Liberation Scholarship Application Form

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1 Liberation Scholarship Application Form Instructions for the applicant: Please complete sections 1 3 of this application form; section 4 is to be completed by the faculty concerned. * Encircle the appropriate choice. 1. PERSONAL INFORMATION OF APPLICANT Surname First name (full) Initials Date of birth Place of birth Nationality Sex Passport number Male / Female * Date and place of issue passport Date of expiry passport Street name and number Postal code City Country address Alternative address Phone number Name of emergency contact Emergency contact address 1

2 2. DETAILS OF MOST RECENT STUDY PROGRAMME Name of institution Street name and number Postal code City Country Name of study programme Educational level Expected graduation date 3. DETAILS OF STUDY PROGRAMME AT ZUYD UNIVERSITY OF APPLIED SCIENCES Faculty Study programme Educational level Bachelor / Master * Starting date of course / exchange Expected date of completion Have you applied for admission at another Dutch university? Have you applied for any other grants or scholarships? If yes, provide details of these grants/scholarships Yes / No * Yes / No * I certify that all my answers above are true, complete and correct. Date:. Signature:... Please return the completed and signed form to internationaloffice@zuyd.nl before October 1st. 2

3 4. MOTIVATION OF ELIGIBILITY FOR LIBERATION SCHOLARSHIP To be completed by the faculty. Please indicate (in English, German or Dutch) why the student concerned is to be recommended for the Liberation Scholarship. Name of the person nominating the student on behalf of the faculty Position Faculty/ study programme Telephone number Date Signature Instructions for the faculty: Please complete this form and send it to the Zuyd International Office, Zuyd University of Applied Sciences, P.O. Box 634, 6200 AP Maastricht, The Netherlands (with all the required accompanying documents) before October 10 th. For official use only (to be completed by the Zuyd International Office) O Applicant s dossier is complete O Certification of Dutch or English skills O Faculty:... O Eligible for Liberation Scholarship O Eligible for admission as a student 3

4 Instructions for applicants Goal and nature of the scholarship Zuyd University of Applied Sciences is proud to be part of the Liberation Scholarship Program. This program offers scholarships to highly motivated students from Canada who would like to study in the Netherlands for three to twelve months and become part of the long-standing historic ties between the two countries. To celebrate seventy years of liberation and honour the sacrifices Canadian soldiers made for our freedom, the Netherlands has launched the Liberation Scholarship Program, as a token of lasting gratitude and friendship. The Liberation Scholarship Program is offered by the Ministry of Foreign Affairs and the Ministry of Education, Culture and Science of the Netherlands, EP-Nuffic, 23 Dutch higher education institutions and a select group of Dutch and Dutch-Canadian companies. Zuyd University of Applied Sciences wants to use the Liberation Scholarship to attract Canadian students who have an added value to higher education in the Netherlands and to the international classrooms within the English-taught programmes at Zuyd. Overview Zuyd provides 1 Liberation Scholarship per year to start with. An awarded scholarship is 5000,- maximum. You will receive a one-off scholarship to cover international travel and initial costs for your stay in the Netherlands. The scholarship will be paid one month after the start of your study period in the Netherlands. The scholarships only apply to the international, fully English taught study programmes at Zuyd. The tuition fee for the study programme will be waived by Zuyd. Granting criteria If you meet the following criteria, you are eligible for a scholarship: You have Canadian citizenship. You apply for a study period of between three and twelve months at Zuyd. Your study period at Zuyd starts before 1 September You meet the specific requirements of the study programme of your choice. You meet the requirements to obtain a student visa to enter the Netherlands (if applicable). Your application has been received before October 1 st. Procedure for new students Every scholarship application has to be done by the future student himself. 4

5 The student will fill out the application forms for the scholarship. This form can be found here: The student will send the complete application form to before October 1st. The student will be notified (by EP-NUffic) before December 8th by whether he/she will receive the scholarship. Incomplete applications or applications by students for whom cannot be verified if they are eligible to enter the programme (for example due to missing certificates or transcripts), will not be accepted. Applications received after October 1st will not be accepted. Signature of the student Read and approved, Date: Student name: Student number: Signature: Preparing your application step-by-step Your Liberation Scholarship Application must include: A completed and signed Liberation Scholarship Application Form Your curriculum vitae A motivation letter, detailing your motivation for studying at Zuyd An endorsement from your home institution A copy of your passport One passport photograph If you have any questions, please do not hesitate to contact: Zuyd International Office Zuyd University of Applied Sciences P.O. Box AP Maastricht The Netherlands Tel address: internationaloffice@zuyd.nl 5

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