Financial Aid Application Form

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    PART A
    APPLICANT’S BACKGROUND INFORMATION (BIO-DATA)

    (Complete all questions using BLOCK/CAPITAL letters only. Where it is not applicable indicate NA. Please note that your application will not be processed if you leave any question unanswered)

    Please provide the following information on all your siblings and provide supporting documents to authenticate this

    Schools attended with dates

    Primary
    JHS
    SHS (Provide full address)
    Tech/Voc Inst.
    College
    Tertiary (First Degree)
    Tertiary (Second Degree)
    Other

    Indicate the mode by which you gained admission to the University/Institution (Use the aggregate that your admission into the University was based on. For Diploma/First degree/Second degree holders provide the CGPA obtained at graduation.)

    Mode of Admission

    PART B
    INFORMATION ON FINANCES

    20. Estimated Expenses for the academic year. (Estimate how much you will need to spend during the academic year. These expenses should be relevant to your studies only.

    0

    21. Indicate below the amount of money that you expect will be available to you from each of the following sources for the academic year.

    0

    22. How much funding do you require? This amount is the difference between your total estimated expenses (question 20) and what you expect will be available to you from the sources indicated (question 21).

    23. What type of Financial Aid are you seeking from HIJRA Club? (Tick as many as are applicable, with a grade of 1,2,3,4, or 5, and prioritize in accordance with the financial aid you need the most, 5 being the highest degree of urgency and 1 being the lowest).

    PART B 2
    INFORMATION ON SPONSORSHIP

    24. If you have applied or intend to apply for other types of financial support for the academic year please state:

    25. If you have been promised financial support for this or the next academic year from any Body/Organization, Benefactor, or Individual please provide:

    PART B 3
    FOR STUDENTS WITH DISABILITIES
    PART B 4
    APPLICANT’S EMPLOYMENT HISTORY (If applicable)

    (This section is also applicable to those who worked during the one-year period after SHS)

    PART B 5
    TO BE FILLED BY APPLICANTS WITH DEPENDANTS

    Provide the following information on your dependants.

    If married, provide the following information about your spouse.

    PART B 6
    ESSAY

    Please attach three (3) separate typed essays in Times New Roman Font size 12 and 1.0 spacing, between 300 and 600 words of not more than one typed page each telling us:

    1. Why you feel you should be considered for this scholarship
    2. Your thoughts and ideas about how the youth in our Zongo Communities can uplift itself and what help the youth need to succeed in life. Secondly how do you think HIJRA CLUB and other private benefactors can help the Zongo youths.
    3. What difference will you want to make in Ghana’s Zongo Communities during the next 7 years.

    Acceptable file types are WORD document (doc or docx), PDF, JPG, JPEG and PNG.

    PART C
    ADDITIONAL INFORMATION

    You may provide additional information to support this application. This information can include awards received, volunteer or co-curricular activities and talents /giftedness (additional information may be attached).

    PART D
    ATTACHMENTS

    Acceptable file types are WORD document (doc or docx), PDF, JPG, JPEG and PNG.

    PART E
    DECLARATION BY APPLICANT

    It is important to note that your eligibility for financial assistance from Hijra Club is based on the accurate information provided throughout this application.

    I do hereby declare that to the best of my knowledge all information provided in this application is true and made in good faith.
    Note:

    Misrepresentation in any material form renders the application null and void. Hijra Club may withdraw or refuse the applicant’s financial aid based on any misrepresentation made by the applicant. Such person(s) will be subject to refund in total amount spent on him/her by Hijra Club and may be liable for prosecution.