Nintex Live Forms

Undergraduate Scholarships

Application Form for Entry in 2020/21

Only applications from undergraduate candidates who have been offered a place at the University of Oxford for entry in 2020/21 (starting an undergraduate course in October 2020) will be considered.

Have you been offered a place to study an undergraduate course at the University of Oxford for entry in 2020/21?

YesNo

Please note that it is not possible to save an application and return later, therefore you are advised to read through this form initially and ensure you have the relevant information to hand before starting your application. You will not be able to view your application after you have submitted it. It is strongly advised that you save copies of your statement(s) (for Section E) locally on your computer, before transferring to the scholarship form, in case of technical difficulties.

The submission deadline for your application (and reference) is 12 noon (UK time) on Wednesday 12 February 2020. If you do not receive email confirmation that you have submitted your scholarship application form within 24 hours of submitting your application, you must email student.funding@admin.ox.ac.uk

We advise you to save and keep a screenshot of the message once you click 'submit' as proof of submitting your Undergraduate Scholarship application form.

Only one scholarship form should be submitted per candidate, even if you use this form to apply for more than one scholarship.

Your referee will be contacted automatically by email using the email address you provide in this form - please check their email address is correct before you submit your application, as we will not be notified of any undelivered notifications. Your referee will be asked to submit a reference once you submit your application, therefore please ensure you seek their approval to be nominated as a referee in advance. It is your responsibility to ensure that your referee submits their reference by the deadline.

The information that you provide in this application will be used for the purposes of your application for a scholarship and related administrative processes and will be processed in accordance with the University's Undergraduate Applicant Privacy Policy (which can be found here: https://compliance.admin.ox.ac.uk/privacy-policy-undergraduate-student-applicants)

This form is also available in alternative formats, should this be required for accessibility reasons. Please email student.funding@admin.ox.ac.uk for more information.

Please enter your UCAS number (including hyphens) *

Section A - Scholarships

Please ensure you have read the Guidance notes for each scholarship on the Oxford bursaries and scholarships for 2020-entry website to check your eligibility.

Please tick the box(es) for the scholarship(s) for which you wish to be considered:

Ahmet Ertegun Memorial Scholarship

Hill Foundation Scholarship

Oxford Centre for Islamic Studies Scholarship

Palgrave Brown Scholarship

Palgrave Brown UK Scholarship

Reach Oxford Scholarship

Simon and June Li Undergraduate Scholarship

The D. H. Chen Foundation Scholarship

Section B - Personal Information

Surname or family name *

First name(s)

Middle name(s)

Date of birth *

Email address *

Country of nationality *

Country of ordinary residence *

Section C - Course Details

Please give details of the course at Oxford for which you are applying for funding, and the Oxford college to which you have been accepted.

Degree (eg History BA, Physics MPhys, Mathematics MMath) *

College *

Section D - Financial Information

Please provide accurate information on the composition of your household from 1 September 2018 to 31 August 2019

1) Please state the country in which your household is based. *

2) How many people make up your household? *

3) Who else makes up your household, apart from you?

Please state your relationship to the person

Please provide accurate information on your household income for the 12 months from 1 September 2018 to 31 August 2019

4) How many members of your household (excluding you) contribute financially to your household?

5) How many dependants under the age of 18 are you financially responsible for?

6) How many dependants above the age of 18 are you financially responsible for?

Where applicable, for the household members listed below, please provide the annual net income for the period of 1 September 2018 to 31 August 2019. Please only provide net amounts rounded to the closest UK pound (£). If your household income is not in UK pounds (£), you must convert the local currency into pounds using these Exchange rates. Please see the Guidance notes for assistance and definitions.

7) Please state your net annual income (not including the income of your parents or anyone else in your household) to the nearest £

8) Please state the net annual income of Parent One (to the nearest £)

9) Please state the net annual income of Parent Two (to the nearest £)

10) Please state the net annual income of your husband/wife/civil partner/partner (to the nearest £)

11) Please list any other financial contributors that reside in your household

11a) Total net income of all other financial contributors that reside in your household (to the nearest £)

12) Please list any financial contributors that do not reside in your household

12a) Total net income of all other financial contributors that do not reside in your household (to the nearest £)

13) Will any of the household income listed in answer to questions 7 - 12 be used towards funding your course fees and living costs? Please select one of the following options:

13a) Yes – Please provide more details with relation to your funding sources for each year of your course, in the table of question 14.

13b) No – Please provide further details in the text box below as to why the income will not be used, for example because the income is insufficient to cover study costs or income to be used for other core expenses. (Maximum 100 words)

14) Please give details of funding that you are intending to use for your course fees and your living costs.

State the values in UK pounds (£) and select the status of the funding. You should only include currency values in the table ('to be confirmed' is not accepted). Please note:

if you are applying for the Oxford Centre for Islamic Studies Scholarship, you must include details in this section of the government support for which you have applied.

the Hill Foundation Scholarship is based on academic merit and potential only and does not take financial need into account, and therefore the information in this section will not be used when selecting for the Hill Foundation Scholarship.

If you are unsuccessful at obtaining an undergraduate scholarship awarded by the University of Oxford, how are you intending to fund your course fees and your living costs?

Please see the Course Fees for 2020 entry and the Living Costs web pages for further information. (NB: Please hold 'Ctrl' key when selecting links to open in a new tab).

Funding Sources

2020/21

2021/22

2022/23

2023/24

Status

Own income/savings

Relatives/friends

Other scholarships

Government loans

Private loans

TOTAL

15) How have you funded your studies so far?

Merit based scholarship(s)
Means-tested/financial-need based scholarship
Family (parents/relatives)/friends support
Non-fee paying state school
Other (please specify below)

Please use this text box if you have further comments or would like to provide clarification about how your studies have been funded so far (Maximum 100 words):

Section E - Supporting Statement *

In order to demonstrate how you meet the selection criteria of financial need and academic merit, please answer the following two questions.

1. Financial Need: Why are you applying for this scholarship and how will it enable you to study at Oxford? Please include information about your financial situation with reference to figures provided in section D above. (Maximum of 250 words)

2. Academic Merit: Please explain how obtaining the scholarship would assist in the achievement of your academic goals. You may wish to include information about your current studies and future aspirations. Please ensure that you read the scholarship profile to check if you need to provide any additional information. (Maximum of 250 words)

Additional statement for Reach Oxford Scholarship

In order to demonstrate how you meet the additional selection criteria for the Reach Oxford Scholarship, please answer the following two questions (Maximum of 200 words per question):

1. Social Commitment: Please provide details of any activities you are currently involved in, such as volunteering or social projects, and explain how you would use the education you receive at Oxford for the benefit of the community in your home country.

2. Educational Opportunities: What educational opportunities are available in your own country to study your chosen subject at undergraduate level?

Additional statement for the Oxford Centre for Islamic Studies Scholarship

In order to demonstrate how you meet the selection criteria of financial need and academic merit, please answer the following three questions:

1. Please explain, in a maximum of 500 words, how your proposed studies at the University of Oxford are of relevance to the Muslim world.

2. Please explain, in a maximum of 300 words, how you would like your ideal career to develop over the next ten years.

3. Please review the OCIS website, www.oxcis.ac.uk, and explain in a maximum of 300 words how you might contribute to the Oxford Centre for Islamic Studies community as a scholar and after you leave Oxford. (NB: Please hold 'Ctrl' key when selecting link to open in a new tab).

Section F - Reference

Please give the name of one person with direct knowledge of your academic work (eg a former or current teacher) who is not related to you, and who you have asked to complete a reference form in support of your application.

Once you submit this application, your referee will be contacted automatically by email using the email address you provide in this form. They will be asked to submit a reference as soon as you submit your application; you will be copied into this request. Please ensure you seek your referee's approval to be nominated as a referee in advance. It is your responsibility to ensure that your referee submits their reference by email or post by 12 noon (UK time) on Wednesday 12 February 2020.

The reference must be sent from a professional/institutional email address. The Student Fees and Funding team cannot contact a referee on your behalf or follow up on a missing reference.

Referee details

Name *

Occupation *

Institutional/professional email address *

Relationship to you *

Section G - Checklist

Please check the relevant scholarship details very carefully before submitting your application. Please review and tick the boxes below. Have you...

Fully completed the application form? Incomplete or late applications will not be considered.

Completed a separate statement in Section E for the Reach Oxford Scholarship, if you are applying for this scholarship?

Completed a separate statement in Section E for the Oxford Centre for Islamic Studies Scholarship, if you are applying for this scholarship?

Asked the referee named in Section F to complete a reference for you and submit it to Student Fees and Funding via email by 12 noon (UK time) on Wednesday 12 February 2020?

Section H - Declaration

Once you have completed the above, please read the declaration below and check the box to agree with the terms.

Please read the following statements carefully. By ticking this box you confirm your acceptance of these statements.

I confirm that the information I have provided on this application form is (to the best of my knowledge) true, accurate, current and complete; and I agree to notify the University promptly if any information contained on this application form should change, in order to keep it true, accurate, current and complete.

I understand that the University reserves the right to audit the accuracy of the data which I have provided, by seeking proof of the answers I have given. I understand that if I am unable to supply satisfactory proof when requested, and to the timescale requested, any scholarship or financial award made under this scheme may be withdrawn.

PLEASE NOTE: All decisions taken by the University of Oxford relating to these scholarships or financial awards rely on the information you have provided on this application form, as well as on your UCAS application form and on the supporting materials supplied by you and your referees. This information will be held and used for the purpose of processing your application for these scholarships or financial awards.

If the University believes that any information or statement contained on your scholarship or financial award application form may not be true, accurate, current and complete, it may take any necessary steps to verify that information or statement and retains the right to amend or reject your application for these scholarships or financial awards.

If you have been made an offer of one of these scholarships or financial awards by the University, and the University believes that any information or statement contained on your scholarship or financial award application form may not be true, accurate, current and complete, then the University may in these circumstances withdraw or amend that offer. If you have been admitted as a student, you may be subject to disciplinary action which could result in your expulsion from the University and your College.

The University aims to offer financial assistance to as many well-qualified candidates as possible, and we expect that you will continue to pursue other funding applications. You must notify Student Fees and Funding (student.funding@admin.ox.ac.uk) if you are awarded other funding that is to be used towards the same costs as these scholarships or financial awards (University and college fees and living costs). If you do not disclose this information, any scholarship or financial award you may be offered may be put at risk.

Do you agree to the Declaration above?

Applications must be submitted by 12 noon (UK time) on Wednesday 12 February 2020

Before you can be considered for any scholarship, you must first apply for admission to the University. A step by step guide to the admissions process is available at www.ox.ac.uk/apply. The application deadline for undergraduate admission to Oxford in 2020 has now passed; the deadline for courses starting in 2021 will be 15 October 2020.