IVYPREP TALENT SCHOLARSHIP

APPLICATION FORM
Please write down your information and your essay in the below sections. All your
information will be kept strictly confidential.
Only shortlisted candidates will be contacted for the 2nd round if they meet enough criteria.

1 PERSONAL INFORMATION
Fullname: LÂM THỤY HOÀNG YẾN Date of birth: 20/ 2/ 2004
Nationality: VIETNAMESE Gender: □ Male / ■ Female

2 CONTACT INFORMATION
2.1 Permanent home address: (House number) 27 (Street name) Street 2
(ward) Tang Nhon Phu B (District/ Town) district 9 (Provine/ City) HCMC
2.2 Contact detail:
Mobile:0773051704 Homephone: .............................. Email: bellehyen@gmail.com
2.3 Parents Contact:
Contact #1
Fullname: LÊ THỊ YẾN DUNG Relationship: Mother
Mobile: 0938829827 Homephone: .................................... Email: hyendung@gmail.com
Contact #2
Fullname: .......................................................... Relationship: ................................................
Mobile: ............................... Homephone: .................................... Email: ................................

3 ACADEMIC RECORDS
High school: TRAN DAI NGHIA HIGH SCHOOL FOR THE GIFTED
Address: (District/ Town) 29 Ly Tu Trong Street (Provine/ city) HCMC
Grade: 9 Grade Point Average (GPA): 8.4
English Point Average (EPA): 8.9
Achivement:
What award(s) have you achieved? At what places?
□First prize ■Second prize □Consolation prize □Others: ...............................
Silver medals at reginal and global round of the World Scholar’s Cup for individual debater
and team writing

IvyPrep Talent Scholarship - Thắp sáng tài năng