BABCOCK UNIVERSITY ALUMNI ASSOCIATION (BUAA)

SCHOLARSHIP FORM

PART A:

Affix a
Recent
Passport
Photograph
Here

APPLICANTS DATA

i.
Personal
Name: -----------------------------------------------------------------------------------------------------------Date of Birth--------------------------------------------------

Town of origin--------------------------

Residence: (Hall)--------------------------------------------,

Community------------------------------

Sex:------------------------------------------------------------

Phone Number: -------------------------

E-mail Address--------------------------------------------------------------------------------------------------

ii.

Financial

Do you have any outstanding fees? Yes

No

If yes, how much?-------------

Who paid your fees to date?----------------------------------------------------------------------------------Are you engaged in Work-Study?

Yes

No

If No, why?-----------------------------------------------------------------------------------------------------If Yes, get Unit Supervisors Name/Sign: -----------------------------------------------------------------iii.

Academic

Course of Study----------------------------------------------

Matric No--------------------------------

School---------------------------------------------------------

Level: -------- CGPA: -----------------

Year of Admission into BU-------------------------------

Have you lost any semester since

your admission? Yes

No

If Yes, why?-----------------------------------------------

State any other scholarship you have been granted at BU since admission.----------------------------

iv.

Others

Is this the first time you are applying for this scholarship? Yes

No

If No, state the number of times you have applied -------------------------------------------------------Do you know why you have not given the scholarship despite your effort? Yes

No

If Yes, state the reason ----------------------------------------------------------------------------------------

PART B:

Family Background

Parents marital status:

Married
Separated

Divorced

Widowed

Fathers Name ---------------------------------------------------

Single

Polygamy

Occupation -----------------------------

Address:---------------------------------------------------------------------------------------------------------E-mail ---------------------------------------------------- Telephone ---------------------------------------Mothers Name -------------------------------------------------

Occupation ------------------------------

E-mail ------------------------------------------------------------

Phone ------------------------------------

Sponsors Name (if different from Father/mother)-------------------------------------------------------Occupation ------------------------------E-mail ---------------------------------

Phone ------------------

Applicants Signature & Date: -------------------------------------------------------------------------------

PART C:

Recommendations

Director of Students Support Services.

Kindly confirm the reliability of the applicants claims.
Name:----------------------------------------

Signature:-------------------------------------------------OR

The University Pastor (Or his designee)

Kindly confirm the reliability of the applicants claims.
Name:---------------------------------------For Office Use Only:

Signature:--------------------------------------------------

Data reliability: Satisfactory ------------------------------

Not Satisfactory ------------------------

Qualified for Award-----------------------------------------

Not Qualified ---------------------------

Approved by and Date --------------------------------------------------------------------------