SCHOLARSHIP FORM

Personal Information
First Name*
Last Name*
Gender* Male Female
Age*
Phone Number
Number of Older Siblings*
Number of Younger Siblings*
Who do you live with?* Parents Relative Non-Relative Orphanage Home
Approx. Distance from Home to School*
   
Academic Information
School Name*
School Address*
Your Grade Level*
GPA(Average)*
Attendance% *
Cost of School Supplies*
Tuition Cost Per Semester ($)*
Principal's name*
Principal's Cell/Office Phone Number*
School Registrar's Name*
School Registrar's Phone Number
How can you help YesLiberia?*
How did you hear about YesLiberia?*
   
Please select a question from the list below and write a minimum of 250 words essay on that question.
Select Eassy Topic*
Please write your eassy*
   
Note :-  
1.  Due to the high number of applications we receive weekly, we can only respond to applicants who meet or exceed our requirements.Click here to check our requirements before applying.
2.  All information will be verified by our staff in Liberia. We may ask you to submit additional hardcopy documents such as report cards, copy of student ID, etc...
  I agree to the Terms of Service :  

Tuition Assistance

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$50  
$75  
$100  
$200  
$500  
Other $


Meals/Cloths/Shoes

$25  
$50  
$75  
$100  
$200  
$500  
Other $


School Supplies/Uniforms

$25  
$50  
$75  
$100  
$200  
$500  
Other $




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