Scholarship Application Form
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FINANCIAL AID OFFICE SCHOLARSHIP APPLICATION Please 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: Applicant’s Name & ID Number ________________________________________________________________ _____________ Surname Name First Name Middle Number Mailing Address: _________________________________________________________ _______________________________________________ __________ _______________________________________________ __________ Cell Phone Number: _________________________________________________________ Email Address: _________________________________________________________ 2. TYPE OF SCHOLARSHIP APPLIED FOR (CHOOSE ONE) UNDERGRADUATE SCHOLARSHIP: USIU-Africa Full Scholarship USIU-Africa Partial Scholarship Under-represented Communities Physically Challenged Scholarship Criminal Justice Scholarship Sports Scholarship 1
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Transcript of Scholarship Application Form
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
