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Amharic
test form
Graduate International Scholars Application 2022
Graduate International Scholars Application Form 2022
Step
1
of
5
20%
Section 1: Personal Information
Fill in CAPITAL LETTERS. Ensure the information provided in this section match the ones in your official documents i.e. Passport, Identification Card, Credentials and Testimonials.
Applicant's First Name
*
Applicant's Father's Name
*
Applicant's Grandfather's Name
*
Date of Birth (E.C.)
*
Year
2023
2022
2021
2020
2019
2018
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1920
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Sex
*
sex
Male
Female
Any Visual/Hearing/Mobility Impairment?
Any Visual/Hearing/Mobility Impairment?
Yes
No
Visual Impairment
*
Please choose the degree of impairment
Select
Minor
Medium
Total
No
Mobility Impairment
*
Please choose the degree of impairment
Select
Minor
Medium
Total
No
Hearing Impairment
*
Please choose the degree of impairment
Select
Minor
Medium
Total
No
Country of Citizenship by Birth
*
select
Somalia
South Sudan
Djibouti
Eretria
Place of Birth
Country
*
Province
*
District
*
City
Address(Current)
Country
*
Province
*
District
*
City (if any)
Street Number (if any)
Email Address(primary)
*
Email address (Alternative, if any)
Area code
*
Area code
+291
+252
+253
+211
Cell Phone
*
Alternative Phone
*
Section 2. Family and Housing Information
Please ensure the information provided in this section match the ones in your official documents i.e. Passport, Identification Card, Credentials and Testimonials.
Currently living with
*
Currently living with
Own family (if you form a family)
Parents
Relatives
Guardians
Alone
Other
Whose responsibility is it to economically support your family ?
*
economically support
Self
My parents’
My siblings’
My guardians’
Do you have children?
*
select
No
Yes
How Many Boys
Please insert number only
How Many Girls
Please insert number only
Parents Life Status
*
Parents Life Status
Both alive
Both dead
Mother dead, father alive
Mother alive, father dead
The type of housing that you and your family occupy:
*
housing
House owned by Parents
House owned by my own
Third Choice
Rented premises paid by my own
Rented premises paid by a third party
Rented premises paid by parent
Have you been displaced due to war, instability, famine, etc.? If yes, indicate place of origin and where you are displaced
*
select
No
Yes
Displaced from
*
Write from where displaced.( Place of origin)
Displaced To
*
Write to where displaced.( Place of Destination)
Section 3: Academic Records
Please ensure the information provided in this section match the ones in your official documents i.e. Passport, Identification Card, Credentials and Testimonials.
Country
*
Select country
Somalia
South Sudan
Djibouti
Eretria
High School Acadamic Performance
High School Leaving Exam Result (12th Grade)
*
Please insert number only
High School Leaving Exam Result (11th Grade)
*
Please insert number only
University Acadamic Performance
Institution (Name and Place)
*
start date
*
MM slash DD slash YYYY
End Date
*
MM slash DD slash YYYY
CGPA
*
Please insert number only
Name of Qualification (e.g. B.A in Psychology)
*
Desired MSc/MA Program
*
Please choose of a program to pursue graduate study in at the University of Gondar. You can choose only one
Desired MSc/MA Program
Psychology
Sociology
Nursing
Development and Environmental Management Studies
Gender and Development Studies
Physiotherapy
Optometry
Public Health
Law
Section 4. Work Experience and Income Details
Have you ever been employed?
*
select
Yes
No
Are you currently employed?
select
Yes
No
What is your average current monthly earning/income from all sources in your local currency?
*
Please insert number only
What is your household’s average yearly/annual income from all sources in your local currency?
*
Please insert number only
On average, how much do you and your family save per month in your local currency?
*
Please insert number only
Section 5. Community Giveback and Leadership, and Motivational and Future Professional Aspirations
Your commitment to giving back
*
Briefly discuss your experience and potential to contribute to and/or drive social changes in your community, and add your willingness to return back to your community and work to the betterment of conditions of the disadvantaged (100 words maximum)
Your leadership experience, capacity and potential
*
Describe your leadership experience, capacity and potential to play a role in development of the society and mention outcomes that demonstrate your engagement and commitment in leadership (100 words maximum)
Your motivation to apply for scholarship
*
Describe why you are applying for this Scholarship, and how it will be valuable for your professional and academic development and your future careers (300 words maximum).
File Attachments
Local administration identification card/Passport
*
Max. file size: 1 GB.
High school transcripts
*
Drop files here or
Select files
Max. file size: 1 GB, Max. files: 10.
Bachelor’s degree Student Copy:
*
Max. file size: 1 GB.
Bachelor’s degree diploma
*
Max. file size: 1 GB.
Supporting documents
*
Please check the list of supporting check list
Drop files here or
Select files
Max. file size: 1 GB, Max. files: 50.
DECLARATION.
I, the undersigned, hereby declare that the information given in this application form is true and accurate to the best of my knowledge. I acknowledge the University of Gondar and The MCF reserve the rights to revoke my admission to the university as well as my scholarship and take the necessary legal action against me if the information I provided here was found inaccurate or invalid. I will avail myself for home visits and interviews and cooperate with the MCSP Recruitment and Selection Committee during the verification process.
Signature/fingerprint of Applicant or Parent/Legal guardian.
Signature
Yes
No
Date
MM slash DD slash YYYY
Checklist of credentials and testimonials
Mandatory documents: • Completed and signed Scholarship Application Form (this form); • Local administration identification card/Passport; • All academic records • All High school and university transcripts/student copy; • Bachelor’s degree diploma; • Bachelor’s Student Copy (grade report) from the previous university;
Supporting documents 1. Testimonials on economic disadvantage from District or local administration office, high-school Principal, appropriate government administrators or previous university; 2. Medical report on the type and degree of disability, if any; 3. Letter from District/local Police Office regarding their civility, clean criminal record; 4. Testimonial about orphan status from District/local Administrator’s Office, if applicable; 5. Testimonial about voluntary community/school/university engagement and leadership from their District/local Administrator’s Office/High School Principal/previous university; 6. Testimonial about club and association participation and leadership 7. Testimonials about employment status and salary from employers' office 8. Two reference letters from previous university teachers who know the applicant for reasonable time and attesting to their academic ability and extracurricular engagements; 9. Testimonial about the status of Refugee from concerned governmental Offices, if 10. Testimonial about War displaced status from concerned body, (if)
Phone
This field is for validation purposes and should be left unchanged.