Jubilee Form 1 to 4 Full Scholarship 2023; Application Form & Instructions
2023 SCHOLARSHIP APPLICATION FORM
THE JUBILEE CHILDREN’S FUND (JCF)
2023 SCHOLARSHIP APPLICATION FORM
Dear Applicant,
We are excited that you are applying to the Jubilee Children’s Fund (JCF) scholarship. Jubilee Insurance is driven by integrity, passion, leadership, excellence and teamwork. The Jubilee Children’s Fund (JCF) was established on 10th September 2008 by Jubilee Insurance Limited which seeks to alleviate the hardships faced by underprivileged children in education, health and social & cultural issues.
The JCF scholarship 2023 covers Secondary School tuition fees payment for four years and school uniforms upto form four.
Read instructions carefully.
QUALIFICATION
- You must have scored 350 and above
- You must be from an economically disadvantaged background (Orphan, guardians that can’t support you, parents with chronic illness, disabled needy parents e.t.c.)
- You must be a Kenyan Citizen
- You must have your result slip and a letter of admission or calling letter
- You must have a fee structure from the admitting school
- You must have done your KCPE in a public primary school
- You must be admitted to a public secondary school INSTRUCTIONS/GUIDELINES
The information provided in this form is intended to help the Jubilee Children’s Fund Committee understand the applicant’s academic scholarship/award.
- The application MUST be submitted on email [email protected] . No hard copy applications will be
- This application form MUST
- Fill the form in capital
- Copies of ALL DOCUMENTS required must be provided by the applicant and sent on Any applications without relevant
- documents will be
- The completion and submission of this form is not a guarantee for sponsorship.
- Any false statements, omissions or forged documents will lead t
- Only 2022 KCPE
RECEIPT OF APPLICATION
Only shortlisted candidates will be contacted.
Thank you and we look forward to receiving and reviewing your application.
SECTION A: APPLICANT’S PERSONAL DATA
| First Name: | Middle Name: | |||
| Last Name: | ||||
| Date of Birth: (Attach copy of birth certificate)
DD/MM/YYYY |
Gender: | Male Female | ||
| Mobile No.: | Alternative Mobile No.: | |||
| Do you have a disability? | Yes | No | If yes, please use the space below to give a brief explanation.
(Attach copy of medical certificates) |
|
| How did you hear about the Jubilee Insurance Children’s Fund scholarship? | ||||
| Physical Address
County: Location: |
Sub-County: Sub-Location: |
Ward:
Nearest Landmark: |
||
SECTION B: ACADEMIC INFORMATION
| Name of Primary School Attended: | |
| Postal Address: | Postal Code: |
| Telelephone/Mobile No.: | Alternative Mobile No.: |
| Physical Address
County: Sub-County: Ward:
Location: Sub-Location: |
|
| KCPE Index No.: | KCPE Marks: |
| (Attach copy of results slip or one provided by the Headteacher of your former school with his/her certification) | |
| Secondary School admitted to: | |
| (Please attach copy of admission letter to a public secondary school and bring the original to the interview) | |
SECTION C: SIBLING INFORMATION
Please list all your brothers and sisters starting with the oldest and state what each one is doing. (If married, state,If working, describe job. If in university, state it. If in school, state the form or class. If in training, describe it.
| NAME | MALE/ FEMALE | AGE | OCCUPATION | INSTITUTION/SCHOOL | MARITAL STATUS |
| 1. | |||||
| 2. | |||||
| 3. | |||||
| 4. | |||||
| 5. | |||||
| 6. | |||||
| 7. | |||||
| 8. |
SECTION D: PARENTS’ INFORMATION
| MOTHER OR GUARDIAN 1 | FATHER OR GUARDIAN 2 | |
| First Name: | ||
| Last Name: | ||
| Telephone Number | ||
| Married/divorced/separated/single parent/widowed:
(Describe as appropriate) |
||
| Alive or deceased?
(If deceased, give date and attach death certificate) |
||
| Country of citizenship:
(If not Kenyan, state nationality) |
||
| National ID Number:
(Attach a copy) |
||
| Where do you work? | ||
| Name of employer: | ||
| Physical address of place of employment (Town, estate, nearest public landmark e.g. school, church, mosque, hospital) | ||
| Permanent physical home address (Town, estate, nearest public landmark by name and exact location to the residence e.g. school, church, mosque, hospital). | ||
| To be signed by the parent or legal guardian where parents are deceased. Any documents that can prove legal guardianship should be attached. Please sign below, accepting that you have read through this application in detail and can confirm the accuracy of the information provided. | ||
| Signature: | ||
| Date: | ||
| Last Name: | First Name: |
| Other Names: | |
| School Name: | |
| School Code Number: | |
| Office Phone: | Mobile Phone: |
| Permanent physical address (State, town, estate, nearest public landmark to the school e.g. church, mosque, hospital) | |
| Postal Address: | County: |
| Email Address: | |
| School type:(Mark all that apply)
Public Private Religious Boarding |
|
| If other, please explain | |
| Why would you recommend this applicant to the Jubilee Children’s Fund scholarship program?
(Please comment on the applicants conduct, special interests, talent, and/or disability status) |
|
| Kindly provide current and active postal code and address for the school, physical letters of acceptance will be sent via the address provided. | |
| Please sign below, accepting that you have read through this application in detail and can confirm the accuracy of the information
provided. |
|
| Signature: | Date: DD/MM/YYYY |
SECTION F: RECOMMENDATION OF DISTRICT OFFICER, CHIEF, PRIEST, PASTOR OR IMAM
| Last Name: | First Name: |
| Other Names: | |
| Office Phone: | Mobile Phone: |
| Permanent physical address (State, town, estate, nearest public landmark to the school e.g. church, mosque, hospital) | |
| Postal Address: | County: |
| Email Address: | |
| Please sign below, accepting that you have read through this application in detail and can confirm the accuracy of the information
provided. |
|
| Signature and Rubber Stamp: | Date: DD/MM/YYYY |
SECTION G: DECLARATION APPLICANT’S DECLARATION
I, declare that the information given above is true to the best of my knowledge and I am aware that giving false representation will mean that my application will not be considered and will lead to automatic disqualification.
I authorize Jubilee Children’s Fund or its representatives to obtain such additional information concerning my educational
program and financial records as needed to complete this scholarship application.
I also authorise Jubilee Children’s Fund and its representatives to communicate and release information to others who are involved in making decisions relating to my educational plans including and not limited to my previous and future schools.
In the event I win the scholarship, I commit myself to working hard and posting excellent results throghout my secondary school course.
Signature: Date: DD/MM/YYYY
PARENT’S/GUARDIAN’S DECLARATION
I confirm that the above information is true to the best of my knowledge and I am aware that giving false representation will mean that the application will not be considered and will lead to automatic disqualification.
On behalf of my child, I authorise Jubilee Children’s Fund or its representatives to obtain such additional information concerning this applicant as needed to complete this scholarship application.
I also authorise Jubilee Insurance and its representatives to communicate and release information to others who are involved in making decisions relating to this applicant’s educational plans including and not limited to their previous and future schools, referees named in this form and the Ministry of Education.
Parent/Guardian Name:
Signature: Date: DD/MM/YYYY
NB: If a family is found to have misrepresented their circumstances, the scholarship will be terminated and they will be required to refund fees paid.
JUBILEE INSURANCE LIMITED
Jubilee Insurance House, Wabera Street,
P.O. Box 30376 – 00100 GPO, Nairobi, Kenya Tel: +254 20 328 1000
Call Centre: +254 709 949 000 Email: [email protected] www.jubileeinsurance.com
