Applicants Statement Form Dec 2015

The Education for Sustainable Energy Development Scholarship

PLEASE TYPE CLEARLY

Applicant's Statement Form

(p. 1 of 2)

1

First name _{Date of birth (YYYY-MM-DD)} Middle name(s)

Please provide brief answers to all of the following questions within the

limits provided

.

The total must be 2 pages maximum

.

2

How is your program of choice related to sustainable energy development?

3

Why do you want to study in this sustainable energy development program? If your program has various modules, please indicate and describe the module you will take.

4

In what ways are your qualifications outstanding?

Applicant's Statement

Form

(p. 2 of 2)

5

What kind of volunteer activities related to sustainable energy development have you performed in your school, work, or community? List each of your experiences in point form.

6

Upon return to your country at the end of your studies, in what specific activities related to sustainable energy will you wish to be involved in to benefit your country and/or community?

7

Indicate your commitment to return to your country

YES

□

NO

□

8

Your signature confirms the accuracy of the information provided in this application form. Typing your name on the line below will be considered a signature.

Signature of Student

Date (YYYY-MM-DD)