KENYATTA UNIVERSITY

KENYATTA UNIVERSITY

KENYATTA UNIVERSITY

helb application form for continuing students - FINANCIAL AID OFFICE

Tel: 0725-847914                                 P.O. Box 43844, 00100
         8710901 Ext. 4535                            NAIROBI, KENYA
                                    E-mail: financial-aid@ku.ac.ke

APPLICATION FORM FOR SPORTS SCHOLARSHIP 2015/2016 ACADEMIC YEAR

This form must be completed before one can be considered for financial assistance. Students MUST:
1.    Be enrolled into a full time degree programme at Kenyatta University.
2.    Have a genuine need for Financial Assistance.
3.    Be a full time student during any Semester in which assistance is received.
4.    Must have National ID
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Print in ink or type all answers clearly and completely. Indicate N/A if a question is not applicable.

Disclaimer
Any student or person filling this Application form and knowingly gives false or misleading information whether in writing or by attaching herein the false document (s) shall lead to automatic disqualification.

NOTE: The scholarships are awarded as a grant from Kenyatta University in collaboration with Higher Education Loans Board (HELB). HELB will offer a loan for part of the tuition fee which will be repaid subject to recovery conditions upon completion of degree programme.
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PART A: STUDENT PERSONAL DETAILS
a.    Name: ____________________        ______________________        __________________
        Last                First                Middle
b.    KU Admission Number. __________________________

c.    Gender:    Male:         Female:    
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d.    Date of Birth: ____________________   

e.     ID NO. __________________________ (attach copy)

f.    Address: P.O. Box: _______________________________________
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g.    County: __________________________

h.    Mobile Telephone Number: ______________________

i.    Alternate  Telephone Number ______________
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j.     E-mail address: ___________________________


PART B: SPECIAL SPORTS TALENTS

(a)    Name of High School: _________________________________________-
(b)    Academic grade: ______________________ (attach KCSE results)
(c)    Sports Awards: ______________________________ (attach certificates)
(d)    Why do you feel you are talented in sports?
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PART C: PARENTS DETAILS
2. FATHER     1.    3. MOTHER
a)    Is your Father alive? Yes             No.     a)    Is your Mother alive? Yes             No.
b)    If no, give date of death;__________________
(Attach Death Certificate)    b)…..If no, give date of death;___________________
(Attach Death Certificate)
c)    If yes in (a) above, please fill below    c) If yes in (a) above, please fill below
d)    If yes give his age; ________________    d) If yes give her age; ________________
e)    Name: ______________________ ID/No. _________    e) Name: ______________________ ID/No. _________
f)    Occupation: _________________________________   
f)    Occupation;_________________________________
g)    Name and address of employer (s)   
g)    Name and address of employer (s)
h)    If retired give name (s) and address of last employer (s);
          ___________________________________________
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        Year of retirement: __________________________
    h)    If retired give name (s) and address of last employer (s); __________________________________________

                Year of retirement: ________________________

4. GUARDIAN/SPONSOR/NEXT OF KIN
a)    Name: _________________________________________b) Mobile Telephone: _______________________

c)    ID/ No: ______________________________________  d) Occupation: _______________________________

e)    Name and address of employer:______________________________________________________________





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PART D: ADDITIONAL INFORMATION
How will the degree enable you to achieve your full talent?   
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CERTIFICATION
I hereby certify that all the information I have provided on this form and all supplementary forms is true, correct, and complete. I hereby authorize Kenyatta University or its representatives to obtain such additional information concerning my educational programme and financial records needed to complete processing of this application. It is also my understanding that Kenyatta University, may, as it seems appropriate, release to others who may be considering me for financial assistance or making decisions relating to my educational plans, information concerning the amount of any award I may receive.

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Applicant signature: _________________________    Date: ________________________

Note: The filling of an application form for Financial Aid from Kenyatta University, does not guarantee that the applicant will receive Aid.

FOR OFFICIAL USE ONLY
Date Received _______________________Receiving officer _______________________ Signature ______________
Notes:____________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________



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