Sheikh Saqr Overseas Scholarship Program

Sheikh Saqr Overseas Scholarship Program

Overseas Scholarship Application Form

The Sheikh Saqr Overseas Scholarship Program provides supplementary salaries only. Applicants must be self-funded or receive a scholarship from the Ministry of Education to be eligible for this program. Students are strongly encouraged to contact the Al Qasimi Foundation if they are applying to overseas universities.

Student Information:

Student Passport Name: ______

Date of Birth: ______Place of Birth: ______

Gender: c Male c Female Marital status: c Single c Married

Address: ______

P.O.BOX:______Suburb: ______City: ______

Mobile (1):______Mobile (2):______

Telephone: ______Fax: ______

E-mail Address: ______

Emergency Contact Person: ______

Relationship: ______Mobile: ______

E-mail Address: ______

Parent/Guardian Information:

Father Name: ______

E-mail address: ______Mobile: ______

Mother Name: ______

E-mail address: ______Mobile: ______

Marital Status: c Single c Married c Divorced c Widowed

Is your father currently working? c Yes c No If yes, please fill out the following:

Workplace: ______Occupation: ______

Is your mother currently working? c Yes c No If yes, please fill out the following:

Workplace: ______Occupation: ______

Secondary School Information:

School Name: ______Place of the School: ______

Type of the School: c Public c Private c Other: ______

Academic Stream: c Science c Art c Other: ______

Final results in: Grade 10______Grade 11 ______

Grade 12 Quarter results: First: ______Second: ______Third: ______

Graduation Year from High School: ______

Required Examinations for University Admission

Have you completed required university admissions tests? c Yes c No

If yes, please mention the following details and attach official score reports to your application:

Exam / Results / Date of the Exam
TOEFL
IELTS
ACT
SAT
§  Reading
§  Writing
§  Math
GRE or GMAT

Additional Information:

You are applying for: c Bachelor c Masters c PhD c Other

Please write the desired majors you want to study by priority:

No. / Major / Name of the University / Country of the University
1
2
3

For scholarship applicants who are already studying at an overseas university:

Name of the University: ______

City / Country of the University: ______

Type of Degree: c Bachelor c Masters c PhD Major: ______

Admission Year: ______Last semester GPA: ______Cumulative GPA: ______

Academic Advisor Name: ______

E-mail Address: ______

Office number: ______Mobile number: ______

Short Answer Essays (please attach additional pages if necessary):

1.  Why have you chosen your current program?

______

2.  How do you hope your chosen program will develop you for your career? What are your career goals?

______

3.  If you are applying for a bachelor’s degree, please describe you engagement with Sheikh Saqr Student Enrichment Program:*

______

* Priority will be giving to students who have been through the program.

Student Statement:

I certify that the information I have provided on this application and in attached documents is true and complete to the best of my knowledge and represents my own work. I understand that giving false information or taking credit for someone else’s work will disqualify my application or result in dismissal from the Sheikh Saqr Overseas Scholarship Program.

Student Signature: ______Date: ______

Required Documents for Application:

c Completed and signed application form

c Updated Curriculum Vitae (CV)

c Validpassportcopy

c CopyoftheFamilyBook(‘KhulasatalQaid’)

c Copy of UAEIdentity Card (ID)

c Copy of Grade 10, 11, 12Secondary School Certificates (certified bytheMinistryofEducation)

c Copy of all application essays and research proposals submitted during the university admissions process

c Copy of all exam results required for university admissions (e.g. MSAT, IELTS, TOFEL, SAT, ACT, GRE)

c Copy of all overseas university acceptance letters

c Unconditional scholarship acceptance letter from the Ministry of Education

c Approved study leave certificate(s) stating the type of the leave, duration, and whether leave is paid or
unpaid (as applicable)

c Academic transcripts for all completed (and in-progress) coursework at the university level and copies of
all completed university degrees

c Two (2) recent passport‐sized photographs

c Bank account details include IBAN (International Bank Account Number)

For Office Use:
Received By:______c Approved c Not Approved c Pending
Date: ____ / ____ / _____ Signature:______

Last updated October 2017 Page 1 of 4