SHACKLETON SCHOLARSHIP FUND

Application Form: Quality of Life Scholars

The Shackleton Scholarship Fund in the Falkland Islands is administered by the Shackleton Scholarship Committee. It is intended that the Sponsor should be primarily responsible for the visit of 'their' Scholar including: meeting and greeting, making all logistical arrangements, making all necessary introductions and ensuring the Scholar is generally looked after.

Please view our Advice to Scholars page containing a useful checklist. The checklist should only be completed once you hear whether your application has been successful or not.

 

FORM TO BE COMPLETED BY SPONSOR

Please note the form can also be downloaded in Microsoft Word (RTF) format - Quality of Life Form

 

Please fill out all of the fields below.

Email Address

 

Name
Address
Phone number
Fax number

 

Brief Particulars about the quality of life scholar(s) including names:

 

Has the scholar agreed to the visit if funding is available?

Agreed to visit

 

Length of stay in the Falkland Islands: (give dates if known)

Proposed Programme :


Travel Arrangements:

Accommodation Arrangements:

Funding Required: (give breakdown of funds £ required)

Any Other Relevant Information?