ANTHONY CARDINAL OKOGIE FOUNDATION

CATHOLIC ARCHDIOCESE OF LAGOS

SCHOLARSHIP APPLICATION FORM

INFORMATION FOR APPLICANT

i. The Anthony Cardinal Okogie Foundation Scholarship is

awarded on a competitive basis. Applicants are assessed for
merit and financial need. Attach Passport
ii. To qualify for this scholarship, you must have gained
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admission or enrolled into a secondary or tertiary
institution in Nigeria.
iia. For the purpose of this application,, tertiary institutions
consist of
I. College of Education
II. Polytechnics
III. Universities
iii. You must complete and submit this form to be considered for the award of the
scholarship.
iv. The Anthony Cardinal Okogie Foundation reserves the right to cross check any
information you submit on this form with relevant Bodies including your Parish Priest,
Pastor, Imam and officials of schools you currently attend or have attended. Incomplete
and or inaccurate submissions will be disqualified.
v. If you are shortlisted for consideration for the award of the scholarship, you will be
notified by email and may be invited for additional tests/screening if considered
necessary.
vi. If you have any questions, please send us an email to: calacof2003@yahoo.com
1. PERSONAL INFORMATION

 Full name of applicant: ……………………………………………………………………………………………….

 Date of birth: ……………………………
 Gender: …………………………………….
 Mobile telephone number: ……………………………………………..
 Email address: ……………………………………………………………….
 Residential address: …………………………………………………………………………………………………..

2. FAMILY INFORMATION

 Father’s name: ……………………………………………………………………………………..

 Occupation: ………………………………………………………………………………………….
 Telephone number: ……………………………………………………………………………...
 Street address: …………………………………………………………………………………………………………..
 Mother’s name: ……………………………………………………………………………………..
 Occupation: ………………………………………………………………………………………….
 Telephone number: ……………………………………………………………………………...
 Street address: …………………………………………………………………………………………………………..

3. RELIGIOUS AFFILIATION

 Faith – Muslim / Christian: ………………………………………………….

 Denomination: ……………………………………………………………………
 Name of your Parish Priest / Pastor / Imam: ………………………………………………………………
 What Society do you belong to, and what position have you held in your parish (if any):
………………………………………………………………………………………………………………………………….
 Reference letter from your Parish Priest / Pastor / Imam (Kindly Attach to this form)
4. EDUCATION

4a. If admitted or enrolled in a secondary school

 Name and address of School:

…………………………………………………………………………………………………………………………………..
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 Name and telephone number of the Principal:
…………………………………………………………………………………………………………………………………..
 Present class: …………………………………………………….
 Last result (kindly attach)
 What extracurricular activities are you involved in: ……………………………………………………
 Reference letter from the principal (kindly attach)

4b. If you are currently enrolled in a university

 Which university do you attend:

……………………………………………………………………………………………………………………………….....
 Year of study: ………………………………………………………
 Course of study: …………………………………………………………………………………………………………
 Year to graduate: ………………………………………………….
 What is your Cumulative GPA ……………………………….. On a scale of ………………………………
 What extracurricular activities are you involved in: ……………………………………………………
 Reference letter from the H.O.D (kindly attach)

4c. If you are admitted into the university but yet to enroll

 Name of university admitted into: ………………………………………………………………………………

 Course of study: …………………………………………………………………………………………………………
 Start date: ……………………………………………………………………….
 Expected Year of Graduation: ………………………………….............
 Reference letter from the principal of immediate secondary school (kindly attach)
 Name and address of secondary school you last attended:
…………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………....
 Name and telephone number of the Principal or Guidance Counselor:
…………………………………………………………………………………………………………………………………..
 What extracurricular activities were you involved in, in this school:
…………………………………………………………………………………………………………………………………..
 Your SSCE / GCE scores (Kindly attach)
 Your JAMB scores (Kindly attach)
 Your UTME scores (Kindly attach)

5. AWARDS AND SCHOLARSHIP

 Are you currently a recipient of any financial aid and or scholarship: …………………………..
 If yes, name the financial aid or scholarship:
…………………………………………………………………………………………………………………………………..
 Date received and value: ………………………………………………………………………………………….....

6. STATEMENT OF DEVELOPMENT OBJECTIVES & FINANCIAL NEED (in less than 250
words)

Why do you feel you need this scholarship? Describe any special circumstances that
make it necessary for you to acquire additional funding for your education?

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7. AUTHORISATION & DISCLAIMER

I …………………………………………………………………………………………………… do state that the

information provided above is accurate to the best of my knowledge, and I authorize
officials of the institution(s) I attend / have attended, to release academics records and
any other information required by the Board of Trustees (B.O.T) of Anthony Cardinal
Okogie Foundation in the process of considering my application for the scholarship. I
fully understand and agree that the decision taken by the foundation if final.

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APPLICANT’S SIGNTAURE & DATE