Queen Elizabeth Scholarships (QES): Application Form for Incoming Scholars

Thank you for your Interest in the QES Scholarship at York University. We're happy to assist you in the application process for this prestigious scholarship. Please review the program eligibility and information before applying. For any questions, please email us at goglobal@yorku.ca.

Personal information in connection with this form is collected under the authority of Freedom of Information and Protection of Privacy Act (FIPPA) and The York University Act, 1965. If you have any questions about the collection of this information by York University, please contact the Information, Privacy and Copyright Office, 1050 Kaneff Tower, York University, 4700 Keele St. Toronto ON Canada M3J 1P3 Phone: (416) 736-2100 Email: info.privacy@yorku.ca

Personal Information
Name (as shown on passport) Name (as shown on passport) First Last
Gender

Gender Male Female Prefer not to respond Not listed, please specify: Not listed, please specify:

Your gender information will be used to help you with immigration documents to match our system as your passport and enrollment of health insurance.
Date of birth Date of birth / MM / DD YYYY
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Country of Citizenship
Passport Bio Page

Attach Files
Email
Alternate Email/Phone
Academic Information
Name of home institution
Web Site of home institution
Address of home institution Address of home institution
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Degree at home institution (must be enrolled in a post-graduate program)
Program of study (specialization, major, minor)
Name of your home supervisor (PhD, Master's supervisor) Name of your home supervisor (PhD, Master's supervisor) First Last
Email of your home supevisor
When are you graduating from your current degree?
Visit Information
Name of host faculty member/supervisor at York University you would like to work with Name of host faculty member/supervisor at York University you would like to work with First Last
Email of faculty member/supervisor
Faculty at York University
Program at York University (Department/Centre)
Has this York supervisor agreed to supervise you throughout this QES internship period?

Has this York supervisor agreed to supervise you throughout this QES internship period? Yes No I do not have a supervisor at York yet
Topic/title of your research project at York University
Planned start date at York (travel or flight dates DO NOT count) Planned start date at York (travel or flight dates DO NOT count) / MM / DD YYYY

This is the Starting Date of your Research at York
Participation end date (travel dates do not count) Participation end date (travel dates do not count) / MM / DD YYYY

This is the End Date of your Internship/Research at York. Please note QES-York allows 61-90 days for your QES internship/research (travel dates do not count)
Supporting Documents
Letter of Intent (one page), in which, you will identify:
- Proposed research activities/expected outcomes at York
- Proposed leadership activities or any extra curriculum activities (e.g. community engagement, youth/leadership/networking activities...) at York
- How this research and stay at York contributes to your personal developments as a leader, a scholar and to your home institution/country

Attach Files
Proof of full-time enrolment in good standing at home university.

Attach Files
Proof of English Proficiency from home university or a thirt-party test results (e.g. IELTS, TOEFL)

Attach Files
Resume/CV

Attach Files
Your home supervisor Reference Letter (on your institution's letterhead)

Attach Files
Any other documents you think are pertinent (workplan, email from York prof. confirming they will host you....)

Attach Files
Declaration and Consent of QES Applicant
Checkboxes

Checkboxes I declare that the information I have provided in this form is true, complete and accurate in all respects and that all available information requested in this form has been disclosed. I consent to the disclosure by York University of personal information I have given in this form for the purpose of facilitating the visit I understand that if I am selected for this QES scholarship, I'll follow York IVRT application and that I agree with all payment requirements associated with my visit as an IVRT at York I consent to the disclosure by York University of personal information I have given in this form for the purpose of processing my application and facilitating the visit, if chosen
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Queen Elizabeth Scholarships (QES): Application Form for Incoming Scholars

Queen Elizabeth Scholarships (QES): Application Form for Incoming Scholars

Personal Information

Academic Information

Visit Information

Supporting Documents

Declaration and Consent of QES Applicant