APPLICANT'S PERSONAL DETAILS

Are your parents alive? (Please indicate if any of them is late) Name and address of Parents (Include phone no and email if available)

  • PERSONAL DETAILS
  • FAMILY HISTORY
  • CHRISTIAN HISTORY
  • ACADEMIC BACKGROUND
  • Others

APPLICANT'S PERSONAL DETAILS

Surname/Family name

Forenames/Given names

Date of birth

State of Origin

Place of birth

Gender

Identification means

Passport no. (If any)

CONTACT DETAILS

Residence name

Street and number

City

State

CORRESPONDING ADDRESS

Address

Post Code/PMB/P.O Box

City

State

Telephone:

Email:

Name and address of Parents (Include phone no and email if available)

Father

Mother

Parental Status

Parents Occupation (Please indicate if they are retired or unemployed)

Father

Work Status

Mother

Work Status

What is your no in the family?

Do you have siblings who are also in school?

Are you presently working/ or engaged in any income generating activity?

Why? (if yes) Please give a brief detail of the work/Income-generating activity

Do you have dependants (people you are financially responsible for)?

If yes, please explain the circumstances that led to it.

CHRISTIAN HISTORY

Are you born- again?

If yes, briefly describe your salvation experience

(Please give details of branch and location)

What is the Name of your church?

When did you join the church?

(Please supply phone no and Email add in addition)

Name and address of Pastor

Status in church

ACADEMIC BACKGROUND

Proof of all academic qualifications must be provided

Primary School Attended

Secondary School Attended

Have you secured admission to any institution of higher learning in Nigeria?

If yes, please indicate the school, your department and level below

School Details

UTME SLIP

ADMISSION LETTER

Are you currently admitted into any institution of higher learning in Nigeria?

If yes, please attach your up-to-date academic transcript duly signed by the head of your institution or representative

Academic Transcript

No. of years expected to spend in school?

if already an undergraduate student

No. of years currently spent in school?

Year in school, e.g 1, 2, 3, 4, 5 or 6

Year in school next year?

Degree sought could be Bachelor, HND, OND or if Others, explain.

Degree sought:

Others

Make a brief statement or summary of your plans as they relate to your educational and career objectives and long-term goals and how you think this award may help you to fulfill it

Please describe how and when any unusual family or personal circumstances have affected your academic pursuit or achievement in school especially in the immediate past.

(NB: New students to attach all documents relating to fees they are expected to pay while returning students are to attach evidence of expected fees).

What is the cost implication of your next academic session in school?

Please explain in detail why you think you need the scholarship

Are you currently enjoying any scholarship?

If yes, Please give in details below

Scholarship Details

Kindly supply any other information that you think may assist the scholarship board in your award.

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