THE RHODES SCHOLARSHIPS
APPLICATION FORM
2013

To the Secretary, Committee of Selection, Rhodes Scholarships
21 East Street, Kingston, Jamaica, West Indies.

 Sir,

I............................ (full name ) herewith apply to be regarded as a candidate for the Rhodes Scholarship for the year 2013, I am a citizen of .......................................

My Parents (or guardian) resided in ...................................... for ........................... years while I was between the ages of .............................. The date and place of my birth was...............................................................................................

My Parents' names, address, occupation and telephone numbers are as follows:

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I was at the following Schools and Colleges/Universities for the periods named:-

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Accompanying this Application are:-

  1. A Birth certificate
  2. "O" level, "A" level, CAPE or CXC certification or other certified evidence of the subjects which I have studied, and the examinations which I have passed
  3. A signed statement by myself (of maximum 1,500 words or two (2) A4 pages, Times New Roman, 12pt.) as to my general interest and activities, the course of study which I propose to follow at Oxford, and the character of the work at which I aim in later-life.
  4. Particulars of the following 6 persons, under at least 4 of whom I have recently studied (with mail addresses, telephone, fax & email address) who will provide letters of reference.
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My home/permanent address is:

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My correspondence address (if different):

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Effective date for correspondence address:

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My telephone # for immediate contact is:

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My fax # is:

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My primary e-mail adrress is:

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My primary e-mail adrress is:

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My secondary e-mail adrress is:

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(By signing this form, I consent to the release of this information to the Selection Committee, staff of Rhodes House & relevant staff & officers of the University of Oxford).

Signed:...................................................