APPLY ONLINE Applications must be submitted online, delivered, or postmarked by Monday, August 15, 2022 - Complete the application form below - Upload forms and scans - Submit by August 15, 2022 Contact us with any questions - [email protected] Click here to download the application PASS SCHOLARSHIP APPLICATION First Name Last Name Date of Birth Gender - Select Gender -MaleFemaleAddressAddress Line 1 Address Line 2 City State Email In total how many people live in your household? Do you have siblings who are in school now? - Select -Yes (if yes, fill in below)No (if no, skip siblings section)Sibling 1 - Name, Age, Grade, Name of Current School, Expected Graduation date Sibling 2 - Name, Age, Grade, Name of Current School, Expected Graduation date Sibling 3 - Name, Age, Grade, Name of Current School, Expected Graduation date Sibling 4 - Name, Age, Grade, Name of Current School, Expected Graduation date Sibling 5 - Name, Age, Grade, Name of Current School, Expected Graduation date Sibling 6 - Name, Age, Grade, Name of Current School, Expected Graduation date Sibling 7 - Name, Age, Grade, Name of Current School, Expected Graduation date Please list additional siblines here - Name, Age, Grade, Name of Current School, Expected Graduation date What is your father's occupation? - Select -Civil servant Agro-pastoralist (famer/herder)Wage LaborerOther (please specify)If you selected 'other' please specify here What is your mother's occupation? - Select -Civil servant Agro-pastoralist (famer/herder)Wage LaborerOther (please specify)If you selected 'other' please specify here If your parents are agro-pastoralists, approximately how many cattle (i.e., cows, sheep, goats) do they own? Name of high school - for first year university or college only (If not applicable type N/A): Name of current university/college - for continuing and the newly admitted (If not applicable type N/A): If currently a university or college student, what year are you in? (If not applicable type N/A) Your CGPA - university or college students only (If not applicable type N/A): Your senior 4 average score - high school graduates only (If not applicable type N/A): Degree/diploma program - i.e., engineering (If you're not sure type "unsure": By typing your full name below and clicking submit, you declare that the information provided above is true and correct. If any information is found to be falsified, PASS will ultimately disqualify your application. Date Please upload your secondary school leaving certificate AND/OR official transcripts Choose File Please upload a scan of your student ID card Choose File Please upload a scan of 1-color passport-sized photo Choose File Submit Form Please upload all of the documents requested, your application will be marked incomplete if documents are missing. Reach out to us at [email protected] with any questions or if you need support uploading your documents or completing your form.
