UNDERGRADUATE BURSARY APPLICATION FORM

Please complete this form using BLOCK LETTERS

PERSONAL DETAILS

First Name: Second Name:

Physical Address:

Postal Address:

Telephone Number: Alternative Number:

Email Address: Home Language:

Date of Birth: Place of Birth:

Gender: Male Female Marital Status: Single Married Coloured Indian White Other

Citizenship: Identity Number:

Have you been convicted of a crime?If yes, please specify:

Do you have a physical/mental disability?If yes, please specify:

Are you receiving or have you received another bursary/student loan?If yes, state the name of the name of the institution that granted the bursary/student loan and the obligation:

SCHOOL QUALIFICATIONS

Name & address of school attended:

Subject	Form 1(final grade)	Form 2(final grade)	Form 3(final grade)	Form 4(final grade)
Science
Mathematics
English

WHO ARE WE LOOKING FOR?

Fly High has a strong interest in students who intend to pursue / are currently pursuing undergraduate degrees, honors degrees or BTech diplomas in the following fields*:

Chemistry (Analytical or Geochemistry)
Chemical Engineering (Minerals Processing option)
Electrical Engineering (Process Control Systems or Electronics)
Geology (majoring in Mineralogy, Petrology, Applied Geology or Economic Geology)
Mathematics
Mechanical Engineering
Mining Engineering
Physical Metallurgy / Materials Science
Physics

*Unfortunately Fly Highr Embu does not provide bursaries to students studying towards their National Diplomas.

Bursary requirements

In Grade 12 currently or already matriculated but not studying yet: Minimum of Level 5/ 60%/C symbol in Mathematics HG/Mathematics (not Mathematics subjects in Grade 10-12 and having Science and English, having taken these symbol in these subjects. At university currently. Studying towards any of the above-mentioned degrees with an overall average of 60% and no fail)

FOR OFFICE USE ONLY

Short-list for interview.Interview location, date & time:

Offer of Bursary under: Endorse for offer: Candidate unsuccessful

We regret to inform you that your application was not successful for the following reason(s):

You are not a Kenyan citizen.

You have not provided all the necessary supporting documentation.

Your application was received after the closing date.

Based on Fly High's future skills, we are not offering bursaries to students in your particular discipline or year of study this year.

Your application has not met the minimum requirements and you were not selected to proceed to the next stage of selection.

Other: