Application Form
for Sutaruk Scholarship 2020-2021
Email address *
You are from: *
First name *
Your answer
Last name *
Your answer
Year of birth *
Home address *
Your answer
Your cell phone *
Your answer
Years you have lived in Dubno, Netishyn or Slavuta *
Your answer
Name of the school you are finishing this year: *
Your answer
Names of the University/Institute you are planning to enter this year (it may be a several options): *
Your answer
For what faculty and major study (спеціальність) are you applying? *
Your answer
Please list all the classes you had the previous semester (chvert’) and grades you received in these classes: *
Less than 8
1. Ukrainian language
2. Ukrainian literature
3. Algebra
4. Geometry
5. History of Ukraine
6. World History
7. English
8. Physics
9. Chemistry
10. Biology
In what school subjects are you most interested? Please, indicate few options. *
Your answer
Did you participate in school competition in these subjects (olimpiada)? If yes, name the level of the competition (shkilna, rayonna, oblasna, vseukrains’ka olimpiada) and your result in the latest year of participation. *
Your answer
In what other academic contests, competitions, conferences, research, etc., have you participated? *
Your answer
Did you earn any special achievements, honors and recognition? If yes, please list them. If no - just answer "No". *
Your answer
If you could go back in time and change one thing about your high school years, what would it be? *
Your answer
What do you think is the biggest problem facing your generation and what can you do to help fix the problem? What ideas do you have to fix the problem? *
Your answer
Think of a person not in your family that you admire that is also a leader (can be alive or dead and a leader in any sphere - school, politics, business, life, etc...). Who is that person? What leadership qualities do they demonstrate that make you admire them as a leader? *
Your answer
A copy of your responses will be emailed to the address you provided.
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