The Old

Starehian Society
Alumni Support Application Form
* Required

Name *

File Number *

Years at Starehe *

Phone Number *

Email Address *

Have you updated your profile on www.oldstarehians.org? *

(If not, activate your account before proceeding to enable us effectively communicate with you))

Yes

No

Are you a member of OSS in Good Standing? (Priority is given to members in good standing) *
{An OSS member in good standing is one who has paid up his/her membership dues as either
Associate/Student Member(Ksh 1200 pa), Ordinary Member(Ksh12,000 pa) or Life Member(Ksh120000
one off + 2400 annual admin fee) }

Yes

No

The Old Starehian Society (OSS) is a society for Old Boys and Old Girls of the Starehe Boys Centre and Starehe Girls Centre.
Please address all official correspondence to: The Chairman, Old Starehian Society, PO Box 30178-00100 Nairobi, Kenya.
Email: info@oldstarehians.org. website: www.oldstarehians.org .
 The Old
Starehian Society
Type of Support *
Please choose the type of Support you are requesting for.

Education Support

Medical Support

Business Support

Other:

Amount Requested *

Details of the amount *

(Provide a detailed elaboration of why and how you have arrived at the amount you are requesting for)

What are your other sources of funds *

The Old Starehian Society (OSS) is a society for Old Boys and Old Girls of the Starehe Boys Centre and Starehe Girls Centre.
Please address all official correspondence to: The Chairman, Old Starehian Society, PO Box 30178-00100 Nairobi, Kenya.
Email: info@oldstarehians.org. website: www.oldstarehians.org .
 The Old
Starehian Society

Who is your referee? *

{Provide details (Name, phone Number and Email) of at least two members of OSS who know you.}

When do you plan to refund the requested money if awarded? *

(The Alumni Support fund is a refundable kitty supporting OSS Members and Alumni in temporal financial
difficulties)

Institution *

(Provide the name of your institution of Study and your admission number)

Which course are you studying? *

Signature:

The Old Starehian Society (OSS) is a society for Old Boys and Old Girls of the Starehe Boys Centre and Starehe Girls Centre.
Please address all official correspondence to: The Chairman, Old Starehian Society, PO Box 30178-00100 Nairobi, Kenya.
Email: info@oldstarehians.org. website: www.oldstarehians.org .
 The Old
Starehian Society
For Official Use Only:

Reviewer Notes:

Supporting Documents Submitted?

Yes No

Approved by ExCom?

Yes No

Decision

The Old Starehian Society (OSS) is a society for Old Boys and Old Girls of the Starehe Boys Centre and Starehe Girls Centre.
Please address all official correspondence to: The Chairman, Old Starehian Society, PO Box 30178-00100 Nairobi, Kenya.
Email: info@oldstarehians.org. website: www.oldstarehians.org .