WOMEN IN ENERGY SCHOLARSHIP PROGRAM - Application Form
Email address *
1. PERSONAL INFORMATION
This section includes personal information. Please complete all sections in English and follow the formats given in italic, when required.
Name and Surname *
Insert full name as shown in your passport
Date of Birth *
MM
/
DD
/
YYYY
Place of Birth *
Country of Residence *
E-mail *
Phone number *
Passport number and expiration date *
Marital Status *
Permanent Address *
(Street, city, postal code, country)
Emergency Contacts *
Insert emergency contact in Kosovo; (name, relationship to you, address, email, phone number). Insert emergency contact in the United States of America; (name, relationship to you, address, email, phone number)
2. EDUCATION
2.1. List all education institutions attended, including any institution currently enrolled. Start from the latest.
High School
Name of High School attended *
Field of Study *
Name of Degree or Diploma *
Graduation date expected or received *
MM
/
DD
/
YYYY
Final GPA *
University
Name of University attended
Field of Study
Name of Degree or Diploma
Graduation date expected or received
Final GPA
Other (specify if you have received any other degree):
2.2. If you have taken TOEFL, IELTS, SAT or other related exam, write down the results.
Name of Test
Results
Date taken
MM
/
DD
/
YYYY
Name of Test
Results
Date taken
MM
/
DD
/
YYYY
Other (specify if you have taken any other related English-language exams):
3. Relevant Additional Activities
List all the experiences, starting from the latest, when applicable. MFK reserves the right to ask for references to document your activities.
3.1. List all currents or past Scholarships or Fellowships, if any.
(Insert sponsor, amount, reason, duration)
3.2. List all volunteer activities you have been or are a part of, if any.
(Insert position, reason, place held, duration)
3.3. List all professional and public societies you have been or are a member of, if any.
(Insert position and name of the society)
3.4. List all academic or professional accomplishments, if any.
(Insert activity and description of the activity, date of activity)
4. Relevant Professional Experience
4.1. List all professional experiences, if any [insert jobs and internships].
(Name of Employer, Position Held, Date Started, Date Ended)
4.2. List all relevant trainings, if any.
(Training Title, Field of Training; i.e. energy, education, Place Held, Date)
5. Study Objectives and Personal Statement
Please download template of statement of your interests: http://bit.ly/2N6raDJ
Upload the statement of your interests in the energy sector and what do you expect from the program in the US. *
Required
5.1. Study Plans *
Select all fields of study that you would like to study in Des Moines Area Community College (you may change your preferred area of study during the process)
Required
6. Required Documents
Upload your documents
Original High School Diploma or other relevant diploma (i.e. University diploma) *
Required
Copy of official transcripts (original language) *
Required
Copy of Kosovar Passport *
Required
Two written references (preferred from professors of related field or professional supervisors) *
Required
Copy of CV/resume (English) *
Required
*
Required
A copy of your responses will be emailed to the address you provided.
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