New Application Form-1

Application Form
Application Form
Aiducation International offers merit-based scholarships to bright and needy students to attend
secondary school. Candidates wishing to be considered for a one year scholarship (extendable up
to 4 years) MUST score more than 350 points in their KCPE, have not attended secondary school
yet, and their families must not be able to pay their school fees. To apply, please submit this
application form, together with
(1) a passport sized photo,

(2) a copy of your K.C.P.E. ,
(3) a copy of your invitation letter to the secondary school and a copy of the school fee structure,
(4) a document confirming your birth date by your primary school
A: General Information
First Name: Middle Name: Surname: Passport-sized photo:
Place of birth: Sex: female

male
Date of birth (dd/mm/yy): Telephone No:
Home address: E-Mail:

Province & District:
Division & Village:
First names and ages of siblings and their profession:
Name of father: Name of mother:

Profession of father: Profession of mother:
Page: 1/6
Aiducation International Kenya • P.O. Box 199 • 80202 Watamu • Kenya
Tel. +254-0726311582 • [email protected] • www.aiducation.org
Application Form
B: Academic Information
Primary school: Province & County:
Name: District & Village:
Telephone No:
Type: public
private
K.C.P.E. score:
Date received or expected date to receive K.C.P.E. score (month / year):
Secondary school:
Are you already admitted to any secondary school? Yes No
If yes, please provide the following information on your secondary school.
Level of secondary school: National District

Provincial Harambee
Admission number:
Name of secondary school: Province & County:
District & Village:
Telephone No:
Are you currently attending or have you ever attended secondary school? Yes
No
C: Extracurricular Activities
Please list your current and past extracurricular, community and personal activities and
responsibilities.
Description of activities Location Period (month / year)
Page: 2/6
Application Form
What are your hobbies?
D: Career Choice and Reasons for seeking scholarships

What do you want to become in future. State briefly why this is the career of your choice. Name
three other careers in you like in order of priority.
Why do you need a scholarship from Aiducation? How will secondary school contribute in your
life.
Which are your favourite subjects and why?
E: Additional Information
Where did you first hear about Aiducation International?
via an organization or school (please indicate the name):
via advert, news, internet, magazine, an event, etc. (please specifiy):
other (please specify):
Have you previously applied to Aiducation International: Yes, in year No
Page: 3/6
Application Form
F: Essays
th
Please imagine you are celebrating your 60 birthday together with your family and friends. The
atmosphere is very friendly, suddenly your grand-daughter jumps on your lap and asks you the
following question: “Grandfather / Grandmother, what have you done in your life?” Please describe
in 150 to 200 words what you WOULD LIKE to answer:
Page: 4/6
Application Form
DECLARATION
I certify that all statements made in this application for admission, including all attachments, an
Aiducation International Scholarship are correct, and that my responses are my own. I authorize
Aiducation International to verify any information contained herein, including but not limited to
academic work, and extracurricular activities. I authorize Aiducation International to release
information from this application and supporting documents on Aiducation International’s website
and directly to potential sponsors or sponsoring organizations to permit my being considered for a
scholarship.
Location and date Applicant’s signature Guardian’s signature
G: Reference letters
Chief’s / Assistant Chief’s recommendation.
Location and date: Name of referee:

Position / profession of referee: Signature:
Headmaster’s / deputy’s / class teacher’s recommendation. Please explain why this student is
exceptional.
Location and date: Name of referee:

Signature:
Page: 5/6
Application Form
Aiducation International Kenya comments:
Signature of Aiducator:
Aiducation International Schweiz comments:
Approved Not approved
Signature of Aiducator:
Page: 6/6

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Application Form

(1) a passport sized photo,

Place of birth: Sex: female

Date of birth (dd/mm/yy): Telephone No:

Home address: E-Mail:

First names and ages of siblings and their profession:

Name of father: Name of mother:

Level of secondary school: National District

Description of activities Location Period (month / year)

What are your hobbies?

D: Career Choice and Reasons for seeking scholarships

Which are your favourite subjects and why?

Location and date Applicant’s signature Guardian’s signature

Location and date: Name of referee:

Location and date: Name of referee:

Aiducation International Kenya comments:

Aiducation International Schweiz comments:

Approved Not approved

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