GALEN’S SCHOLARSHIP PROGRAM

APPLICATION PACKAGE

Please, be sure to prepare your application package before start filling the form. It should include:

Two detailed letters of reference
A copy of the most recent TD4 of whoever will fund your Galen education.
Attach copies of transcripts of your educational data

SCHOLARSHIP PROGRAM FORM

DETAILS OF APPLICATION

Intended Academic Program of Study:
Eagle Merit Scholarship: Yes
Athletic Scholarship (select subcategory of Interest):

Male basketballMale canoeingMale cyclingMale footballMale soccerMale volleyball	Female basketballFemale canoeingFemale cyclingFemale footballFemale soccerFemale volleyball
Cumulative Grade Point Average from feeder institution:

DEMOGRAPHIC INFORMATION

**Legal Name (Please enter your name as it appears on your passport and/or other official documents.)

Last:	First:
Middle:	Suffix: (Jr., Sr., if applicable)
Mobile #:	Home #:
Permanent e-mail:
Address:

RECOMMENDATIONS

Two detailed letters of reference are needed. Please submit along with application form. Referees should
prepare a character reference letter describing their affiliation to the applicant and their knowledge of the
applicant’s capabilities. These testimonials should highlight the applicant’s attitude, initiative, personal ethics,
involvement in co-curricular activities that will increase his or her chances of being an engaged student at
Galen, working with others to become model Galen graduates and need. Kindly provide the required contact
information for referees below. Referees cannot be relatives of applicant.

Name of referee 1:
Occupation:
Mobile #:	Home #:
Permanent e-mail:
Name of referee 2:
Occupation:
Mobile #:	Home #:
Permanent e-mail:

PROOF OF NEED

Please submit a copy of the most recent TD4 of whoever will fund your Galen education. Also, submit a
paragraph (below) explaining your financial need and include all other dependents that this person supports.

EDUCATIONAL DATA

Please list in chronological order (starting from most recent) all schools (Secondary, College, University) you
have attended or are currently atteding. Kindly, attach copies of transcripts.

Institution Attended	Dates	Location City & Country	Major	Degree(s) earned	GPA

OTHER QUALIFICATIONS

Please list any other qualifications (CXC, ATLIB, ACT, SAT, or the equivalent) obtained by examination. Certified/attested copies of official results must accompany this application.

Subject	Board of Examining Body	Grade/Result	Examination Date

ACHIEVEMENTS

Certificates, awards, recognition (e. g. certificate programs, sports award, etc.)		Year

DISPLAY YOUR INNER EAGLE

If you had the authority to change Galen in a positive way, what specific change(s) would you make?

Describe how you have demonstrated leadership ability both in and out of school.

Describe a special attribute or accomplishment that sets you apart from others.

Why are you a good candidate to receive this scholarship?

Who in your life has been your biggest influence and why?

How has your education contributed to who you are?

PROFESSIONAL SKILLS

Check each of the skills that you possess (based on experience).
CarpentryCoachingDrawingEvent PlanningExpressive ArtsGraphic DesignJournalismLandscapingLeadershipManagement of social media platformsMarketingVideo EditingWebsite ManagementPaintingClerical/OfficePhotography
Other skills:

Tutoring skills: AccountingComputer ScienceEconomicsEnglishMath
Other tutoring skills:

APPLICATION PACKAGE

(Please compile all your docs in one file and compress/zip before uploading)