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Offer status: SI Number:

International Achievement Scholarship

Application Form 2010/11

Your application for the International Achievement Scholarship should be sent by post or email to the address below with, or
following, your application for a 2010/11 course at Sheffield Hallam University.

You must have accepted your offer and returned this application form by 30 June 2010 for courses starting in September 2010
and by 30 November 2010 for courses starting in January 2011.

International Office, Sheffield Hallam University, City Campus, Howard Street, Sheffield S1 1WB (UK)
Email: ias@shu.ac.uk

If you are completing this form by hand please use BLOCK CAPITALS for all sections
Surname: First name:

Home country: Date of Birth (DD/MM/YY):

Full Address for Correspondence:

Email:
Course Applied For: Start date:

Student number/ identifier (if known): Highest qualification including mark: IELTS score:

Personal Statement:
In no more than 250 words, please describe your most significant personal, academic or professional achievement to date, and
how your selected course at Sheffield Hallam University will enable you to achieve in the future.

Signed ................................................................................................... Date ..................................................