Secondary School Exchange scholarship 1. Application form Completed forms should be returned to education@esu.org SSE – Education Department The English-Speaking Union Dartmouth House 37 Charles Street London W1J 5ED I am applying for the 3 term/2 term SSE scholarship (please delete as applicable) Personal Details Title:
First Name:
Surname:
Date of birth: Country of Birth
Gender: Nationality (as on your passport):
School: Home address:
Home telephone number: Mobile: Email (required): Name of parent/guardian: Living with: both parents / one parent / guardian (please delete as applicable) Email of parent (s)/guardian(required):
Daytime telephone number of parent/guardian: School Address:
School telephone number:
Preferences If your application is successful the information on this sheet will be passed to the selection committee in the USA. Your preferences will be taken into consideration but it may not be possible to meet all criteria. Type of school you would like to attend: Please tick the relevant boxes boarding day * *If you attend a day school, the school will arrange accommodation. single sex
co-ed (mixed)
urban
rural
no preference
no preference
Is there any particular region or school in the USA in which you are interested? Please give your reasons.
Please indicate the academic subjects you are interested in pursuing in the USA and why. (Scholars are required to fully participate in the academic life of the school):
Please list your extra-curricular interests and achievements:
Please state your AS and A2 (or Higher grade) subjects, and grades either known or expected (you must give any grades already achieved):
Do you have a University/College place secured for after your gap year? Please state where you are hoping to attend and which subject(s) you wish to study?
What experience do you have of travelling either with family or on your own?
How did you hear about the Secondary School Exchange?
Please submit your Personal Statement on a separate sheet ensuring your name is on each additional sheet. Personal Statement Guidelines: Your statement is one of the most important sections of your application. It gives you the opportunity to introduce yourself, and demonstrate why you are suited to, and interested in an SSE scholarship. You don’t need to answer all of the following questions, but they are worth bearing in mind: -
Why are you applying? What interests you about North American life/politics/culture? How do you expect to gain from your exposure to this? Academically, culturally, socially etc.
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How will a North American school benefit from having you on roll?
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Are you the kind of person who sticks with things and perseveres even when a situation is challenging or stressful?
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Are you a flexible person who finds it easy to adapt to a new environment with new rules and expectations? If you are given a scholarship but none of your preferences are available will you still be able to adapt?
Please keep your personal statement to two pages maximum. I have read and understood the notes and conditions for applying for a scholarship to the ESU. Declaration I declare that the information given above is correct: Signature
Date: