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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