Gates Cambridge Scholarship Cambridge Trust Awards Application for MBA and MFin

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1 Gates Cambridge Scholarship Cambridge Trust Awards Application for MBA and MFin Instructions & deadlines If you are applying for admission to the MBA or MFin at the Judge Business School for entry in the academic year please use this form to apply for the following funding: Gates Cambridge Scholarships - see Cambridge Trust awards - see Part 1 of the form should be completed by the applicant who should the pass the entire form to their personal referee. Part 2 of the form should be completed by the personal referee and then sent to the MBA or MFin Office, Cambridge Judge Business School, Trumpington Street, Cambridge CB2 1AG, United Kingdom. The completed form should not be returned to the applicant. Late applications will not be accepted. Deadlines: If you are a US citizen, based in the USA, you should complete and submit this form to the Judge Business School by 15 October If you are a citizen from any country other than the USA (except the UK) or a US citizen normally residing outside the USA, you should complete and submit this form to the Judge Business School by 2 December Applying for admission to the MBA/MFin: As well as submitting this form candidates must also submit a form to apply for admission to the MBA (www.jbs.cam.ac.uk/mba/apply/index.html) or MFin (www.jbs.cam.ac.uk/programmes/mfin/apply/index.html). CONTACT DETAILS Part 1 - Applicant's details Last/family name (as on passport): BLOCK CAPITALS Nationality: Other names (personal): Title (e.g. Mr, Ms, Dr) Any secondary nationality: Country of permanent residence: Full address: for correspondence Country of birth: Address valid until: Date of birth: Day Month Year / / If a PO Box address, you must provide a telephone number Tel: Mobile: Male/female: If you have a partner and/or children, will they live with you in Cambridge (please give details or write N/A)

2 APPLICATION DETAILS Proposed course of study at Cambridge (MBA or MFin): You must also complete and submit a form to apply for admission for the MBA or MFin (see above). Please state the date when this form was submitted to the Judge Business School. Have you previously applied for, or received, a scholarship/bursary from the Cambridge Trust? Yes No Year (if yes) Personal statement for Gates Cambridge Scholarships In not more than 500 words please explain why you are applying for a Gates Cambridge Scholarship and how you meet the four main criteria ( for more information)

3 Personal statement for scholarships offered by the Cambridge Trust Scholarships offered by the Cambridge Trust (except Cambridge International Scholarships, which are considered on academic merit only) are dependent on demonstrated financial need and academic ability and potential. Please explain in not more than 500 words why you believe you should be considered for a scholarship. When completing this section, please indicate which scholarships you wish to be considered for and explain how you meet any specific requirements listed on the Trust s website (www.cambridgetrust.org). Please also note that some scholarships require you, in addition, to make separate applications. Full details are on the Trust s website. The Trust may require evidence from you to support statements about your financial circumstances. FINANCIAL DETAILS Applicants who are not successful in winning a Gates Cambridge Scholarship or other substantial scholarship will be considered for a means-tested, part-cost award by the Cambridge Trust. Financial guarantee required by the Judge Business School for the MBA or MFin - see or your offer of admission if you have one: Course fee Living costs Total

4 Funds you are confident of raising annually to finance your course. Please give as much detail as possible of the funds you are able to raise annually. Note: this information is only used by the relevant funding bodies. Source Details a year Scholarships and grants Please give details of any scholarships and/or grants that you have secured for your course at Cambridge Personal funds Please give the source(s) and amount(s) of any personal funds you are able to contribute towards the cost of your course (e.g. income, savings, capital, etc.) Other sources Please give the source(s) and amount(s) of any other funds you are able to contribute towards the cost of your course Total funds available annually towards the cost of your course Annual shortfall, if any, between the total funds available and the cost of your course Please give details of any scholarships tenable at Cambridge which you have applied for (or plan to apply for) Awarding body Date of Decision Tenure (years) Annual Value ( ) Note: Applicants must keep the Cambridge Trust informed if there are any changes to the information given in the questions above. In particular, they must inform the Trust if they win any award tenable at Cambridge for which they have already applied or which they are awarded subsequent to this application. DECLARATION I understand that my application will be considered for a Gates Cambridge Scholarship and for any awards offered by the Cambridge Trust for which I am eligible. I have answered the questions contained in this application form as fully as possible and undertake to keep both organisations informed of material changes in this information. Name of applicant: (in block capitals) Signature of applicant: Date:

5 Part 2 - Personal reference for a Gates Cambridge Scholarship CONFIDENTIAL Your personal referee should be someone of appropriate standing who can comment on your suitability for a Gates Cambridge Scholarship (e.g. an academic or employer who can comment on your academic ability, leadership capacity and commitment to improving the lives of others). For full details see The personal referee should not be a family member, a friend, or yourself. REFEREE'S DETAILS Full name of referee: (in block capitals) Position: Institute name: Address Contact details Tel: Fax: REFERENCE Full name of applicant for whom this reference is being provided: (in block capitals) How long have you known the applicant? In what context do you know him/her? Assessment Please give below your assessment of the applicant s suitability a Gates Cambridge Scholarship, which are awarded on the following criteria: outstanding intellectual ability, leadership potential, a commitment to improving the lives of others, and a good fit with the postgraduate programme at Cambridge for which they are applying. Before writing this reference, referees are advised to visit for full details. How highly would you rate the applicant for a Gates Cambridge Scholarship, bearing in mind the intense global competition? Tick as appropriate Comments Top 1% - Outstanding Top 5% - Exceptional Top 10% - Very Strong Top 25% - Satisfactory

6 How are the applicant s qualifications appropriate for the course of graduate study or research at Cambridge? Reference Please give below your assessment of the applicant s leadership potential and commitment to improving the lives of others. Please attach a separate letter if necessary.

7 DECLARATION AND DATA PROTECTION DATA PROTECTION ACT (1998): Please indicate, by ticking the box below, whether you agree to this reference being released to the person in respect of whom it is written, should that person make a request for disclosure. If you do not wish to give your permission at this time, please note that there might be circumstances, as required by law, under which the University or Gates Cambridge would be required to make a disclosure irrespective of your wishes. However, the University and Gates Cambridge will treat your reference in strict confidence insofar as the law permits. I agree to the release of this reference if the person concerned seeks disclosure I confirm that the information given above and on the appended reference letter is accurate to the best of my knowledge and understand that the University of Cambridge may refuse admission - and Gates Cambridge may refuse or withdraw a scholarship if it discovers that any information given has been falsified or is inaccurate. Referee s Signature: Date: (DD/MM/YYYY) Please note the entire form, both Parts I and 2, should be sent by the personal referee to MBA or MFin Admissions Office, Judge Business School, Trumpington Street, Cambridge, CB2 1AG, England. The form must arrive by the relevant deadline (see page 1).

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