The Application Form together with all supporting documents must be submitted in a sealed enveloped marked Personal & Confidential and addressed to:
Rotary Club of Antigua UWI Scholarship
Rotary House
Corner Sir Sydney Walling Highway & Nugent Avenue
St. John’s, Antigua
Attn: UWI Scholarship Committee
UWI Scholarship Application Form
PERSONAL DETAILS
Last Name:
First Name:
Other Name(s):
Residential Address:
Mailing Address:
Telephone No.:
E-mail:
Date of Birth (dd/mm/yyyy):
Place of Birth:
Gender: Male Female
Emergency Contact Details
Contact Full Name:
Relationship:
Address:
Telephone No.:
ACADEMIC QUALIFICATIONS
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Secondary School Activities | |||||
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Type of Work | Employer and Address | Phone | Date | ||
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TRANSCRIPTS
Certified copies of your official transcript are to be submitted with this application.
ESSAY
Attach two copies of an essay (typed with double line spacing) that outlines your educational objectives, career goals, and how your course of study and this scholarship will help you to attain your goals. Please include your reasons for choosing the course of study and how it will benefit Antigua and Barbuda.
REFERENCES
Please submit two (2) letters of references; one academic letter is required.
DECLARATION BY APPLICANT
I CERTIFY that the statements made by me in this form are true, complete and correct to the best of my knowledge, information and belief. If awarded the scholarship, I am willing to sign a Band agreement to work for at least one (1) year and to seek permission form the Rotary Club of Antigua prior to any change in my present course of study.
DATE(dd/mm/yyyy):
PRINT NAME: ________________________________
SIGNATURE: _______________________________
IMPORTANT
- This form does not guarantee selection for any scholarship.
- Copies of academic qualifications must be included.
- Copy of Birth Certificate and Valid Government Photo ID (Antiguan and Barbudan Passport preferred)
The Application Form together with all supporting documents must be submitted in a sealed enveloped marked Personal & Confidential and addressed to:
Rotary Club of Antigua UWI Scholarship
Rotary House
Corner Sir Sydney Walling Highway & Nugent Avenue
St. John’s, Antigua
Attn: UWI Scholarship Committee