Scholarship Application Form

A: Personal Information

Last Name *

Middle Name(s)

First Name *

Gender *

Mobile Phone Number (Primary) *

Mobile Phone Number (Secondary)

Email Address (Primary) *

Email Address (Secondary)

WhatsApp Number (if different)

GhanaPost Digital Address

Ghana Card Number

Date of Birth *

Marital Status *

Year You Completed Senior High School *

Upload WASSCE Certificate / Results Slip *

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PDF · DOC · DOCX · JPG · PNG — max 5 MB

Are you currently enrolled in a tertiary institution? *

Current Level / Year of Study

Current CWA / GPA (if applicable)

Upload Most Recent Academic Transcript / Exam Results

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Name of Your Tertiary Institution

Have you received admission to any tertiary institution?

What course have you been offered? (WASSCE Applicants — Admitted)

Name of School You Have Been Admitted To (if applicable)

What course do you prefer to study? (WASSCE Applicants — Not Yet Admitted)

B: Family Background

Father's Full Name

Father's Phone Number (Primary) *

Is your father alive? *

Father's Occupation

Father's Marital Status

Father's Highest Educational Level

Mother's Full Name

Mother's Mobile Phone Number (Primary) *

Is your mother alive? *

Mother's Occupation

Mother's Marital Status

Mother's Highest Educational Level

Total Number of Siblings (including yourself) *

Number of Siblings Currently in High School

Number of Siblings Currently in Tertiary School

C: Guardian Information

Are your parents responsible for your education and welfare? *

Guardian's Full Name

Guardian's Mobile Phone Number (Primary)

Guardian's Gender

Guardian's Occupation

Guardian's Marital Status

Number of Children Your Guardian Has

Your Relationship to Guardian

D: Financial Need

Estimated Monthly Household Income *

Who Currently Pays Your School Fees? *

Have financial difficulties ever affected your education? *

If YES, briefly explain how financial difficulties have affected your education

E: Academic & Personal Statements

Why are you applying for this scholarship? *

Describe your life goals and aspirations *

Type of institution you aspire to attend or are currently attending *

Preferred Career Path *

Describe a challenge you have overcome and what it taught you *

How do you plan to give back to your community? *

Have you ever held any leadership position? *

If YES, describe the leadership position(s) you have held

F: Declaration & Submission

Declaration: I declare that all information provided in this application is true and accurate to the best of my knowledge. I understand that providing false information may lead to disqualification or withdrawal of the scholarship. *

Applicant's Full Name (Digital Signature) *

Date You Completed This Application *