Enwealth Foundation Scholarship Application

APPLICATION FOR SCHOLARSHIP

Enwealth Foundation MIS

1 Personal

2 Family

3 Siblings

4 Attachments

5 Dreams

6 Review

Personal Information

Name as per result slip:

Please enter your name.

Date of birth:

Please select your date of birth.

Primary school attended:

Please enter your primary school.

NEMISIS NO:

Please enter your NEMISIS NO.

Secondary school admitted to:

Please enter the secondary school.

Contact person Name:

Please enter the contact person name.

Contact person relationship:

Please enter relationship.

Telephone:

Please enter a valid phone number.

County of Residence:

Please select your county.

Gender:

Please select your gender.

Sub County:

Please enter your sub-county.

Ward:

Please enter your ward.

Your data is kept even if submission fails.

Family Information

Question	Father	Mother	Guardian
Tick if they are alive?
Name
If deceased, please attach copy of death/burial certificate: Choose File
Religion/Church/Faith
Am Living With
Is Employed?
Works as Casual Labourer in
Owns a Business?
Owns a Piece of Land?
Has Other Income From
Earns on an Average Per Month

My Siblings

Please list all your Brothers and sisters starting with the oldest, stating education attained and what each is doing

Name	Age	Education Level	Occupation	Action

My Attachments

Attach your Results slip:

Choose File

Results slip is required.

Attach your Leaving certificate:

Choose File

Leaving certificate is required.

Attach highschool Calling Letter:

Choose File

Calling letter is required.

Attach recommendation Letter from religious Leader:

Choose File

Religious leader letter is required.

Attach your recommendation Letter from chief:

Choose File

Chief letter is required.

Future Aspirations

What are your dreams for the future? What will it take to get you there?

Please tell us about your dreams.

Review & Submit

Section	Summary
Personal
Family
Siblings
Attachments
Dreams