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    Application Form

      SECTION 1: APPLICANT’S INFORMATION

      Applicant’s Name*

      Sex*

      Date of Birth *

      Place of Birth *

      Country of Birth*

      Current Address*

      Residing in Belize since*

      Contact Number*

      E-mail Address*

      Are you a first-time applicant*

      Birth Certificate*

      Yearly report cards for Std 4, 5, and 6*

      SECTION 2: FATHER’S INFORMATION

      Father's Full Name

      Place of Birth

      Living/Deceased

      Current Address

      Contact Number

      Occupation

      Annual Income

      Name of Employer

      Employer’s Business Address

      Employer’s Contact Number

      Father's proof of income*

      Doc Type:

      SECTION 3: MOTHER’S INFORMATION (if applicable)

      Mother's Full Name

      Place of Birth

      Living/Deceased

      Current Address

      Contact Number

      Occupation

      Annual Income

      Name of Employer

      Employer’s Business Address

      Employer’s Contact Number

      Mother's proof of income:

      Doc Type:

      SECTION 4: LEGAL GUARDIAN (To be completed if unable to complete Section 2 or 3 above)

      Full Name

      Place of Birth

      Living/Deceased

      Current Address

      Contact Number

      Occupation

      Annual Income

      Name of Employer

      Employer’s Business Address

      Employer’s Contact Number

      SECTION 5: OTHER DEPENDENTS

      # of children depended on parents/guardian(apart from the applicant)*

      Ages

      # of children depended on parents/guardian who are enrolled in an educational institution: *

      Have any of your siblings received a BTL/Digi Scholarship or Grant?*

      If YES, please provide the full name(s) of the child(ren): *

      In the lines provided below, kindly indicate at least 3 educational institution of choice and place a check mark beside the school that has accepted you.*

      SECTION 6: CERTIFICATION OF PARENTS/GUARDIAN


      I, , certify that all information stated on this form is accurate and correct. I fully understand the conditions under which Digi’s Student Grant Program is awarded. I am willingly submitting the requested requirements and I am prepared to abide faithfully by them. I confirm that the educational institutions listed are my child’s choice (in order of preference) which he he/she would like to attend.

      Father’s Signature*

      Date*

      Mother’s Signature*

      Date*

      Guardian’s Signature*

      Date*

      SECTION 7: CERTIFICATION OF PRINCIPAL


      I, , hereby confirm that the applicant, , is currently attending in the District, Belize and based on his/her record is very likely to be promoted onto the next level.

      As Principal of , I hereby recommend the applicant to be awarded a Digi Scholarship for the following reasons:

      Principal’s/Dean’s Signature*

      Date*

      SECTION 8: ADDITIONAL REASONS FOR SCHOLARSHIP CONSIDERATION

      Please include a written explanation if you believe that there is a special circumstance concerning your application that you would like the committee to consider when reviewing your application.

      Please allow a few moments for application to be submitted after you have clicked the Submit button

      Date*

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      Have questions?

      We got answers!

      Digi has established and successfully operated a secondary school scholarship program as a part of our commitment to the development of Education in Belize

      Students entering high school for the first time can apply for a Digi Scholarship.

      Students who are awarded a scholarship receive FREE tuition and new textbooks.

      • A copy of the applicant’s birth certificate.
      • A copy of the Parents/Guardians Tax TD4 Supplementary slips OR official income statement letter from the Income Tax Department in your district OR letter from employer (necessary for both working parents/guardians where applicable).
      • A copy of the applicant’s yearly report cards for Standard 4, 5 and 6.

      If awarded a Digi Scholarship you are able to attend the school of your choice.

      For more information, kindly contact the Communications Department at prdept@livedigi.com