Scholarship Application Form

RCU Scholarship Application Form

PERSONAL INFORMATION

Last Name*

First Name*

Address*

City

Zip/Postal Code

Country

Phone Number

Date of Birth

Degree

Major

Minor

GPA

Academic Transcript

Credits

AWARDS / ACHIEVEMENTS

List any Awards or Other Recognition of Achievement

Please attach proof of award/achievement

EXTRACURRICULAR ACTIVITIES

List the most significant extracurricular activities, in which you have participated

Organization

Duties & Activities

Length of Time

Name of Contact

Please upload proof of extracurricular activity

VOLUNTEER EXPERIENCE

List your volunteer work including the organization you volunteered for

Organization

Duties & Activities

Length of Time

Name of Contact

Please upload proof of volunteer experience

REFERENCES

Please provide the names and emails of three references.

Name

Reference Letter

Note: Two letters of reference must be from the university faculty, third must be from current or former employer.

STUDENT DECLARATION

I hereby certify that all of the information in this scholarship application form is accurate and complete. I fully realize that omission or falsification of any information or documentation provided according to this application will be considered sufficient reason for rejection of this application.

I understand that all the information contained in this form will be treated confidentially and will be used for institutional purposes only. If awarded a scholarship, the university may utilize this information for academic and/or promotional related issues in reference to the scholarship.

Applicant Name

Date