university scholarship application form
KENYA METHODIST UNIVERSITY
APPLICATION FORM FOR UNIVERSITY SCHOLARSHIP
Applicants Photograph
Notes
This Application form must be accompanied by the following: -
1.
An application letter expressing the need of a scholarship
2.
All recommendation letters
3.
Two (2) Passport Size Photographs
4.
A copy of the National Identity Card/Passport/Birth Certificate
5.
A copy of the Students Identification Card
6.
A copy of Certifed Progressive Transcript.
7.
Any other required relevant testimonials.
A.
PERSONAL DETAILS
1.
SURNAME
___________________
MIDDLE NAME
___________________
FIRST NAME
____________________
2.
DEPARTMENT ___________________________________________
3.
ADMISSION NUMBER ____________________________________
4.
POSTAL ADDRESS ___________________________ TEL NO. ___________________
B.
OTHER DETAILS
1.
Give reasons that demonstrate you genuinely require financial assistance from the university.
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
(You may attach more information in a separate paper).
2.
Indicate your Cummulative GPA ______________________________________
3.
Has any Academic or Social Disciplinary action been taken against you? _____________
(If yes, give the type of action and reason
).
___________________________________________________________________________
___________________________________________________________________________
4.
Do you concede that the information and photograph provided can be used to solicit for funds.
Yes
No
Applicants Signature: ___________________ Date: ___________________
For Official use only
1.
The student has the required Academic Qualification and his/her Cummulative GPA is ____
COD ____________________
Signature
2.
The student is needy and requires assistance
Date/Stamp _________________
Student Counselor ________________
Signature
Date/Stamp ________________
3.
The information given is true/not true and the student is recommended/not recommended for scholarship.
Dean of Students ________________ ___
Signature
4.
The student is registered in our academic records.
Date/Stamp ________________
Registrar (A.A) _____________________________ Date/Stamp _____________
Signature
5.
The student Application for Scholarship is Approved/Not Approved.
Deputy Vice Chancellor (A.A) _________________ Date ___________________
Signature
