Fillable LSE Undergraduate Scholarship Application Form 2018-19

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LSE Undergraduate Scholarship Application Form 2018-19

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Financial Support Ofce
Undergraduate Scholarship Application Form
l
2018-19
Please read the accompanying Guidance Notes before completing this form.
This form requires you to provide detailed information about your nancial circumstances. All gures given must be in UK pounds sterling (£).
Section 1 l Personal Information
1.1 LSE applicant number 1.2 Title (eg, Miss/Ms/Mr/Mrs)
1.3 Surname or family name
1.4 First name(s) 1.5 Date of birth (DD/MM/YYYY)
/ /
1.6 Address(es) between June – September 2018. Please give the dates that you will be at this address or addresses.
Address 1 Address 2
Dates Dates
1.7
Contact details
Home tel Email
Mobile tel
1.8
Country of permanent domicile 1.9 Nationality
FOR OFFICE USE ONLY
Name of Award Decision (circle) Taken by Date Initials
Amount Awarded
(£)/Decline Code
1
Award/Decline* P/D/O
2
Award/Decline* P/D/O
3
Award/Decline* P/D/O
4
Award/Decline* P/D/O
5
Award/Decline* P/D/O
6
Award/Decline* P/D/O
7
Award/Decline* P/D/O
8
Award/Decline* P/D/O
9
Award/Decline* P/D/O
10
Award/Decline* P/D/O
Undergraduate l 1
Ofce use only
Departmental code
Reference
Section 2 l Study Details 2018-19
It is important that we know as much as possible about your degree programme in order to consider you for the right award. Please provide us
with the following information:
Please indicate:
2.1
Title of your BSc/BA programme
2.2 Department
2.3 Fee status for 2018-19
Home (UK) Home (EU) Overseas
Undergraduate l 2
Section 3 l Your Education and Experience To Date
3.1 Please give full details of your attendance at, and qualications obtained from, schools or educational institutions (most recent rst):
Qualication and grade Subjects Institution name and address (city and country) From (mm/yy) To (mm/yy)
3.2
Please give details of any scholarships, bursaries or prizes awarded during your education to date:
Institution Scholarship or prize name Value From (mm/yy) To (mm/yy)
3.3
If you have studied away from home and/or you have paid to receive secondary education (or other studies),
please provide details of individuals or organisations who contributed towards your fees and/or living costs:
Source of nancial support Value From To
3.4
Are you the rst person in your family to attend university?
No Yes
3.5
Have you ever been involved in any Widening Participation LSE projects such as LSE Choice or attended any Summer Schools?
No Yes Please give details
3.6 Are your parents university educated?
Mother No Yes If yes, in which country did she study?
Father No Yes If yes, in which country did he study?
Undergraduate l 3
Section 4 l Your Personal Financial Situation
Please refer to Guidance Notes, Section 4
4.1 Please provide details of any previous or current employment.
Start date End date Name of employer Position held Nature of work
4.2 In the 12 months immediately preceding the start of the programme (ie, October 2017 to September 2018) have you been/are you
currently/will you be:
Working Full-time
Working Part-time Studying Full-time Studying Part-time
Other
(Please tick all that apply)
4.3 What is your expected total net income during the 12 months immediately preceding the start of your programme
(ie, October 2017 to September 2018)?
£
Please provide evidence of income from employment.
4.4 Do you intend to work whilst studying?
Term-Time No Yes, Full-time Yes, Part-time
Vacation/Summer No
Yes, Full-time Yes, Part-time
[Note: The School strongly recommends that full time students work no more than 15 hours a week during term time. Anyone studying in
the UK with a student visa can work up to 20 hours a week.]
4.5 If you intend to work, please provide a reasonable estimate of how much you expect to earn from work during the 2018-19 academic
session (term time and vacation/summer):
[Note: the 2018-19 academic session covers the period 27 September 2018 – 26 September 2019].
£
4.6 Howdidyouarriveatthisgure(eg,typeofwork,numberofhoursperweek,hourlypay)?Isitreasonabletoassumethatyouwillearn
similar amounts in subsequent years of your programme? If not, please explain.
4.7 Do you have any other sources of personalincome(eg,savings,savingsreturns,trustfund,socialsecuritybenets)whichwillbe
available during the course of your programme?
Please provide evidence of other income.
Undergraduate l 4
Section 5 l Your Household Financial Situation
Please refer to Guidance Notes, Section 5.
5.1
Please provide the following details for all members of your household:
[Note: Your household is the group of people you ordinarily live with as a family.]
Name Relationship to you Age Occupation Annual gross income from
all sources
£
1
2
3
4
5
6
7
Total household income
5.2
Please provide details of any other individuals supported by you or your household income, but not living with you
(e.g. grandparents).
Name Relationship to you Age Circumstances
1
2
3
4
5
5.3
If you expect to receive contributions from anyone during the course of your programme please provide details. You should include
members of your household or anyone else including your employer (other than pay which you earn).
Name Relationship to you
Contribution to your studies
2018-19
£
2019-20
£
2020-21
£
1
2
3
4
Undergraduate l 5
5.4 Please provide details of any other members of your household who are or will be studying overseas and/or in higher education during the
course of your programme:
Name of household member Age Level of study
Institution name and address
(city and country)
From
(mm/yy)
To
(mm/yy)
1
2
3
4
5.5
Please provide details of any existing obligations or costs (e.g. debts, support for dependants, loan repayments, medical bills), which will
affect you or your household’s nancial situation during the course of your programme:
Description of obligation/cost Annual payment
Please provide evidence of any obligatory payments.
Undergraduate l 6
Section 6 l Other Financial Support
6.1 Please list all known sources of nancial support, including scholarships, grants, bursaries and loans, for which you can apply to fund your
undergraduate studies.
[Note: LSE expects you to make all reasonable efforts to secure funding to enable you to study at the School. In particular, all students are
expected to apply for government funding in their country of domicile.]
Source of nancial support Amount applied for
£
Amount secured,
or date result
expected
Contact details of awarding/
lending body
1
2
3
4
5
6
7
8
9
[Note: Results of the outcome of unsuccessful applications may be requested at our discretion. In the event of successful applications,
copies of notication letters must be submitted to us.]
6.2
If you have not applied for nancial support from other sources or there is no nancial support available to you please explain why:
6.3 Please provide details of all efforts, not already included above, that you have made to secure nancial support:
Undergraduate l 7
Section 7 l Total Funding Available For Your Studies
7.1 Please summarise the funding you have already secured for your programme from the following sources:
2018-19
£
2019-20
£
2020-21
£
Self (e.g. personal savings)
Financial assistance (as in 6.1)
Funding from members of your household
Funding from other sources
Subtotal A
Loans from members of your household
Loans from other sources
Subtotal B
Total amount available (A+B)
Section 8 l LSE Bursaries: Home UK/EU students
8.1 Applying for an LSE Bursary
Application for a standard LSE bursary is via Student Finance, for Home UK students – there is no separate application form. For EU students,
this scholarship application form will be used to consider you. To be eligible your household income must fall within one of LSE’s set income
scales. More information is on our website.
8.2 Applying for a Discretionary Bursary
Do you wish to be considered for an LSE Discretionary Bursary?
No Yes
LSE Discretionary Bursaries are available to students with exceptional nancial needs. They are intended as a top up to the standard LSE
Bursary, or can be awarded if a student’s household income falls outside of the sliding scales. You must have applied for all statutory support
available to you to be considered for an LSE Discretionary Bursary. If you are already entitled to the maximum value LSE Bursary of £4000 we
are unable to award an LSE Discretionary Bursary.
Please write a short statement of 250 words explaining why you should be considered for a Discretionary Bursary.
Undergraduate l 8
Section 9 l Your Future Plans
Please refer to Guidance Notes, Section 9
9.1
If applicable do you intend to return to your country of domicile upon completion of your studies? (Overseas applicants only)
Yes No
9.2 Please write a personal statement in which you:
a) explain why you are particularly deserving of an LSE scholarship
b) include details of your family background
c) describe your academic interests
d) outline your career objectives and demonstrate how the studies you plan to undertake at LSE will contribute
to these objectives
[Note: Please do not exceed 1,000 words and please do not attach your CV. You may use a separate sheet if preferred, but you
must include a word count at the top of the page.]
e) please specify how you intend to use the money if made an award.
Undergraduate l 9
Section 10 l Declaration
10.1 I have provided all details required and I conrm that the information provided in this application is, to the best of my knowledge, true
and correct. I undertake to notify the Financial Support Ofce of any changes in my circumstances without delay. I understand that false
information will invalidate this application.
10.2
I give my permission for the information provided in this form (and the supporting documentation) to be shared with scholarship donors
if they request it.
10.3
I have read the criteria of the scholarships for which I wish to be considered and the relevant Guidance Notes. I conrm that I have
enclosed or have arranged to send all required supporting documentation.
10.4
I am happy to be contacted by LSE’s Donor Relations Team if shortlisted for an LSE Scholarship.
Signature Date
Please keep a copy of this form for your records. The Financial Support Ofce is not able to provide copies.
Please return to: Financial Support Ofce
LSE
Houghton Street
London WC2A 2AE
You will be sent an email acknowledgement of your application.
Checklist
Sections 1-10 completed
Evidence of your own income
Evidence of parental or partner/spouse income
Evidence of obligatory payments
Academic reference attached
OR
Academic reference being sent separately to the Financial Support Ofce
Name(s) of referee(s)
Evidence of any exceptional costs (eg, high medical bills) affecting you or
your household (eg, medical certicates and associated bills)
Please refer to the Guidance Notes for more information about appropriate
forms of supporting evidence.
Undergraduate l 10
Undergraduate l 11
Financial Support Office Guidance Notes
Undergraduate Scholarship Application Form
General Guidance
1 This application form is for all undergraduate applicants who wish to apply for an LSE scholarship
for the 2018-19 academic session.
2 a) LSE Bursary entitlement for UK students will be automatically calculated and paid via Student
Finance and there is no need to complete this form to apply for this.
b) LSE Bursary entitlement for EU students will not be calculated automatically. You should
complete this form to be considered for this and payment will be made by LSE.
c) LSE Discretionary Bursary entitlement for UK and EU students will be considered via this
application form. Please use question 7.3 to indicate you wish to be considered for this if you feel you
have exceptional circumstances affecting your nancial situation.
d) LSE Undergraduate Support Scheme for Overseas students will be considered via this application
form.
3 This form will be used to consider you for all of the awards offered by LSE for which you are eligible.
Please submit one form and one set of supporting documents only. You only need to complete this
form once regardless of how many awards you would like to be considered for
or are eligible for.
4 The Financial Support Ofce can only guarantee that you will be considered for all awards for which
you are eligible providing you have submitted the supporting documentation requested. It is therefore
very important that you read the web information about the awards which you are interested in to
ensure that you have submitted all the necessary documentation for us to consider you.
5 You are required to provide supporting documentation relating to income, appropriate to your
circumstances. If photocopied documents are submitted, original copies may be requested from you
at a later stage. If documentation is not in English, a certied translation must be supplied.
6 We require one academic reference from your current ‘A’ level (or equivalent) teacher
or supervisor.
7 Please complete the form and return it to the Financial Support Ofce together with any supporting
documentation or references required. All questions must be answered. Do not leave sections blank.
If a section does not apply to you, please indicate that it is not applicable (N/A).
8 All sums of money referred to must be in UK pounds sterling (£).
9 If you have been offered a scholarship, government award, Student Finance loan (UK students only)
or any other nancial assistance for your forthcoming education, please attach a copy of the letter
notifying you of your award/loan.
10
Application deadline: For Overseas students the nal deadline is 26 April 2018 (decisions sent by the
end of July 2018). For UK and EU students the nal deadline is 01 June 2018 (decisions sent by the
end of August 2018). We will acknowledge receipt of your application by email.
11 Forms can be left in the Student Services Centre drop box or posted to Financial Support Ofce, LSE,
Houghton Street, London WC2A 2AE.
12 We do not accept incomplete or late applications. Applications must be sent as a hard copy.
Applications sent by email will not be acknowledged or accepted. It is the responsibility of the
applicant to ensure that a hard copy arrives at LSE by the deadline date.
13 You will be notied by email and in writing about the outcome of your application.
14 You are unlikely to be considered for a scholarship if LSE is your Insurance university choice.
15 The decision of LSE is nal and we cannot, regrettably, participate in any individual correspondence
with applicants before or after that decision.
Undergraduate l 12
Guidance for Completing the Application Form
Section 1 l Personal Information
1.1 LSE applicant number
This unique identication number will be provided by the Undergraduate Admissions Ofce.
1.6 Address
You will be advised of the outcome of your application by email and in writing. It is therefore
important that you provide a reliable email and contact address or addresses where you can be
reached from June – September 2018.
1.8 Country of domicile
This is the country where you are ordinarily resident. If you are currently living in another country
solely for the purpose of receiving education, this would not be considered your country of
permanent domicile.
Section 4 l Your Personal Financial Situation
For income from employment, please provide one of the following:
•
a P60 (where work is being undertaken in the UK)
•
an annual accountant’s statement
• a copy of your employment contract or letter from your employer
• a tax return summary
Please do not send multiple payslips.
For income from other sources, please provide copies of your bank statements and/or other
documentation showing the income level and its source. Evidence of any social security benets
you are in receipt of should be provided.
Section 5 l Your Household Financial Situation
Evidence of income for your parent or guardian is required. If you do not live with your parents,
evidence of income is only required from yourself and, if applicable, your partner/spouse.
For income from employment, please provide one of the following:
• a
copy of a P60 (where work is being undertaken in the UK)
•
an annual accountant’s statement
•
a copy of your employment contract or letter from your employer
•
a copy of a tax return summary
Please do not send in multiple payslips.
For income from other sources, please provide copies of your bank statements and/or other
documentation (eg, benet statements) showing the income level and its source.
5.1 In the table, please provide
– the name of each person in your household
– their relationship to you (eg, parent, grandparent, spouse, partner, child)
– their age
–
their current occupation status
(eg, homemaker, student, retired, in employment, incapacitated)
– their total annual income
5.2 In the table, please provide
– the name of any other individual(s) supported by your household income
– their relationship to you (eg, parent, grandparent, spouse, partner, child)
– the circumstances (eg, a child living with other parent, family member in residential care)
For reference only – please do not submit these pages with your application
Undergraduate l 13
5.5 Obligatory payments – obligatory payments do not include standard household utilities
For obligatory payments, please provide documentation appropriate to the circumstances.
Please provide copies of any regular payment agreements (excluding utilities). Please include
any credit card or loan repayments. This refers to any exceptional costs (eg, high medical bills)
affecting you or your household, please provide evidence (eg, medical certicates and associated
bills).
Section 6 l Other nancial support
If you do not yet know the amount you will receive from the Student Loans Company please write
‘to be conrmed’.
Section 7 l Total Funding Available For Your Studies
7.1 Please provide a summary of all the conrmed secured funding that you will receive for each year
of your programme.
Section 8 l LSE Bursaries
8.1 EU students are entitled to an LSE Bursary, assessment is automatic, and will be done based on
the household income declared in this application form. The bursary will be renewable for years 2 and
3, depending on your continued nancial situation.
8.2 Discretionary Bursaries are made in exceptional circumstances. This might include for example,
caring responsibilities, nancial need related to disability or an unavoidable requirement to live at
home. The value of the award may vary according to needs but will not exceed the maximum LSE
Bursary amount. The LSE Bursary scales will be used to calculate your entitlement, however you
can request for a Discretionary Bursary to be topped up if your family’s income does not reflect their
ability to support you.
Section 9 l Your Future Plans
9.1 Destination
Some scholarships require the award holder to return to their country after the tenure of their
award is nished. This will be made clear in the information about the award on the FSO website.
Failure to answer this question fully may mean that you cannot be considered for certain country
specic scholarships even though you are a national of that country and/or are domiciled there.
9.2. Personal statement
You are required to write a statement, of no more than 1,000 words, explaining why you have applied
for nancial support from the School. Although we are also interested in your academic interests,
work experience and future career objectives, it is very important that you tell us why you are
particularly deserving of nancial support.
Completion of person statement is necessary for consideration for LSE Scholarships.
You can write the statement in a word processing application and attach it as a separate document if
you prefer.
Section 10 | Declaration
In this section, you are required to conrm that the information you are submitting is true and correct,
to the best of your knowledge, that you are happy for us to show this information to scholarship
donors, and that you understand that you will be asked to provide supporting documentation in the
event that an award is offered to you.
For reference only – please do not submit these pages with your application
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