Student Information |
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Last Name: |
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First Name: |
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Birthdate: |
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Birthplace: |
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Citizen of what country(ies): |
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Sex: |
Male Female |
Address: |
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Married: |
Yes No |
How many people are financially dependent upon you: |
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Phone number: |
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Emergency phone number: |
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Cell phone number: |
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Email Address: |
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Father's Name: |
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No. of dependents: |
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Occupation/Employer: |
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Phone number: |
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Father's Income: |
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Mother's Name: |
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No. of dependents: |
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Occupation/Employer: |
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Phone number: |
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Mother's Income: |
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Student Information |
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Support from parents: |
$ |
Student's contribution: (work, savings, etc.) |
$ |
Other sources of financial assistance: |
$ |
Please include any other information that would help us understand your financial situation: |
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Educational Information |
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High School: |
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Graduation date: |
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High School GPA: |
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SAT/ACT results: |
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BGCSE subjects: (Indicate results if applicable) |
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College attended: |
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Dates attended: |
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Cumulative GPA: |
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List awards or achievemnets: |
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What field of study will you be pursuing: |
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What is your post-graduate goal: |
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Why should you be considered for this scholarship: |
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What hobbies do you enjoy: |
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Describe an important experience you have had or risk you have taken and its impact on you: |
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