Tracking Number
Application Form
Scholarship Application Form
Aiducation International Kenya offers merit-based scholarships to bright and needy students to attend secondary school.
Candidates wishing to be considered for a one-year scholarship (extendable up to 4 years) MUST score more than 350
marks in their Kenya Certificate of Primary Education exam (K.C.P.E), demonstrate strong motivation & leadership potential
and must come from a financially disadvantaged background.
Bring along this completed application form together with:
(1) a passport sized photo with a neutral background
(2) a copy of your K.C.P.E. results slip
(3) a copy of your invitation letter to the secondary school and a copy of the school fee structure,
(4) a copy of your Kenya birth certificate or a document confirming your birth date by your primary school,
(5) a copy of your primary school leaving certificate
(6) copies of all your term reports, in case you have already attended secondary school
A: GENERAL INFORMATION
Name (as in K.C.P.E. and underline surname): Passport-sized photo:
Paste the photo
here with glue.
K.C.P.E Index Number E-mail If you use a
stapler, make
sure that the
staple is at the
edge of your
Place of birth: Gender: female picture and
doesn’t cover
male your face.
Date of birth (dd/mm/yy): Telephone No 1: Telephone No 2:
Please tell us where your home is located below Is your house in a slum area?
Province & County:
Constituency & Ward: Yes No
What kind of a house do you live in? How many people live in your house including yourself?
Mud house
Metal sheet house
Brick house How many bedrooms does your house have?
Building with multiple apartments
Who owns the house?
Name of the applicant: V21_2023 | Page: 1/8
Aiducation International Kenya | P.O. BOX 43659 – 00100 Nairobi | [email protected] | +254 769 250 571
Application Form
Does your house have electricity? Yes No
Does your house have tap water? Yes No
Who do you live with when you are not in school?
Parents Guardians/Family Children’s home/Orphanage
Names and ages of siblings and their professions: Number of siblings: __________
Name of father: _______________________________ Name of mother: _______________________________
employed (indicate profession below) employed (indicate profession below)
self-employed self-employed
unemployed unemployed
disappeared / unknown disappeared / unknown
deceased deceased
disabled disabled
Profession of father: ______________________________ Profession of mother: _____________________________
(Leave blank if father disappeared, is disabled, deceased or unknown) (Leave blank if mother disappeared, is disabled, deceased or unknown)
Highest completed level of education of father Highest completed level of education of mother
No formal education No formal education
Primary school Primary school
High school High school
Diploma Diploma
Bachelor’s degree Bachelor’s degree
Master’s degree Master’s degree
Doctoral degree Doctoral degree
Father is disabled/deceased/disappeared or unknown Mother is disabled/deceased/disappeared or unknown
I don’t know I don’t know
Name of the applicant: V21_2023 | Page: 2/8
Aiducation International Kenya | P.O. BOX 43659 – 00100 Nairobi | [email protected] | +254 769 250 571
Application Form
B: ACADEMIC INFORMATION
Primary school
Name:
Type: public
private (if private, specify who paid school fees _______________________________)
Province & County:
Constituency & Ward:
Telephone No:
K.C.P.E. score:
Date received or expected date to receive K.C.P.E. score (month / year):
High school (Leave blank if you are not yet at high school)
Name:
Name of the applicant: V21_2023 | Page: 3/8
Aiducation International Kenya | P.O. BOX 43659 – 00100 Nairobi | [email protected] | +254 769 250 571
Application Form
C: CAREER CHOICE AND ADDITIONAL INFORMATION
What are your top three career choices and explain why these could be your career(s) of choice.
(Please list them in order of passion with the most passionate being no 1. All careers should be given a two-sentence explanation
of why you want to be those professionals)
1.
2.
3.
Name of the applicant: V21_2023 | Page: 4/8
Aiducation International Kenya | P.O. BOX 43659 – 00100 Nairobi | [email protected] | +254 769 250 571
Application Form
D: ESSAY AND MOTIVATION
Please imagine you are celebrating your 60th birthday together with your family and friends. The atmosphere is very
friendly. Suddenly, your grand-daughter jumps on your lap and asks you the following question: “Grandfather /
Grandmother, what have you done in your life?”
Use the space provided below to describe your response and consider the following format of 3 paragraphs: Paragraph 1 Background (challenges
faced, KCPE, assistance into high school of choice, university enrolled, and course pursued preferably career choice 1 on page 4) / Paragraph 2
Career Achievements (something unique you did in your field of work, an award received, new solutions, any recognitions, inventions, innovations.
Basically, imaginative and creative ways you stood out) / Paragraph 3 Retirement and giving back (what you did for your society after or during your
retirement)
Name of the applicant: V21_2023 | Page: 5/8
Aiducation International Kenya | P.O. BOX 43659 – 00100 Nairobi | [email protected] | +254 769 250 571
Application Form
E: EXTRACURRICULAR ACTIVITIES
What do you like doing most and least during your free time? Which games or hobbies do you like? What other skills
would you like to learn in secondary school?
F: ADDITIONAL INFORMATION
Where did you first hear about Aiducation International?
Via an organization or school (please indicate the name):
Via an advertisement, news, internet, magazine, etc. (please specify) :
Via an event (please indicate the event):
Other (please specify):
Have you previously applied to Aiducation International: Yes, in year _____ No
Name of the applicant: V21_2023 | Page: 6/8
Aiducation International Kenya | P.O. BOX 43659 – 00100 Nairobi | [email protected] | +254 769 250 571
Application Form
DECLARATION
I certify that all statements made in this application for admission, including all attachments, to an Aiducation International
Scholarship are correct and that my responses are my own. I authorize Aiducation International to verify any information
contained herein, including but not limited to academic work and extracurricular activities. I authorize Aiducation
International to release information from this application and supporting documents on Aiducation International’s website,
social media channels and directly to potential sponsors or sponsoring organizations to permit my being considered for a
scholarship. I promise to submit all my term reports and my KCSE as well as yearly personal updates for the duration
of the scholarship before the end of each year. Failure to comply may result in the loss of the scholarship.
Furthermore, I understand that there is no guarantee of a scholarship and that unfortunately only a minority of all
applicants are successful. I also understand that it is my sole responsibility to let Aiducation International Kenya know once
my contact details change and that I may lose the scholarship if Aiducation International Kenya is unable to contact me.
Finally, I agree to transfer into a partner secondary school if not already in one, as advised by Aiducation International
Kenya once I have been selected for a scholarship and acknowledge that Aiducation International will not pay any of my
school fees to a non-partner secondary school. I promise not to look for any other scholarship(s) from any other organisation
for school fees other than other support, once awarded a scholarship by Aiducation International Kenya. In the event I get
another scholarship, I will refund immediately all funds advanced to me from Aiducation International Kenya, with a letter
explaining the same.
Location and date Applicant’s signature Guardian’s signature
G: REFERENCE LETTERS (OPTIONAL)
Chief’s / Assistant Chief’s / Religious leader’s recommendation. Write one or two sentences about the applicant.
Location and date: Name of referee:
Position / profession of referee: Signature:
Headmaster’s / deputy’s / class teacher’s recommendation. Please explain why this student is exceptional.
Location and date: Name of referee:
Position / profession of referee: Signature:
Name of the applicant: V21_2023 | Page: 7/8
Aiducation International Kenya | P.O. BOX 43659 – 00100 Nairobi | [email protected] | +254 769 250 571
Application Form
OFFICIAL USE ONLY: COMMENTS AIDUCATION INTERNATIONAL KENYA
If the Recruiter/Aiducator who met the applicants thinks this student is more needy than other applicants, he/she may
state his/her reasons for the scholarship consideration here:
Signature and name of Recruiter/Aiducator:
Name of the applicant: V21_2023 | Page: 8/8
Aiducation International Kenya | P.O. BOX 43659 – 00100 Nairobi | [email protected] | +254 769 250 571
