Sister Rut Tertiary Scholarship Application

The Nyadire Connection

Personal Information

Full Name ________________________________ Date of Birth ________________________

Phone Number ______________________ Email Address ______________________________
Home Address _________________________________________________________________

Family Information
Mother’s Name __________________________ Father’s Name __________________________
Occupation ______________________________Occupation_____________________________
Siblings:

Name Relationship Age “X” if you share a home

Education & Community
Primary School(s) Attended _______________________________________________________
Secondary School(s) Attended _____________________________________________________
● Applicants must attach a copy of secondary courses and grades
O-Level Examinations:

Examination Topic Score Date Completed

A-Level Examinations:

Examination Topic Score Date Completed

List any awards, honors, or recognitions you received during your primary and/or secondary
education:
● ________________________________________________________________________
● ________________________________________________________________________
● ________________________________________________________________________
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List any extra-curricular activities you have participated in during your primary and/or secondary
education including academic and sporting events:
● ________________________________________________________________________
● ________________________________________________________________________
● ________________________________________________________________________
● ________________________________________________________________________
● ________________________________________________________________________

List all volunteer activities you have participated in for your school and/or community.
● ________________________________________________________________________
● ________________________________________________________________________
● ________________________________________________________________________
● ________________________________________________________________________
● ________________________________________________________________________

In what ways have you faced hardships obtain your goals?

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In what ways has your family, friends, and/or community helped you grow and accomplish your
goals?
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Have you heard of The Nyadire Connection? If so, what do you know? Has the program
impacted you in any way?
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Essay Questions
Please explain the following in detail:
● Who are you? What values do you hold? What motivates you? What are your
aspirations?
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Envision your future. What does your life look like in 5 years? What do you hope to accomplish?
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What are the 3 most significant courses you have taken that have prepared you for future tertiary
studies? Why?
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How do you plan to give back to your community? How do you plan to make a positive impact
in society?
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What additional information do you wish to share with the Sister Rut Scholarship Foundation?
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Scholarship Information
OPTION 1
What tertiary college, university, or vocational program do you wish to pursue?
_____________________________________________________________________________
Address: _____________________________________________________________________
Phone Number: ______________________ Email Address: _____________________________
Website: ______________________________________________________________________
What course do you hope to study?
_____________________________________________________________________________
What is the length of the program?
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What type of career do you anticipate to acquire after completing the program?
_____________________________________________________________________________
Will you need accomodations for lodging or will you be able to stay with a friend or family
member? Explain.
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Estimated Costs:

Tuition:

Accomodation:

School Supplies:

OPTION 2
What tertiary college, university, or vocational program do you wish to pursue?
_____________________________________________________________________________
Address: _____________________________________________________________________
Phone Number: ______________________ Email Address: _____________________________
Website: ______________________________________________________________________
What course do you hope to study?
_____________________________________________________________________________
What is the length of the program?
_____________________________________________________________________________
What type of career do you anticipate to acquire after completing the program?
_____________________________________________________________________________
Will you need accomodations for lodging or will you be able to stay with a friend or family
member? Explain.
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Estimated Costs:

Tuition:

Accomodation:

School Supplies:
Upon acceptance, we will need the following information from the college, university, or
vocational program of your choice:
● Acceptance Letter
● Contact person (Advisor/Administrator)
● Syllabus Coursework
● Financial Cost Outline