PROMOTE COMPONENT
WOMEN’S LEADERSHIP DEVELOPMENT
(PROMOTE WLD) TASK ORDER NO. AID-306-I-TO-14-00031
WLD Needs based Scholarship PROGRAM
Application Form
Promote Beneficiaries
USAID: PROMOTE-WOMEN’S LEADERSHIP DEVELOPMENT (WLD)WLD Needs-Based Technical Training Scholarships Program
Applicant Bio Data Form
- Applicant’s Personal Information
1.1 Full Name
1.2 Family Name
1.3 Date of Birth
1.4 Email Address
1.5 Home Address
(Street, City, District, Province)
1.6 Cell Phone
- Applicant’s Educational Background
2.1 Current Education Level
2.2 What is your current GPA?
(Transcript should be endorsed by the Ministry of Education’s designated official in your province. University students can also bring endorsement from their university.)
2.3 School/University Attended/Attending: / Name of School/University:
Start Date (mm/yy):
End Date (mm/yy):
School/University Location: / School/University Reference:
Name:
Number:
2.4If not attending school, please indicate your last education level and briefly explain why you are not attending:
2.5 Select the area of training you are applying for (choose up to three – in case you choose more than one priority will be given to option #1): English Language; Information and Computer Technology; Office Management; Healthcare skills.
Please list in order of preference.
2.
3.
2.6 Have you ever studied your chosen training area before?If so, please provide details:
- Community Leader Statement
I ------as a community leader of district ------certify that ------daughter of ------lives in the mentioned area.
Community Leader’s Name: ______
Community Leader’s Signature and Stamp: ______
- Applicant’s Essay
Please write on a separate piece of paper an essay of between 500 – 750 words, describing your career goals and desires and how this scholarship will contribute to achieving these.
The Essay should include the following:
- The reasons why you believe you are eligible for the scholarship;
- Why you have chosen the three subjects (ranked by preference);
- How you will be able to use the practical skills acquired through this scholarship in your future career and life; and
- How you are planning to transfer these skills to other women and make a difference in their communities.
This application has been completed by me (the applicant) and information provided is, to the best of my knowledge, complete and accurate. I understand that completion of the application by any other person except me and provision of false information on this application will disqualify me from the WLD scholarship.
Applicant’s Signature: Date: