First Name * (required)

Family Name * (required)

University ID number * (required)

Date of Birth (DD/MM/YYYY)

Your ethnicity * (required)

---- White British White Irish Gypsy or Irish Traveller Any other White background White and Black Caribbean White and Black African White and Asian Any other Mixed or Multiple ethnic background Indian Pakistani Bangladeshi Chinese Any other Asian background African Caribbean Any other Black, African or Caribbean background Arab Any other ethnic group

Your preferred telephone number

Your preferred email address * (required)

If yes please give your Customer Reference Number

In less than 500 words please explain why you are applying for this scholarship. * (required)

Please attach a reference from your Personal Tutor * (required)

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Privacy notice

The University of Warwick will process your personal data provided in this application form for the purposes of processing your application and assessing your eligibility for the Lion Rock Scholarship Programme. This includes using a Customer Reference Number to assess your household income.

The legal basis for processing this personal data is that it is necessary for the performance of services and/or consent, which is obtained through your submission of this online form. Your personal data will not be shared or disclosed with any third parties external to the University of Warwick. Your personal data will not be transferred outside of the EEA and will be kept securely by the University of Warwick and will be retained for as long as the 2019-20 academic year plus six years.

The University of Warwick is the Data Controller of this information and is committed to protecting the rights of individuals in line with Data Protection Legislation. Please visit the University's Data Protection webpages for further information in relation to your rights and how the University processes your personal data. The University's Data Protection Officer can be contacted through infocompliance@warwick.ac.uk and any requests or complaints should be made in writing to the University's Data Protection Officer.

The University of Warwick is the Data Controller of any information you have entered on this form and is committed to protecting the rights of individuals in line with Data Protection Legislation. The University's Data Protection webpages provide further information on your rights and how the University processes personal data. If you wish to submit a data subjects rights request, make a complaint or report a suspected personal data breach, please contact the University’s Data Protection Officer by email at infocompliance@warwick.ac.uk.