These are scholarships offered to groups of people who are considered minorities in the population these maybe women, handicapped, blacks, Hispanics etc
1. NAME OF APPLICANT
First name (s)
————————————————-
Surname
————————————————–
2. AGE
Day ———– Month———– Year———-
3. GENDER
Male Female
Race: Black white Hispanic
3. CONTACTS
Address
———————————–
Town —————————-
City —————————–
Telephone ————————
Father’s name
——————————————————
Alive deceased
(Tick one)
Mother’s name
——————————————————
Alive deceased
EDUCATIONAL QUALIFICATIONS
SCHOOL YEAR GRADE
1. ————- —————— —————
2. ————- —————— —————
3. ————- —————— —————
COURSE DETAILS
Name: ———————–
Duration: ————————
Year of study: ————————-
Marks obtained in last exams: ————————
Cost of course per annum
Tuition ———————
Accommodation ———————
Books/ Stationery ———————
Other expenses ———————
Applicant’s account details
Name of Account holder ———————————
Account no. ———————————
Branch name ——————————— Branch code ———
Annual income per annum of parents/guardian of applicant
—————————————-
(This information should be accompanied by documents that are evidence of above given information)
Signatures
1.Applicant Date
———————- ———————–
2.Parents/Guardian
————————- ————————-
3.School
————————– ————————–
…………………………………………………………………..
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