MINISTRY OF EDUCATION THE DIPLOMA IN EDUCATION SCHOLARSHIPS 2010/2011 APPLICATION FORM A.
GENERAL INFORMATION
1.
Applicants should be graduates of accredited Universities. (Kindly enclose evidence of qualification).
2.
Each candidate should complete two (2) copies of this form, either typewritten or legibly written in ink, and return to the Ministry of Education, Scholarships Section, 2 National Heroes Circle, Kingston 4 NO LATER THAN MARCH 31, 2010.
3.
Each applicant should apply directly to the University of the West Indies for admission.
4.
A letter of acceptance from the University may be submitted after the application’s due date.
B.
SUPPORTING DOCUMENTS
Please check those documents you have submitted. 1.
Certified copy of Transcript & Degree
2.
A letter of admission from U.W.I.
3.
Study Leave letter where applicable
4.
Referee Reports ( 1 Academic and 1 Professional)
1.
Name in full……………………………………………………………………… SURNAME FORENAMES
2.
(a)
Address for correspondence about this application …..…………………… ………………………………………………………..…………………….
(b)
Permanent Address (if not the same as 2a)……………..………………….. ………………………………………………………...…………………….
(c)
Telephone numbers………………………………e-mail address……………...
3.
Date and Place of Birth …………………………………………………………….
4.
Nationality……………………………………… Sex……………………….
5.
Marital Status ………………………………….. 5b. No. of Children ……………
6.
Name of present school and subject(s) taught ……………………………………. ………………………………………………………………………………………
7. 8.
Proposed course of study ………………………………………………………….. Are you permanently employed to the institution? Yes…………. No……………..
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9.
Previous teaching appointments (if any). Give details.
SCHOOL
SUBJECTS TAUGHT
YEAR OF SERVICE FROM TO
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10.
EDUCATIONAL RECORD
Educational Institution
From
To
Degrees, Diplomas or Certificates gained with passes of honours, etc.
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ACADEMIC QUALIFICATIONS - STATE DETAILS CLEARLY, WHERE APPLICABLE THESE SHOULD INCLUDE PROFESSIONAL CERTIFICATES AND DIPLOMAS OBTAINED. DATE
11.
EXAMINATION
SUBJECTS
STATE LEVEL (ADVANCE OR ORDINARY)
RESULTS (DISTINCTION, CREDIT OR PASS, )
If you have been previously awarded any scholarship or bursary etc. in connection with your present career, please supply details (courses, period, year, country, etc.) ……………………………………………………………………………………… ……………………………………………………………………………………… ……………………………………………………………………………………… ………………………………………………………………………………………
12.
Academic distinctions or prizes received ………………………………………….
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Name two (2) persons from whom confidential reference about you may be obtained. If you are currently teaching, one of these must be the Education Officer who supervises your institution and the other from your Principal.
NAME …………………………
POSITION …………………..
INSTITUTION & ADDRESS ……………………………………… ……………………………………… ……………………………………… Tel. …………………………………
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Download reference form and submit to referees named above. 14.
Give in not more than 150 words a statement of the benefits to be gained from your successful training. ……………………………………………………………………………………… ……………………………………………………………………………………… ……………………………………………………………………………………… ……………………………………………………………………………………… ……………………………………………………………………………………… ……………………………………………………………………………………… ……………………………………………………………………………………… ……………………………………………………………………………………… ……………………………………………………………………………………… ……………………………………………………………………………………… ……………………………………………………………………………………… ……………………………………………………………………………………… ……………………………………………………………………………………… ……………………………………………………………………………………… ……………………………………………………………………………………… ………………………………………………………………………………………
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Any other information which you consider relevant to the application. .……………………………………………………………………………………… ……………………………………………………………………………………….. ………………………………………………………………………………………...
Date……………………………
Signature …………………………………
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