SALAMA CHARITIES SCHOLARSHIP APPLICATION FORM
Email address *
ABOUT THE APPLICANT
(Please ensure you complete all the questions below in full)
Name of applicant *
Your answer
Date of birth *
Your answer
Date of application *
Your answer
Parent's names *
Your answer
Parent's contact information *
Your answer
Home address *
Your answer
Applicant's contact information (Email address or telephone number): *
Your answer
APPLICANT'S FAMILY BACKGROUND
(Please ensure you complete the required questions below in full)
Please include information on your financial situation, number of family members, etc. *
Your answer
If you or any of member of your family are disabled, please describe disability:
Your answer
APPLICANT'S SPONSORSHIP REQUIREMENTS
(Please ensure you complete the required questions below in full)
Please provide the details for the program you would like us to fund *
Your answer
Name of university/ secondary school/ college *
Your answer
Duration of course:* *
Your answer
Please provide a detailed fee structure for the duration of the course *
Your answer
Along with a completed application, please submit the following: (please tick to confirm the documents that have been sent to us via email or post)
Please note:
The above documents should be submitted via email to info@salamacharities.org or via post to Salama, P.O. Box 63429-00619, Nairobi
If your application is successful, you will be required to enter into an agreement with Salama, covering the following:
Salama has the right to terminate sponsorship if the applicant's results are below average or if Salama gets consistent negative feedback from the educational institution *
Required
Signature (please enter your full name below) *
Your answer
Date of submission *
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