional Qualifications:
Mother / Guardian Title:
Nationality:
First Name:
Date of Birth: Occupation: Academic Qualifications:
Address:
Surname: Place and Country of Birth:
Nationality:
Employment Status: Professional Qualifications:
Address:
Please give details of Higher Education Qualifications obtained by any other members of your immediate family and state their relationship to you: Name Relationship to you Qualifications Year achieved
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St John’s College University of Cambridge Academic References
Please complete the details of two people acquainted with your academic work, whom you have asked to write on your behalf, indicating your academic fitness and general suitability to undertake your proposed course.
Academic Referee 1 Title:
First Name:
Institution:
Surname:
Position:
Email Address:
Relationship to you: Address:
Academic Referee 2 Title:
Institution: Email Address:
John Crook Scholarship Application Form 2016
First Name:
Surname:
Position:
Relationship to you: Address:
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St John’s College University of Cambridge Funding of Studies
How have you funded your University education so far? (Please attach copies of the letters from Student Finance England)
How did you hear about the John Crook Scholarship? Careers Services at your University Poster Guardian website Google Search If Other, please specify:
☐ ☐ ☐ ☐
St John’s College website Scholarship Hub website Director of Studies/Lecturer/Tutor Other
☐ ☐ ☐ ☐
Signature Signature: …………………………………………………………
Date: ……………………………………………….…………
Confidentiality: In accordance with the Data Protection Act 1998, all information will be treated in the strictest confidence and will not be disclosed to anyone unconnected with the administration of the Scholarship Programmes at St John’s College.
John Crook Scholarship Application Form 2016
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