DAFI Scholarships for Syrian Refugees in Lebanon - University Year 2014/2015

Application for Educational Assistance

NOTE : Closing date of submission is the 19 September 2014. Late applications received after closing date will
not be considered. All necessary supporting documents, such as copy of refugee registration certificate and of
the equivalence certificate must be attached to this form. Incomplete application will not be processed.
Send your complete application to lebbedafi@unhcr.org or bring it back to one of our registration offices.

PART I – GENERAL

1. Family Name: First Name:

2. Date and place of birth

______________________________ __________________ _____ _____ _________
(Country) (City) Day Month Year

3a. Nationality(ies)
3b. Status: Registered refugee Pending (Please attach a copy of your refugee registration certificate)
3c. When is your permit/visa expiring?
3d. Date of entry in Lebanon

4. Precise present address

Telephone number: Email:

5. Disability/Special Needs: Please specify if you have any physical disabilities

6a.Marital Status and Family: Married Single Divorced Widowed

6b. Dependants (Spouse, Children and/or other dependants)
Name Relationship Age Place of Birth (Country) Country of present
residence
DAFI Scholarships for Syrian Refugees in Lebanon - University Year 2014/2015
Educational Assistance Application
Family Name : First Name: ___________________

7. Should a scholarship be awarded, what arrangements will be made by yourself to ensure the subsistence
of your dependants during your studies?

8a.Details about parents and siblings

Father’s full name
Alive Not alive If alive, what is his current residence? City Country

Mother’s full name

Alive Not alive If alive, what is her current residence? City Country

Siblings
Name Age Place of Birth Country of present residence Enrolled in school or
university ?

8b. Have you discussed this application with your family? Yes No
Do they support this application? Yes No
9. Resettlement
Have you applied for resettlement? Yes No
If yes, when?

PART II – PREVIOUS EDUCATION

An equivalence certificate obtained from the Lebanese Ministry of Education (all info, also in Arabic, can be
found on: www.mehe.gov.lb/equiv) should be attached. Please if possible provide as well your latest grades
transcript of previous year (final grades of last school year or university semester).

10. University/Institution
Name, City, Country From To Main course of study Degree obtained

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DAFI Scholarships for Syrian Refugees in Lebanon - University Year 2014/2015
Educational Assistance Application
Family Name : First Name: ___________________

11. Schools and other formal training or education (primary, secondary, technical school or apprenticeships)
Name, City, Country, Type From To Course of study Degree obtained

12. Languages. Please rate as E= Excellent, G=Good, F=Fair, B=Beginner

Language Read Write Speak
Mother tongue:

13. Employment record (starting with most recent posts)

Job title Employer From To Country

PART III – ACADEMIC COURSE PREFERENCE

14. Chosen field of study (in ranked order of preference)

Rank Academic Course Level Name of Status (applied?)
University/Institution
1
2
3

15. Why would you like to undertake this academic program? Please write about your personal and
professional motivations.

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DAFI Scholarships for Syrian Refugees in Lebanon - University Year 2014/2015
Educational Assistance Application
Family Name : First Name: ___________________

16. Minimum length of time required to complete program of study:

17. Expected starting date:
18a. Have you received a scholarship previously? Yes No
18b. Did you apply to other scholarship opportunities? Yes No

If yes, precise and give the status of the request:

19. Are you ready to promote academic studies within your community?

20. For the interview before the selection committee, you are mostly available
Mornings Afternoons

I certify that my statements in response to the foregoing questions are true, complete and accurate to the best
of my knowledge and belief. I understand that false information given in this application will affect my chances
of selection and disqualify me from further participation in this program. I understand that the information I
provided will only be used to evaluate my eligibility for admission to the DAFI scholarship program. I agree and
will make myself available for an interview before a selection committee, in case my application is pre-selected.

Place and date Signature of applicant

Contact details of UN offices to bring back your full application

UNHCR Beirut/Mt Lebanon. UNHCR Bekaa

Behind Spinney's Supermarket Star Gate Cinema Area
Dr. Philippe Hitti Street facing Fayda Bridge (Zahle
Ramlet El Baida, Beirut Bridge), Zahle
Monday to Friday 8am to 2pm Monday to Friday 8am to 4pm

UNHCR South Lebanon UNHCR North Lebanon

Villa Krischt, Next to Rachid Karame
Al Hosh - Tyre Exhibition Center
Monday to Friday 8am to 2pm Tripoli
Monday to Friday 8am to 2pm

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