NORTHERN CARIBBEAN

UNIVERSITY
UNDERGRADUATE SCHOLARSHIP APPLICATION FORM

Complete ALL SECTIONS of the Northern Caribbean University Scholarship

Application Form.

Submit the completed form to the Office of Scholarships and Student Aid no
later than Thursday, August 27, 2015.

Name ___________________________________
____________________________

Date

Permanent Home Address

___________________________________________________________
(Street Number and Name)

NCU Student Address

___________________________________________________________
Phone number ____________
of Birth ________
Gender:
______

(Street Number and Name or Dorm and Room Number

NCU Email address_____________________

Male

Religion __________________________
_____________________________

Female

Current GPA

Nationality

EDUCATIONAL DATA
NCU Student ID# __________________ Campus
______________________________________
Scholarship/s applied for:

Digicel Scholarship

No. of credits completed _________

semester __________

No. of credits for current

Student Status
Junior

Sophomore

Freshman
Senior

Proposed date of graduation ________

Date

Programme of Study _____________________________________________

Part Time
Are you currently a student worker?
_____________

Yes No

Full Time

No. of hours per week

Do you plan to continue your employment next academic year?

N/A

Yes

No

I certify that all of the information provided in this scholarship application is

accurate and complete.
______________________________________
Signature

_______________________________________
Date