SCHOLARSHIP APPLICATION FORM To be considered for these scholarships or awards, you must: 1. Return this form with your essay 2. Provide a High School transcript 3. Include a reference letter from your current Principal 4. Copy of your passport Student's Information Student's Name:
Date of Birth:
First Name
Gender:
(day/month/year)
Home Address:
Middle or Nickname
Male
Surname
Female
City: Country:
Zip Code:
Emaill:
Home Phone: High School:
School Phone: School Address:
City: Country: Grade Point Average
/
Zip Code:
Rank in class:
Class Size:
Parent/Guardian's Information Father's Full Name:
Mother's Full Name:
First Name
Middle or Nickname
Surname
First Name
Middle or Nickname
Surname
Number of dependent siblings living at home: Number currently attending college:
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enquiry@regents.ac.th
Personal Achievements: You may attach a resume in lieu of I, II, III, IV, and V. I. Extra-curricular Activities and/ or Office Held
Year
Position Held
II. Community Service involvement III. Leadership positions IV. List Pertinent scholarly accomplishments
(including musical instruments played and to what level)
V. What motivates you in applying for this scholarship? VI. What are your career goals? VII. References: List two (2) references and their relationship to you (teacher, emploer, clergy, coach, and counselor) 1. Relationship to you: E-mail address: 2. Relationship to you: E-mail address: Essay: Please write a short essay describing your background, career goals, objectives, and other experiences that have contributed to your personal development and future aspirations. Use a separate sheet. Essay should not exceed 350 words.
Applicant's signature
www.regents.ac.th
Date
enquiry@regents.ac.th