SAMPLE of the 2015 ONLINE APPLICATION FORM

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1 SAMPLE of the 2015 ONLINE APPLICATION FORM KEY DEADLINES: Below is a summary of the Schedule for the 2015 application round. All deadlines will be applied at midnight on the stated date. Thursday 15th January 2015 Friday 16th January 2015 Friday 23rd January 2015 Tuesday 21st April 2015 Last day teachers may provide nominations to Arkwright Last day an applicant can submit his/her application for teacher authorisation Last day a teacher can submit supporting references, predicted grades and any dispensation for National Examinations, for each applicant. All Applicants Application fees must be paid Part 1 of 7 About You: Please confirm that you have seen the Arkwright Schools Handbook and understand the application conditions by ticking this box. PERSONAL DETAILS Surname Given Name(s) Date of Birth Are you? Female Male Ethnic Origin* Black African, Black Caribbean, Black Other, White, Mixed Race, Asian, British Asian Nationality Your response to Ethnic Origin and Nationality will not be printed on your application form when submitted online Home Address House Name Number/ Street Town County Postcode Home Tel Mob Tel CURRENT SCHOOL DETAILS for online applications, this will automatically be added when your teacher nominations you. School Address: Street Town County Postcode Tick this box if you will be studying A Levels, Scottish Highers, IB, BTEC Diploma etc. at a different school/college from the one above? Name of New School Town:

2 Part 2 of 7 Exam Subjects: Please detail your proposed school/college studies after GCSEs/Scottish National 5s. Include any AS/Higher subjects that you have already taken or are taking this year. To apply for a Scholarship you must be planning to take Maths to at least AS/Scottish Higher, preferably A2/Advanced Higher. Subject AS / Scottish Higher / IB Standard Level (AS, Advanced Higher, BTEC Diploma/Extended Diploma, IB Higher etc) Subject A2 / Advanced Higher / IB Higher Level (A2, Advanced Higher, BTEC Diploma/Extended Diploma, IB Higher etc) Part 3 of 7- Beyond School / College Are you planning to take a higher-level Apprenticeship after A Levels/Advanced Highers? Have any of your parents, guardians or siblings studied at University? Yes No Are you interested in a career in any of the following Armed Services? Army Royal Air Force Royal Navy Not sure Please write below up to three engineering and/or technical design disciplines that you are interested in pursuing, in order of greatest interest with 1 being the one of most interest. Discipline 1: Discipline 2: Discipline 3: Please set out your future Career Aspirations below: the job you would like to do; sectors of industry you would like to work within; organisations you would like to work for; the products or project you would like to work on. If you have a strong interest in study at particular universities please name the university(s). (Note: a general interest in engineering is acceptable). You may use up to 700 characters including spaces, punctuation, returns and other formatting marks. The remainder of this page is blank

3 Part 4 of 7- Your Extra-curricular Interests in Engineering and Technical Design Please give details of any activities, hobbies or projects that you have been involved in which are focused on engineering or technical design not including your curriculum studies. These could be activities in school, at home or elsewhere. You may use up to 1000 characters including spaces, punctuation, returns and other formatting marks. Note: Part 5 will ask you to describe in detail one project that you have done. DO NOT describe that project in this section. The remainder of this page is blank

4 Part 5 of 7- Detailed Evidence of a Relevant Project In the three boxes below, please describe a practical project you have done in the field of engineering or technical design to show your technical ability. This can be your curriculum project for Design and Technology, Engineering Science or similar courses. Or it can be an extra-curricular or home-based project. Note: DO NOT discuss here any project that you mentioned in Part 4. At the end of this section you may add up to 3 files containing photographs, diagrams or graphs to illustrate your work (make sure the text in your uploaded documents is legible). Problem: Please give a brief description of the problem your project attempts to solve. Max. 400 characters including spaces, punctuation, returns and other formatting marks. Method: Please give a technical description of how you went about solving this problem. Max. 700 characters including spaces, Punctuation, returns and other formatting marks. Solution: Please give a technical description your final solution. Max. 700 characters including spaces, punctuation, returns and other formatting marks. When completing your application online you will be able to upload 3 Supporting Files at this point. The maximum allowed file size for each file is 1Mb. Supporting files must only be photographs, diagrams or graphs, where text exists only as labels. Textual files that are uploaded as supporting files will not be read. Allowed file formats are jpg, jpeg, png, bmp and tiff. You will need to Click the "Select" button to select your files then use the "Upload Files" button to upload them. If there is a red icon next to a selected file, it is either too large or not a valid file format and it will not be uploaded.

5 Part 6 of 7- Your Extra-curricular Interests not related to Engineering and Technical Design Please provide evidence of your wider interests (sport, playing an instrument, drama, Scouts, Guides, CCF etc). Please highlight any positions of responsibility or leadership. You may use up to 700 characters including spaces, punctuation, returns and other formatting marks. PART 7 of 7: Interview Session Preferences and About your Parents/Guardians Your Parents/guardians Details Title (Mr, Mr, Dr etc) Initials Surname This person s relationship to you: ADDRESS (if different from you) House / Street Town County Postcode Day Evening If you are shortlisted you will be required to attend an interview in March/April. Please discuss these dates and venues with your parents/guardian before making your selection. You should make three interview venue choices and make a note of your selections in your diary. If you are not able to attend any of the interview sessions, please leave the dropdown blank. Wed 25 th March The University of Sheffield Mon 13 th and Tue 14 th (1 of 2 days) April Brunel University Tue 31 st March University of Ulster Tue 31 st March Thurs 2 nd April (1 of 3 days) Imperial College, London Wed 1 st April University of Newcastle Thur 9 th April Lancaster University Tue 14 th April University of Cambridge Thur 16 th April University of Southampton Fri 17 th April Loughborough University Tue 21 st April Heriot-Watt, Edinburgh Thur 9 th April University of Bath I have made my parents/guardians aware that I am applying for an Arkwright Engineering Scholarship and that there is a application fee for this application. They understand that the invoice is forwarded to the school with payment required by 21 st April 2015 and the School may require my parents/guardians to pay this sum. I am aware that if payment is not received by Arkwright by the due date my application will not be considered any further. Tick to confirm DATA PROTECTION ACT: Please tick the box if your parents/guardians do NOT wish your details to be passed to carefully selected organisations which may be able to offer opportunities in engineering or technical design

6 The following 2 sections will be completed by the nominating Teacher once the applicant has submitted his/her online application Part 1 of 2: Academic Performance To be completed by the Head of Year or equivalent person responsible for providing academic references. I confirm that this student (tick one box): is now in Year 11 (England & Wales) or Year 12 (Northern Ireland) taking GCSEs; or S4 (Scotland) taking National 5s/Standard Grades is on a fast track course taking the exams detailed below a year early, and is applying during the year they are taking these fast-track exams. Please refer to section 2.1 of the Schools Handbook. Please provide the applicant s Actual results, if already available, or Predicted results in all GCSEs, Scottish National 5s or equivalent exams. Note to teachers, when completing this online the applicant s subjects will have already been entered by the applicant, the teacher will only be required to add the actual or predicted grades. Subject Grade Subject Grade Subject Grade D&T (specify subject below) English Language Language 2 (please specify) English Literature Mathematics Art & Design Economics Physics Engineering Business Studies Chemistry IT / Computing History Biology Dual Science X 2 Language 1 (please specify) Geography Other (please specify) The remainder of this page is blank

7 The reminder of this page is blank PART 2 of 2: Reference - To be completed by relevant teacher Within the headings below please provide a report on the applicant from a Science, Technology, Engineering and Maths (STEM) perspective. Each section allows a maximum of 200 characters including spaces, punctuation, returns and other formatting marks Academic Ability Commitment, Determination and Personality Creativity, Innovation and Quality of Project Work Academic Interests and Activities of a Technological Nature Applicants potential to be a future Leader in Engineering I am aware that an application fee of is payable by the school once this application is submitted and that the Arkwright invoice is sent for payment to the school s accounts department. I understand that if our invoice for any applicant is unpaid by 21 st April 2015 that application will not be considered any further. I confirm that I have made our applicant and his/her parent/guardian aware of the Arkwright Schools Handbook and conditions contained within it relating to the payment and reimbursement to the school (if the school chooses to pass on the fee to parents). Tick to confirm Details of the teacher giving the reference: First Title (Mr/Dr/Ms/Mrs) name Surname Position Confirmation of this application will be sent to Arkwright s named contact teacher at the school. Tel: Date (should we need to discuss this reference with you).