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:
Applicants Name & ID Number
_____________________________________________________________________________
Surname Name
Number
Mailing Address:

First Name

Middle

_________________________________________________________
_________________________________________________________
_________________________________________________________

Cell Phone Number:

_________________________________________________________
Email Address:
_________________________________________________________
2. TYPE OF SCHOLARSHIP APPLIED FOR (CHOOSE ONE)
UNDERGRADUATE SCHOLARSHIP:
USIU-Africa Full Scholarship
Scholarship

USIU-Africa Partial

Under-represented Communities
Scholarship

Physically Challenged

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)
1

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.