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
Mailing Address:
First Name
Middle Number
_________________________________________________________
_________________________________________________________
_________________________________________________________
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
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.
1