The University of Edinburgh

Application for Kerr-Fry Award 2024

 Scholarships and Student Finance Office

•	Please refer to the Scholarships and Student Finance web site here for information on the eligibility and selection criteria for the award before completing this form. 

•	In order for your application to be considered by the Kerr-Fry Bequest Selection Committee, you will need to provide two references in support of your application by the application deadline.

•	Completed application forms, together with two confidential references should be submitted to studentfunding@ed.ac.uk

•	All applicants should note that the Kerr-Fry Bequest Monitoring Form is used for administrative purposes only. The Selection Committee will only receive the Kerr-Fry Application Form and references for their consideration.  

•	Please note that documents submitted with your application cannot be returned to you. You should therefore ensure that you keep copies for your own use. 

 
Introduction

Kerr-Fry Bequest Monitoring Form

This form is not used as part of the selection process. 

The University is committed to a policy of Equal Opportunities to ensure that all candidates for the Kerr-Fry Awards are treated fairly.

This information is necessary as part of our monitoring responsibilities. The information you provide will be used for statistical monitoring purposes and the calculation of the level of award you may receive based on your contract details.

Personal Information

1. Surname/family name………………………………………………………………..	Dr/Mr/Mrs/Miss/Ms

Other names…………………………………………………………………………….

2. Correspondence address (INCLUDING POST CODE) …………….………………………………………………….
…………………………….…………………………….……………………………...………………………….
…………………………….…………………………….…………………………………………………….……

Tel no…………………………………………………	Fax no…………………………………………………...
(INCLUDING NATIONAL /AREA CODE) 	(INCLUDING NATIONAL /AREA CODE)

3. Email address …………………………………………………………………………………………………   

Statistical Information

4. Are you: 	Male 		Female 

5 a. Date of Birth………………………………….		5 b. Age………………………………….

6. Which category best describes the ethnic group to which you belong: 

Asian or Asian British   		 Indian				 Pakistani
				 Bangladeshi				 Chinese
 		 Other				please specify: …………………

Black or Black British 	 	 African			 	 Caribbean
		 Other				please specify: …………………

White				 British				 Irish
				 Scottish
 Other				please specify: …………………
Mixed		   		 				
Other Ethnic Background	 

7. Do you regard yourself as being disabled? 		Yes 		No 

Declaration

I confirm that, to the best of my knowledge, the information given in this application is complete and accurate.  

               Applicant’s signature……………………………………………………	Date…………………………………

The University of Edinburgh holds information about everyone who applies for an award at the University. We use the information you provide on your application form together with the information contained in the supporting documentation to administer and assess your application for an award and to select successful applicants.

If you have any queries regarding the University’s use of your information please contact the University’s Data Protection Officer (E-mail: Data-Protection@ed.ac.uk).

For Office Use Only

Applicant……………………

Kerr-Fry Award Application Form 

    

Academic Qualifications Held or Pending

              
1. Secondary Education
              
	Secondary / Further Education Qualifications	
	Secondary/Further Education institution	Dates of Attendance	Subject / Course studied	Qualification obtained	Date of Award	

						

						

2. Degrees or Diplomas held or pending 

	Degree (already held or pending)	
	University or College	Dates of Attendance	Qualification Obtained	Class of Degree Obtained	Date of Award	Principal Subject (if two principal subjects of approximately equal weight, give both	

							

							

3. Postgraduate Degrees or Diplomas held or pending 

	Postgraduate Degree (already held or pending)	
	University or College	Dates of Attendance	Qualification Obtained	Date of Award 	Name of Supervisor or Director	Title & subject of course or Thesis	

							

	
4. Please indicate any other qualifications or skills.

	………………………………………………………………………………………………………………………………………
	………………………………………………………………………………………………………………………………………
	………………………………………………………………………………………………………………………………………
	………………………………………………………………………………………………………………………………………
5. Please indicate your activities and interests.

	………………………………………………………………………………………………………………………………………
	………………………………………………………………………………………………………………………………………
	………………………………………………………………………………………………………………………………………
	………………………………………………………………………………………………………………………………………
       ………………………………………………………………………………………………………………………………………
	………………………………………………………………………………………………………………………………………
       ………………………………………………………………………………………………………………………………………
	………………………………………………………………………………………………………………………………………
	………………………………………………………………………………………………………………………………………
	………………………………………………………………………………………………………………………………………
       ………………………………………………………………………………………………………………………………………
	………………………………………………………………………………………………………………………………………

	6. Employment Record (Please continue on an additional sheet if required)

	Employment record	
	Current Employer	Employers Address	Dates of Employment	Present Salary	Position and Description of Work	

						

7. Please give brief details of other employment.

	………………………………………………………………………………………………………………………………………
	………………………………………………………………………………………………………………………………………
	………………………………………………………………………………………………………………………………………
	………………………………………………………………………………………………………………………………………
       ………………………………………………………………………………………………………………………………………
	………………………………………………………………………………………………………………………………………

Proposed Area of Project

9. Please provide details of the project which you intend to undertake together with a full breakdown of costs.
(Please continue on an additional sheet if required)
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………… 
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………

8. Please indicate any funding applications which you have made to assist you with your project. If any of your applications have been successful, please indicate the level of award received.

	         AWARDING INSTITUTION	DATE OF AWARD 		VALUE OF AWARD

	………………………………………………………………………………………………………………………………………
	………………………………………………………………………………………………………………………………………
	………………………………………………………………………………………………………………………………………
	………………………………………………………………………………………………………………………………………
       ………………………………………………………………………………………………………………………………………
	………………………………………………………………………………………………………………………………………

9. Please provide any additional information which you feel may help us in assessing your application.

………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………

Please submit completed applications, together with two confidential references, to: studentfunding@ed.ac.uk