Undergraduate Scholarships

Application Form for Entry in 2014/15 (UND_1415)

REFERENCE

Name of applicant:

Scholarship(s) applied for:

The above named student is applying for a scholarship to study at the University of Oxford and is
asking you to act as a referee. Please let us have your comments on this candidate’s academic
fitness, their general suitability for the proposed programme of study and any other information you
consider to be relevant to the application (for example, the candidate’s financial circumstances, if
these are known to you). If you have knowledge of the candidate’s recent study it would be helpful if
you could indicate the standard attained. Please type or use block capitals.

Signed (not required if submitting electronically):

Print name: Date:

Institution:

Please return the reference by post to UND_1415, Student Financial Support, Examination Schools, 75 – 81 High Street,
Oxford, OX1 4BG, UK or by email to student.funding@admin.ox.ac.uk. Please use the subject heading UND_1415 REF
[APPLICANT’S NAME]. References must be received by 12 noon (UK time) on Friday 21 February 2014.