UWC Democratic Republic of Congo

Address: N° 12289, Avenue Lumumba, Lubumbashi.

Email: uwc.drc@gmail.com | Facebook: UWC National Committee DRC
Website: drc.uwc.org | Phone: +243 852 705 741

Application Form – Session 2024-2026

Confidentiality
UWC National committee DRC commits to protect any information given by the
candidate. In anyway, UWC National Committee DRC will not share these
informations without the consent of the candidate. By filling out this document,
you accept the terms and conditions of our selection process.

UWC Offers
UWC has three types of offers:
(i) Full Scholarship Offer
(ii) Partial Scholarship Offer
(iii) Unfounded Offer

Scholarship covers registration and accommodation fee. For partial scholarship

offer and unfounded, the final decision to accept the candidate is mandated by the
coverage of payment of registration and accommodation fee.
A part of these informations provided above, there may be others charges which
can be present during the two years study at UWC. They will be to the charge of
parents. These charges will depend on the UWC School attended by the student
and can or not include: Travelling charges, pocket money, medical insurance,
technology fee, caution fee, furniture, passport, visa, transport, calculator, etc. if
the parents are not able to pay the charges provided, we will find other ways to
support the child education.

Section I: Family and personal information

Please note that the mention « * » describe the mandatory information.

Personal information of the candidate

First name (*): _____________________________________________________________
Last name (*): ___________________________________________________________
Given name (*) as stated on the passport or on the birth certificate:
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Date of Birth (*): ________________ / ________ / ___________
Month / Day / Year

Sex (*): Female Male Other

Country of Birth (*): ____________________________________________________________

City of birth (*): _____________________________________________________
Nationality (*): ________________________________________________________________

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 UWC Democratic Republic of Congo
Address: N° 12289, Avenue Lumumba, Lubumbashi.
Email: uwc.drc@gmail.com | Facebook: UWC National Committee DRC
Website: drc.uwc.org | Phone: +243 852 705 741

Do you have a valid passport? (*) : Yes No

The answer to this question will not influence an appreciation of your application.

Email address (*): ______________________________________________________________

Principal phone number (*): _________________________________________________
How do you want to be contacted if needed? (*) :

Home number Personal Number

Parent number School number

Do you have any disability which requires a particular attention? (*) Your
answer to this question will not influence the appreciation of your application,
however it will help us to take some precautions on the best decision on
which UWC college you will be send to.

Yes No

If yes, please give more details on your disability:

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Parents/guardians informations:
Name of Parent/guardian one (*): _________________________________________________
Given Name of the Parent/Guardian One
(*):______________________________________________
Phone number and email (Parent/Guardian One):___________________________________
Name of Parent/Guardian Two (*): ______________________________________________
Given name of Parent/Guardian Two (*):
_________________________________________________
Phone number and email: ____________________________________

Permanent address
Permanent residence (*):
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City of permanent address (*): ___________________________________________
Province (*): __________________________________________________
Country of Permanent residence (*): _________________________________________________

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 UWC Democratic Republic of Congo
Address: N° 12289, Avenue Lumumba, Lubumbashi.
Email: uwc.drc@gmail.com | Facebook: UWC National Committee DRC
Website: drc.uwc.org | Phone: +243 852 705 741

Section II: School Performance and School attended

Please note that the mention « (*) » describe the mandatory information

Information on your current school

Current grade (*): _____________________________________________
Name of the school (*): _______________________________________________________
City or village where the school is located (*):
___________________________________________
Province/department/region (*):_____________________________
Phone number of the school: ____________________________________________
Email address of the school: __________________________________________________
Name of the head of the school (*): _____________________________________________

School performance
Please provide below your school Performance (annual range, as well as the
information for each class you have completed or the current class (*) :

1(*) 2(*) 3(*) 4(*) 5 (*) 6 (*)

Annual Range
(*)
Pourcentage (*)

School year (*)

Name of the school :

Grade School attended
6 (*)
5 (*)
4 (*)
3 (*)
2 (*)
1 (*)

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 UWC Democratic Republic of Congo
Address: N° 12289, Avenue Lumumba, Lubumbashi.
Email: uwc.drc@gmail.com | Facebook: UWC National Committee DRC
Website: drc.uwc.org | Phone: +243 852 705 741

Section III: Short answer and Dissertations

Please note that the mention « (*) » describe the mandatory information
This section has the objective of determining factors which motivate the
candidate to apply to UWC. As well as good results are appreciated at UWC,
academical performance should be mixed with the engagement in community
services, international affairs, creativity, etc. it is important too that the candidate
enjoy to the fullest their experience at UWC. We wish that through these
dissertations and short answers, we will evaluate how the profile of each
candidate respond to the requirements of UWC. We advise as well our candidates
to think through very well before answering these questions.

Extra Curriculum activities

Are you part of some curriculum activities in school? (E.g. Clubs, creative
activities, sport,…) If Yes, provide maximum of those activities and describe for
each your level of responsibility, your duties and the time you invest in it (*) :
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What are your ambitions after high school? (*)

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 UWC Democratic Republic of Congo
Address: N° 12289, Avenue Lumumba, Lubumbashi.
Email: uwc.drc@gmail.com | Facebook: UWC National Committee DRC
Website: drc.uwc.org | Phone: +243 852 705 741

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Language ability
What is the language of communication in your family (*)
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What are the other languages you are familiar, for each what is the level? (*)
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Dissertations
Explain why you want to attend a UWC School? [Maximum 200 words] (*)
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How do you hope to contribute to a more peaceful and sustainable world during
and/or after UWC? [Maximum 200 words] (*)
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 UWC Democratic Republic of Congo
Address: N° 12289, Avenue Lumumba, Lubumbashi.
Email: uwc.drc@gmail.com | Facebook: UWC National Committee DRC
Website: drc.uwc.org | Phone: +243 852 705 741

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What is your favorite movie or your best book? Why? [150 words maximum] (*)
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If you could change one thing in Congo, what could it be? Why and How? [500
words maximum] (*)
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 UWC Democratic Republic of Congo
Address: N° 12289, Avenue Lumumba, Lubumbashi.
Email: uwc.drc@gmail.com | Facebook: UWC National Committee DRC
Website: drc.uwc.org | Phone: +243 852 705 741

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What do you consider your best accomplishments? Please list 3 accomplishments.
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_________________________________________________________________________Describe the
environment in which you were raised and how it has influenced the person you
are today. Please reflect on your family, home, community, and country (max. 100
words)
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 UWC Democratic Republic of Congo
Address: N° 12289, Avenue Lumumba, Lubumbashi.
Email: uwc.drc@gmail.com | Facebook: UWC National Committee DRC
Website: drc.uwc.org | Phone: +243 852 705 741

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Section IV: Submission

Please note that the mention «(*)» describe the mandatory information

Mandatory documents (*):

o School transcripts (*)

o Birth Certificate (*)
o Certificate of residence (*)
o Two recommendation letters (one completed by a teacher of your school
another one by the responsible of a group of extra curriculum activities of
the student. Eg. Scout, dancing group) (*)
o Parental authorization (*)

Section V: Other questions

Please note that the mention «(*)» describe the mandatory information
How did you heard about UWC and this opportunity? (*)
_____________________________________________________________________
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In the space below, give us the best way we can reach you (Facebook, email,
phone):
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Do you have a specific comment about our selection process?

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 UWC Democratic Republic of Congo
Address: N° 12289, Avenue Lumumba, Lubumbashi.
Email: uwc.drc@gmail.com | Facebook: UWC National Committee DRC
Website: drc.uwc.org | Phone: +243 852 705 741

_______________________________________________________________________
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Submission of application
Please note that the mention «(*)» describe the mandatory information.

Before sending us your application, please check if informations you provided are
true. Confirm that the supporting document is complete. Incomplete documents
will be automatically rejected. Only one file will be accepted for each candidate.

With my signature below, I declare that informations provided are true. I confirm
that all the documents required have been provided and their information is correct
and true. So I admit that incorrect information will lead to my application to be
rejected. (*)

Full name of the candidate: ____________________________________________________________

Date: ________________________________________________________________________
Signature : ____________________________________________________________

Now, you can :

1. Scan this document with each copy required in Section IV of this form,
2. Merged them in one PDF FILE,
3. Then send to us on this email address selection@drc.uwc.org