FINANCIAL AID APPLICATION FORM FOR ADMISSION SCHOLARSHIPS

Financial Aid oFfice

SCHOLARSHIP APPLICATIONPlease read and understand all the regulations about the Financial Aid Scholarships and the various programs available before you fill in this form. 1. PERSONAL INFORMATION:

Applicants Name & ID Number

_____________________________________________________________________________

Surname Name

First Name

Middle NumberMailing Address: __________________________________________________________________________________________________________________

_________________________________________________________Cell Phone Number: _________________________________________________________Email Address:

_________________________________________________________2. TYPE OF SCHOLARSHIP APPLIED FOR (CHOOSE ONE)UNDERGRADUATE SCHOLARSHIP: FORMCHECKBOX

USIU-Africa Full Scholarship

FORMCHECKBOX

USIU-Africa Partial Scholarship

FORMCHECKBOX Under-represented Communities FORMCHECKBOX Physically Challenged Scholarship

FORMCHECKBOX Criminal Justice Scholarship

FORMCHECKBOX Sports Scholarship

3. PROGRAM APPLIED FOR: ___________________________________________________4. ACADEMIC BACKGROUND: Last institution attended _________________________________________________ Certificate attained and grade (Attach copies of all relevant documents)

5. SPORTS SCHOLARSHIPS: Highest sporting achievement and date (Please attach certificate or letter)

Other sporting achievements

6. SCHOLARSHIP ESSAY*Applicants must complete this form together with the Financial Aid Application form.

*Please note that only correctly filled application forms that are accompanied with the relevant documentations will be processed.12