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Application for the Kathleen Jones Scholarship - University of ...

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For <strong>of</strong>fice use only:<br />

Date application received: …………….<br />

Recipients initials:<br />

Input date:<br />

.……………<br />

.……………<br />

CONFIDENTIAL:<br />

<strong>Application</strong> <strong>for</strong> <strong>the</strong> <strong>Kathleen</strong> <strong>Jones</strong><br />

<strong>Scholarship</strong><br />

Student Finance & Financial<br />

Support Office <strong>of</strong> Student Affairs<br />

<strong>Application</strong> Notes: Applicants to this fund must be UK nationals paying <strong>the</strong> ‘Home’ rate variable fee,<br />

studying in Year 1 on specified programmes. If you are not in receipt <strong>of</strong> student support please give details<br />

<strong>of</strong> why in your supporting statement.<br />

Recipients <strong>of</strong> this award will from time to time be required to participate in <strong>University</strong> promotional activites,<br />

such as interviews and attendance at <strong>University</strong> events.<br />

PLEASE WRITE IN BLOCK CAPITALS<br />

PART ONE: Personal details<br />

Family Name (in full): _____________________________________________________________<br />

First Name (in full): ______________________________________________________________<br />

Full correspondence address: _______________________________________________________<br />

_______________________________________________________<br />

_______________________________________________________<br />

Telephone No: _________________________________________<br />

E-mail address: _________________________________________<br />

<strong>University</strong> I.D. 0 0 0 _ _ _ _ _ _<br />

PART TWO: Programme details<br />

Programme Title: _________________________________________________________________<br />

Campus:<br />

______________________________________________________________________<br />

Year <strong>of</strong> Study: ___________________________________________________________________<br />

Have you studied at a HEI previously: Yes No <br />

If Yes, please provide details: _______________________________________________________<br />

_______________________________________________________________________________


PART THREE: Supporting Statement – Please write clearly or type and attach your statement<br />

Please state what financial difficulty you are experiencing and why you believe your situation to be exceptional and to<br />

merit additional support. You should detail how you have financially planned <strong>for</strong> study including work you undertake,<br />

action you have taken to budget and personal or family circumstances which might jeopardise your ability to progress<br />

in Higher Education – such as carer responsibilities or o<strong>the</strong>r adverse personal circumstances not conducive to study. In<br />

addition, please explain how <strong>the</strong> <strong>Kathleen</strong> <strong>Jones</strong> <strong>Scholarship</strong> will enhance your student experience. Please ensure that<br />

you attach any relevant supporting documentary evidence to validate your circumstances, including your<br />

Financial Assessment Notification detailing your Student Support entitlement.


PART FOUR:<br />

Method <strong>of</strong> Payment<br />

In order <strong>for</strong> your payment to be made directly to your nominated bank account you must enter your bank<br />

details directly onto <strong>the</strong> student portal at https://portal.gre.ac.uk: under <strong>the</strong> my support tab. This is a<br />

secure area which only you have access to and will require your student BANNERWEB ID and pin.<br />

IT IS YOUR RESPONSIBILITY TO KEEP YOUR BANK DETAILS UP TO DATE. FAILURE TO<br />

ENTER OR UPDATE BANK DETAILS WILL RESULT IN YOUR PAYMENT BEING DELAYED<br />

OR NOT ISSUED.<br />

Please tick (where appropriate)<br />

Directly into my bank/building society as per bannerweb <br />

Cheque to be collected from my local Student Centre <br />

CONFIDENTIALITY:<br />

<strong>Application</strong>s are seen by university staff directly involved in <strong>the</strong> processing <strong>of</strong><br />

applications. Your details, if you are successful in your application will, however, be<br />

passed to <strong>the</strong> Development and Alumni Team with a view to your participation in<br />

marketing and publicity activities.<br />

DATA PROTECTION ACT 1998:<br />

The <strong>University</strong> <strong>of</strong> Greenwich is a data controller in terms <strong>of</strong> <strong>the</strong> 1998 legislation. The<br />

Office <strong>of</strong> Students Affairs follows <strong>University</strong> policy in matters <strong>of</strong> data protection. The data<br />

requested in this <strong>for</strong>m is covered by <strong>the</strong> notification provided by <strong>the</strong> <strong>University</strong> under <strong>the</strong><br />

Data Protection Act. Personal data will be used solely in <strong>the</strong> department <strong>for</strong> statistical<br />

purposes and electronic record keeping. The data will not be passed to any external third<br />

party without your consent, except when <strong>the</strong> <strong>University</strong> is required to do so by law. Any<br />

<strong>for</strong>mal enquiries concerning <strong>the</strong> use <strong>of</strong> data noted here should be addressed to <strong>the</strong> Head <strong>of</strong><br />

Student Finance and Financial Support.<br />

I declare that <strong>the</strong> in<strong>for</strong>mation that I have given on this <strong>for</strong>m is correct and complete to<br />

<strong>the</strong> best <strong>of</strong> my knowledge and I attach any relevant documentation to support my<br />

application.<br />

I confirm that I am fully registered and do not have any outstanding debts to <strong>the</strong><br />

<strong>University</strong>. (Please note: Students awaiting <strong>the</strong>ir CRB disclosure are eligible to apply pending<br />

satisfactory clearance by <strong>the</strong> School <strong>of</strong> Education and Training)<br />

I understand that giving false in<strong>for</strong>mation will automatically disqualify my<br />

application and may also lead to disciplinary procedures resulting in possible<br />

expulsion from <strong>the</strong> university.<br />

I agree to participate in <strong>University</strong> promotional activities as requested where possible<br />

unless <strong>the</strong>re are specific reasons why not.<br />

I undertake to repay any award obtained by me as a result <strong>of</strong> <strong>the</strong> not abiding to <strong>the</strong><br />

conditions above and those detailed in <strong>the</strong> ‘Important In<strong>for</strong>mation’.<br />

Name:(CAPITALS)_____________________________________________________<br />

Signature:___________________________ Date: ____________________________

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