Yes No

Tel:

Mobile:

CONTACT DETAILS

APPLICATION DETAILS

If you have a partner and/or children, will they live with you in Cambridge (please give details or write N/A)

Email:

Proposed course of study at Cambridge (MBA or MFin):

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.

If you are applying for admission to the MBA or MFin at Cambridge Judge Business School for entry in the 201112 academic year please use this form to apply for the following funding:

Gates Cambridge Scholarships - see www.gatesscholar.org

Cambridge Commonwealth Trust and Cambridge Overseas Trust awards - see www.cambridgetrusts.org

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) or MFin (www.jbs.cam.ac.uk/programmes/mfin/apply).

Title (eg Mr, Ms, Dr)

Gates Cambridge TrustCambridge Commonwealth Trust & Cambridge Overseas Trust

If you are a US citizen who is not currently studying in Cambridge this form must arrive at Cambridge Judge Business School by 15 October 2010. Late applications will not be considered.

If you are not a USA citizen (or if you are a US citizen currently studying in Cambridge) this form must arrive at Cambridge Judge Business School by 1 December 2010. Late applications will not be considered.

Instructions & Deadlines

Scholarship application for MBA and MFin 20112

Part 1 of the form should be completed by the applicant who should the pass the entire form to their personal referee.

Deadlines:

Other names (personal): Country of residence:

Male/female:

/ /

If a PO Box address, you must provide a telephone number

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 Cambridge Judge Business School.

Have you applied for or received a scholarship/bursary from one of the Cambridge Trusts previously?

Year (if yes)

Part 1 - Applicant's details

Nationality:

Country of birth:

Date of birth:

Last/family name (as on passport): BLOCK CAPITALS

Day Month Year

Full address: for correspondence

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Personal statement for scholarships offered by the Cambridge Commonwealth Trust and the Cambridge Overseas Trust

If you wish to apply for a Gates Cambridge Scholarship, please describe below in not more than 500 words how your interests and achievements, both academic and extra-curricular, demonstrate a capacity for leadership and a commitment to improving the lives of others. Please also set out why you think there is a good fit between your professional aspirations and the graduate programme at Cambridge for which you are applying. Full details about the scholarships are available from www.gatesscholar.org.

Personal statement for Gates Cambridge Scholarships

Scholarships offered by the Cambridge Commonwealth Trust and the Cambridge Overseas Trust (except Cambridge International Scholarships, which are considered on academic merit only) are normally 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 Trusts website (www.cambridgetrusts.org). Please also note that some scholarships require you, in addition, to make separate applications. Full details are on the Trusts website. CCT and COT may require evidence from you to support statements about your financial circumstances.

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Tenure Date awarded/(years) to be awarded

Applicants who are not successful in winning a Gates, or other substantial, scholarship will be considered for a means-tested part-cost award by the Cambridge Commonwealth Trust or Cambridge Overseas Trust. The value of the award will be determined in the light of the financial circumstances of the applicant. These Trusts will take into account not only the financial contributions from family, personal funds and loans, but also other scholarships and grants for which the candidate has applied. Candidates are urged to apply to other sources which might contribute, wholly or partially, to the funding of their studies at Cambridge. It is therefore essential that the questions below be completed as fully, and as accurately, as possible, if you wish to be considered for a part-cost award from the Trusts.

FINANCIAL DETAILS

Note: Applicants must keep the Trusts informed if there are any changes to the information given in questions above. In particular, they must inform the Trusts if they win any award tenable at Cambridge for which they have already applied or which they are awarded subsequent to this application.

Signature of applicant:

Scholarships and grants

Tenable at Cambridge? Annual value

Please give details of any scholarships and/or grants that you have secured for your course at Cambridge

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)

Shortfall, if any, between funds available and your course costs

Please give the source(s) and amount(s) of any other funds you are able to contribute towards the cost of your course

Personal funds

Total funds you are confident of raising towards your course costs

Other sources

Funds you are confident of raising annually

Type of funding

Awarding body

Applications for other scholarships/awards

Have you applied for any other awards? If 'yes' please give details below

Date:

DECLARATION

I understand that my application will be considered for a Gates Cambridge Scholarship and for any awards offered by the Cambridge Commonwealth Trust or Cambridge Overseas Trust for which I am eligible. I have answered as fully as possible the questions contained in this application form and undertake to keep the Trusts informed of material changes in this information.

Name of applicant:

(in block capitals)

Total

Details a year

Financial guarantee required by Cambridge Judge Business School for the MBA or MFin - see www.jbs.cam.ac.uk/programmes/mfin/financing/fees.html or your offer of admission if you have one:

Course fee College fee Living costs

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Tel:

Fax:

Email:

REFEREE'S DETAILS

Full name of referee: (in block capitals)

Exceptional

Signature of referee:

REFERENCE

Respectable Not strong

How highly would you rate the applicant for an award from the Trusts (see below and www.gatesscholar.org for criteria)? Please tick one box

In what capacity and for how long have you known the applicant?

Full name of applicant for whom this reference is being provided: (in block capitals)

Please give below, or attach, your assessment of the applicants suitability for a Gates Cambridge Scholarship. Gates Cambridge Scholarships are awarded on the following criteria: intellectual ability, leadership capacity, a commitment to improving the lives of others, and a good fit between the applicants proposed course and what Cambridge has to offer in its graduate programme. Full details about Gates Cambridge Scholarships are available from www.gatesscholar.org.

Please note the entire form, both Parts 1 and 2, should be sent by the personal referee to MBA or MFin Admissions Office, Cambridge Judge Business School, Trumpington Street, Cambridge, CB2 1AG, UK. The form must arrive by the relevant deadline (see page 1).

Date:

Strong

Part 2 - Personal reference for a Gates Cambridge Scholarship

This section must be completed by a referee who has personal knowledge of the applicant and the requisite experience and standing to assess the applicant.

CONFIDENTIAL

Contact detailsAddress

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