SCHOLARSHIP APPLICATION FORM The Webber Wentzel Scholarship is awarded as a partial scholarship to assist students with expenses related to the completion of the last two years towards a Bachelor of Laws (LLB) degree and will not necessarily cover all academic expenses for each year granted. By completing this form you acknowledge this and confirm that you will endeavour to seek alternative arrangements to cover any shortfalls should you be awarded the scholarship. Important – • Please complete this form in full. • Mark appropriate blocks with an “X”. • If a question is not applicable, put N/A. • Failure to complete this application form fully and correctly may prejudice the applicant’s chances of obtaining a scholarship. • Attach the following documents to your application: - certified copy of ID matric certificate latest fee statement (detailed - reflecting all transactions) academic transcripts of LLB degree up to and including most recent exam results. academic transcripts of any undergraduate qualification (and any other relevant qualifications) a certified copy of Parent(s)/ Guardians/ Spouse or your latest income tax return OR latest pay-slip OR a letter from employers verifying income OR latest financial statement if self-employed AND/OR a certified copy of any other income e.g. pension receipts, bank statements, etc. sworn affidavits for each of your unemployed Parent(s)/ Guardians/ Spouse. a certified death certificate for each of your deceased Parent(s)/ Guardian/ Spouse. If death certificates are not available you may attach sworn affidavits for each of the deceased. a certified copy of the divorce certificate if your parents/ you are divorced or a sworn affidavit if they/you are separated but not divorced. Personal Details Surname: Preferred Name: First Names: Title: Mr Mrs Miss Other Date of Birth: ID Number: Cell Number: Alternative Number: Personal Email Address: Are you a South Africa Citizen? Yes No Sex: Race: Female African Coloured Male Indian White Other Disabled: Permanent Residential Address: (address when you are not at University): Residential Address while at University: (if not same as above) Next of Kin Full Name Relationship (with you) Contact number: Address School Information Name of Secondary School (where you completed matric): City/Town/Village: Province: Language Language: Proficiency: Language: Proficiency: Language: Proficiency: Language: Proficiency: Language: Proficiency: Language: Proficiency: Language: Proficiency: University Information The university at which you are currently enrolled: Nelson Mandela University North West University Rhodes University Stellenbosch University University of Cape Town University of Fort Hare University of Johannesburg University of KwaZulu-Natal University of Limpopo University of Pretoria University of South Africa University of the Free State University of the Western Cape University of the Witwatersrand University of Venda University of Zululand Walter Sisulu University Other Degree Type (e.g. BA, Bcom, LLB): Degree Subject (e.g. Law): Year of Study: 1st Extended programme : 2nd 3rd Qualification Level: Undergraduate Start Date: 4th 5th Yes No Predicted / Achieved Cumulative Grade: Postgraduate Expected Completion Date: Previous Qualification/s (if applicable): Name of Institution: 1. Degree Type (e.g. BA, Bcom, LLB): Degree Subject (e.g. Law): Achieved Cumulative Grade: Start Date: Completed Date: Name of Institution: 2. Degree Type (e.g. BA, Bcom, LLB): Degree Type (e.g. BA, Bcom, LLB): Achieved Cumulative Grade: Start Date: Completed Date: Accommodation Are you in a university residence? Yes No If the answer to the above is no, where are you currently staying? At Home Private Residence With friends/family Homeless Other Achievements and non academic activities Where did you find out about this scholarship? Friend/fellow student Career exhibition University lecturer/bursaries office Webber Wentzel website Internet – if so which website: Other Background Information How are you currently financing your studies? Family: NSFAS: Bank Loan: Loan Shark: Bursary/Scholarship: Academic Awards: No source of funding: Other If you have a bursary, who is the funder and are there any obligations to the funder of the bursary after you graduate? How much is your current student debt? Describe your back ground and family situation ( include who do you live with, their ages, breadwinners etc): A key requirement is that recipients of a scholarship are in significant financial need and would not otherwise be able to pay their academic expenses without the support of a scholarship. We need certain personal information to ensure that recipients meet this criterion. Such information will remain confidential. Father - Occupation Monthly Income Mother - Occupation Monthly Income Guardian or You - Occupation Monthly Income Other sources of Income Monthly Income Motivation Please provide motivation to help the firm assess your suitability for the scholarship. Include your reasons for choosing a career in law; your reason for choosing Webber Wentzel and other pertinent information: Declaration I, the applicant, hereby declare that all information in this document is complete, true and correct and that I voluntarily provide Webber Wentzel ("WW") with the information contained in this document, and consent to WW collecting this information and processing this information to enable WW to consider my application. Tick here to declare Name of applicant Date Remember to include all the required documents with your form. Incomplete applications will be automatically disqualified. Email complete application to articles@webberwentzel.com