Embed Size (px)
Citation preview
THE BLACK HEART FOUNDATION SCHOLARSHIP PROGRAMMEApplication Checklist, for applications to be considered, they must include the following information:
1A. Name: ...................................................................................................................................
B. Address: ...................................................................................................................................
...................................................................................................................................
C. Telephone Number: ...................................................................................................................................
D. Email Address: ...................................................................................................................................
E. Date of Birth: ...................................................................................................................................
F. Gender: ...................................................................................................................................
G. Place of Birth: ...................................................................................................................................
H.Nationality: ...................................................................................................................................
Nameandaddressofcurrentschool/college/university/employer:
...........................................................................................................................................................................................................................................................
...........................................................................................................................................................................................................................................................
...........................................................................................................................................................................................................................................................
Qualificationstodate:...........................................................................................................................................................................................................................................................
...........................................................................................................................................................................................................................................................
Information aboutthe applicant...
2A. Nameandaddressofeducationalestablishment/activityforwhichascholarshipissought:
...........................................................................................................................................................................................................................................................
...........................................................................................................................................................................................................................................................
B. Whatisthefocusofthescholarship?egprimary/secondary/tertiary/post-graduateeducation:
...........................................................................................................................................................................................................................................................
...........................................................................................................................................................................................................................................................
C. Thesubjectareaofstudyorexploration:
...........................................................................................................................................................................................................................................................
...........................................................................................................................................................................................................................................................
D. StartandFinishdatesofthecourse/activity:
...........................................................................................................................................................................................................................................................
...........................................................................................................................................................................................................................................................
E. Full-time/Part-time
...........................................................................................................................................................................................................................................................
...........................................................................................................................................................................................................................................................
Information about the educational experience for which you are seeking a scholarship...
3A. Financialcircumstancesandneedforfinancialsupport:
...........................................................................................................................................................................................................................................................
...........................................................................................................................................................................................................................................................
B. Nameoflocaleducationauthority(ifapplicable):
...........................................................................................................................................................................................................................................................
...........................................................................................................................................................................................................................................................
C. Detailsofanygrantscurrentlyappliedforand/orawarded:
...........................................................................................................................................................................................................................................................
...........................................................................................................................................................................................................................................................
D. Detailsofanytrustsorfoundationsappliedtoandtheresultofanyapplication:
...........................................................................................................................................................................................................................................................
...........................................................................................................................................................................................................................................................
E. Detailsofanyeducationalloansappliedfor:
...........................................................................................................................................................................................................................................................
...........................................................................................................................................................................................................................................................
Information about your financial need...
PleasenotethataspartofthetermsandconditionsofTheBlackHeartScholarship,successfulcandidateswillberequiredtoi)provideproofofidentity,ii)provideproofofexpenses,iii)consentin(potential)publicityassociatedwiththeScholarshipProgrammeandiv)provideasummaryreporttoTheFoundationoutliningwhatthecandidatehasachievedasaconsequenceoftheawardofascholarship
ToapplytotheBlackHeartScholarshipProgramme,pleasesubmitanapplicationofnomorethan1200wordsprovidingabriefsum-maryoftheeducationalactivityforwhichyouseekascholarship,outlininghowthescholarshipwouldalignwiththeaimsofTheBlackHeartFoundationandpresentingaclearcaseoffinancialneed.Takecaretoalsoincludealloftheinformationontheapplicationcheck-listbeforesubmittingitineitherofthefollowingways.
BY POST
TheBlackHeartScholarsProgrammeTheBlackHeartFoundationPOBox7789LondonW1A6PW
BY EMAIL
Please note that only successful candidates will be contacted and all scholarships will be announced on The Black Heart Foundation website.
