Name ________________________________

Faculty /University______________________
Semester/Student ID____________________

GOODWILL LEADERSHIP DEVELOPMENT SCHOLARSIP PROGRAM

Application 2019-2020
Please, answer every question with capital letters and attach all the information related to the questions

1. Personal Data
Name

Date and place of birth

Religion

Marital status (single/married)

Present address/telephone

Home address/telephone

School address/telephone

Email address

Emergency contact
Person/address/telephone.

Type of accommodation (parents/relatives/dorm/

rented room/other – please state)

Hobbies/interests

2. Family Information

Father Mother
Name:

Address:

Job:

Gross salary
(please attach evidence)
Level of education

Brothers/sisters Brothers Sisters

How many?
What age?

Additional comments

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 Name ________________________________
Faculty /University_____________________
Semester/Student ID___________________

3. Financial Data

How much is your annual tuition fee?

Please list what you actually paid in 2017-18

How much is your actual monthly expenses? Housing

Please specify. Food
Transport
School books/stationary
Other
Total _________________

Please list all sources of income you received per month Parents
from January to November 2017, from where and how Other family members
much? Scholarship
Job
Other
Total __________________

How did you cover your school fees and other monthly
expenses?

Present paid job and position?

How many hours do you work every month?
How much do you earn every month?
How long have you had this job?

4. Scholarship

Have you ever received any scholarship award in the past two years? If you have, please
list from where, how much, how long.

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 Name ________________________________
Faculty /University______________________
Semester/Student ID____________________
5. Academic Information

Elementary school

Comments

Middle School

Comments

High School

Comments

University attending

Faculty

Department

Year of entrance

Year of study/semester in
August 2017 - January 2018

Year/month to complete study

Grade point Average (GPA or IPK)

for past 3 semesters
(please attach official transcripts)

Have you received any awards

from your university
If yes, please explain.

List completed certified courses,

and how long you took each course.
(English, computer course, etc)

List your academic and

non academic achievements

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 Name ________________________________
Faculty /University______________________
Semester/Student ID____________________

6. Non-academic experiences

4.1 Please list your organizational experiences and position/s you have held during the past
three years.

4.2 Please list your extracurricular and volunteer activities during the past three years.

4.3 Please list your paid job experiences and positions you have held during the past three
years.

4.4 To which activity or interest have you made the greatest commitment or contribution?
Why? What do you feel you have accomplished?

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 Name ________________________________
Faculty /University______________________
Semester/Student ID____________________

8. Additional Questions
Help us to get to know you better. Be yourself. There is no right or wrong answers. Please type
your answers on a separate sheet in English and attach to the application form. Write your name
and school as well as the date in the corner of each page.

1. Tell us the field of study that interests you. Why? How did your interest develop?
2. How are you going to apply the knowledge from your courses in your work after university to
benefit the country?
3. Choose three adjectives to describe yourself. Comment briefly on your choice
4. Why do you think you are the right person to receive the Goodwill Leadership Development
Scholarship Award?
5. If you receive a Goodwill scholarship award, are you willing to participate in Goodwill
activities, including our training programs and ‘meet the sponsor’ gathering? If you answer is
“yes”, how are you going to arrange your time as you may have classes and other activities?
6. If you would like the Goodwill Committee to know any special circumstances not reflected in
your application, please describe.

9. Profile
In order to attract prospective sponsors to support your education, we have to write your profile.
Please help us to write a concise profile for the purpose of convincing the perspective sponsors to
support your education. Include your background, achievement, experiences and activities, and
why it should be attractive to the prospective sponsors. Please, note that writing your own profile is
like writing a short essay about yourself. We don’t want your CV.

10. Essays
Your essays are a very important part of your application. We want to get to know you. We also
want to see how well you present yourself.

For each question below, please type a one page essay with approximately 300–400 words in
English. Make sure to put your name and your school as well as the date in the corner of each
page. Attach the essays to your application form. Note: One essay answering three questions is
not acceptable.

1. Name a non-religious figure, person (other than your family), place, book or event that has
affected you and caused you to change your outlook on life.

2. Describe an experience that has given you a sense of satisfaction or pride. Explain why you
were satisfied or proud.

3. Describe a situation or activity in which you took a leadership role. What qualities do you
Possess that distinguish you as a leader?