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Scholarship Form

This document is a scholarship application form requesting personal information such as name, date of birth, contact details, education history, extracurricular activities, language proficiency, and post-secondary plans from applicants. It also includes an essay question asking applicants to explain how they would use their education to contribute to their country. Applicants must sign certifying the truth and accuracy of the information provided and consenting to the verification of the application details.

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yaranaser246
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35 views3 pages

Scholarship Form

This document is a scholarship application form requesting personal information such as name, date of birth, contact details, education history, extracurricular activities, language proficiency, and post-secondary plans from applicants. It also includes an essay question asking applicants to explain how they would use their education to contribute to their country. Applicants must sign certifying the truth and accuracy of the information provided and consenting to the verification of the application details.

Uploaded by

yaranaser246
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Scholarship Application Form

Legal Name: __________________________ ________________ Sex: M____ F____


Family Name Given name

Place of birth: ___________________________________


City Country
Date of birth: __________________________________________________________________

Home address:
______________________________________________________________________________
Apt # Number and Street
______________________________________________________________________________
City Postal Code Country

Home telephone: (________)


______________________________________________________
Code

Father email address: ________________________ Mother email address:


___________________

Father mobile: _____________________________ Mother mobile: _______________________

Current school name: ____________________________________________________________

School address:
_________________________________________________________________

Legal guardian’s name and citizenship:


_______________________________________________

Relationship:
___________________________________________________________________

IAA/ Scholarship Application Form


Learners of Today, Leaders of Tomorrow Page 1/3
EDUCATION
Please list any other schools you have attended in the past 2 years.

Name of school: _____________________ Name of school: _______________________

Address: ___________________________ Address: _____________________________


__________________________________ ____________________________________

Date attended: Date attended: _______________________

If your education has been interrupted for any reason (including suspension) please check
here: _______ and describe briefly on a separate sheet.

Post secondary plans


______________________________________________________________________________
______________________________________________________________________________

ACADEMIC HONORS Briefly describe any scholastic distinctions or honors you have
received in the last four years.
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

EXTRACURRICULAR AND PERSONAL ACTIVITIES


Please list your principal extracurricular, community and family activities, and hobbies in order
of their interest to you. For example, musical instrument played, team sports, special skills,
elected or appointed positions, etc. Please list the school year, hours and hours spent by week,
position held if any and if any honors were won.
(If you need more space, you can use the back of this page)
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

LANGUAGE PROFICIENCY
What is your proficiency in English and other languages? Indicate your proficiency as excellent,
good, or fair in each category, for each language.

IAA/ Scholarship Application Form


Learners of Today, Leaders of Tomorrow Page 2/3
Language Writing Reading Speaking
English
Arabic

What language (s) do you speak at home?


_____________________________________________

ADDITIONAL DETAILS
Please supply on a separate sheet any additional information about yourself that will help IAA
determine your suitability for scholarship.
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

ESSAY
The following essay question must be answered by all applicants.

“Please tell us how you would use your International Academy Amman education to make a
contribution to your country”.

This section is designed to provide us with an understanding of your ideas and values as well as
your ability to reason and express yourself effectively. Your answer should be in a form of a
personal statement. Our best advice is to think seriously about the topic, relax and be yourself as
you write. We expect your essay to be entirely your own work. Your essay should be no longer
than 350 words. Your completed essay should be computer-printed and attached to this form.

I certify that all information in my application, including my Personal Statement, is my own


work, factually true and honestly presented. I also give permission to IAA to check the veracity
of this application and documents submitted.

Signature_______________________________________________________Date___________
_

Complete scholarship application form.


Confidential references (Principal/ Counsellor, English teacher and Math teacher).
Essay
IAA/ Scholarship Application Form
School report cards for the last two years.
Learners of Today, Leaders of Tomorrow Page 3/3
Certified birth certificate.

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