FOR SCHOOL USE ONLY
Entering Class: _________
Award Terms: __________
Schol: _________________
ST. GEORGE'S UNIVERSITY
GRENADA, COMMONWEALTH JUBILEE
SCHOLARSHIPS
STUDENT’S INFORMATION
1. Your Name: Mr., Mrs., or Ms.
2. Your permanent address:
_____________________________________________________________
_________________________________________________________________
3. Your address while in school
_____________________________________________________________
4. Phone number: ______________________________________________ 5. Date of birth: ____/____/____
ID number: A00_______________________________ Email: _____________________________________
6. Country(ies) of citizenship:
_____________________________________________________________
7. Country(ies) of legal residence: ____________________________________________________________
8. Country you have resided for previous 12 months: _______________________________________
9. SGU Degree Program: ________________________Date Admission Application Submitted:_____________
9. Admission Status: _________________________
.
NAME: _____________________________
STUDENT ID NUMBER: AOO______________
Program Description
Sixty full tuition scholarships will be awarded to Commonwealth citizens under the St. George’s University, Grenada,
Commonwealth Jubilee Scholarship Program, which has been launched to commemorate the sixty years of the Queen
as the Head of the Commonwealth.
The scholarships cover both graduate and undergraduate degree programs and will be offered to 10 students pursuing
the Master of Public Health (MPH) program; 15 for the Master of Business Administration (MBA) program; 15 for the
Arts and Sciences bachelor degree program; 10 for the five or four year Doctor of Veterinary Medicine (DVM) degree
program; and 10 for the five or four year Doctor of Medicine (MD) degree program.
This scholarship program seeks to make tertiary education possible for top scholars in Commonwealth countries who
might otherwise be unable to attend university. Preference will be given to students from developing countries and
small states. Recipients will be required to return to their home countries and put their acquired education and skills to
good use.
The award determinations will be made by the University’s Commonwealth Jubilee Scholarship Committee based
primarily on academic excellence, financial need and the student’s commitment to the chosen discipline. We seek to
nurture and encourage students of superior academic caliber to strike out and impact the development of industry and
healthcare in their home country.
Application and Award Procedures
Students must have an offer of acceptance from St. George’s University into the program of their chosen discipline.
Students must also have a financial plan in place to fund living and travel expenses through their own personal
resources or alternative funding sources. The fully completed and signed scholarship application, with essay, should
be sent to:
St. George’s University, Grenada, Commonwealth Jubilee Scholarship Committee
Attn Allison Enoch
St. George’s University, c/o USS, LLC
3500 Sunrise Highway
Building 300
Great River, NY 11739 USA
or
Fax: +1 631-665-8623 Attn Allison Enoch
DEADLINES: June 1 for class commencing in August
November 1 for class commencing in January
Essay: How will you use this award to benefit the development of your country? 500 words
Scholarship applications will be reviewed and award determinations made in a timely manner. Award letters will be
mailed to the home address and to the student’s St. George’s University email address. Students should monitor their
St. George’s University email address as well as their private email address for notifications and updates.
Eligibility
1) Awards will only be made to resident citizens of Commonwealth countries.
2) Scholarship candidates must be accepted to St. George’s University.
3) Applicants must be able to fund their living and travel expenses through their own personal resources or alternative
funding sources.
For additional information email [email protected]
For Office Use Only
Date received
Date reviewed
Award
Status
Notices
NAME: _____________________________
STUDENT ID NUMBER: AOO______________
Complete all questions that apply to you and your family on this application. Even
independent and older students must supply information and documentation about
themselves and their families. All figures must be in US dollars (USD).
STUDENT'S INFORMATION
1.
During the past year:
a. How did you support yourself? _______________________________________________
b. How much money did you earn? $____________________________________________
c. What was your occupation?__________________________________________________
2.
List the types & amounts of outstanding educational & commercial debt you have already incurred and amount of
unpaid balance.
Type
Unpaid Balance
$
$
3.
4.
5.
Have you ever declared bankruptcy or defaulted on loan?
 Yes  No
During the past year, January--December, how much of your household income (before taxes) came from the
following source?
a. Father's work:
USD$_______ e. Family business:
b. Mother's work:
USD.$_______ f. Family real estate holdings:USD$_______ j. Government assistance:USD$_______
c. Your work:
USD.$_______ g. Pension/annuity/retirement: USD$_______ k. Other (explain):
d. Spouse's work:
USD.$_______ h. Other household members: USD$_______
Do you and/or your spouse own a home?
USD$_______ I. Interest or dividends:
Yes No
USD.$_______
USD.$_______
______________________________
(if yes, complete a-d below)
a. What year was it purchased?__________ c. How much do you still owe on the purchase price?
USD.$_________
b. What was the original purchase price? USD.$_________ d. What is the present market value? USD.$_____________
6.
Please list the value of your assets (if applicable):
In what country are they located?
a. Land and other buildings (other than home): USD$___________
_________________________________________
Annual income produced:
USD.$___________
_________________________________________
b. Savings:
USD$___________
_________________________________________
c. Money owed to you by others:
USD$___________
_________________________________________
d. Other (explain):______________________________________
7.
_________________________________________
Do you own an automobile(s)? Yes No
If yes, complete a and b for each automobile
a. Make (Nissan, Ford, Toyota, etc.):_____________________________________ b. Year of manufacture:_____________
a. Make (Nissan, Ford, Toyota, etc.):_____________________________________ b. Year of manufacture:_____________
8. List agencies/foundations/governments/private companies to which you are applying for financial aid, excluding St.
George's University:
Agency/Foundation/Government
Application Date
NAME: _____________________________
Award Notification Date
Expected Amount in US$
STUDENT ID NUMBER: AOO______________
PARENT'S INFORMATION
1.
What is your parent's current marital status?
Married, both living
 Separated/Divorced
Father living/Mother deceased  Mother living/Father deceased
Father's name:
___________________________
Mother's name: ______________________________________
Address:
___________________________
Address: __________________________________________
_________________________________________
________________________________________________
Occupation/Title: ___________________________
Occupation/Title: _____________________________________
Employer:
Employer: __________________________________________
______________________________
Number of years with employer:
Annual Income:
____________
Number of years with employer_________________________
USD$______________________
Annual Income: USD$________________________________
2
How many persons, including yourself, depend on the income of your parents for daily living expenses? ________
3.
Family Member's Listing. Do not give information about yourself.
Full name of family member
Age
Relationship to
you
Occupation or school
Tuition and
fees
Room and
board
Amount of
parent's
contribution
Scholarship
and gift aid
During the past year, January--December, how much of your parent’s household income (before taxes) came from the
following source?
4.
5.
a. Father's work:
USD$_______ e. Family business:
USD$_______ I. Interest or dividends:
b. Mother's work:
USD.$_______ f. Family real estate holdings:USD$_______ j. Government assistance:USD$_______
c. Your work:
USD.$_______ g. Pension/annuity/retirement: USD$_______ k. Other (explain):
d. Spouse's work:
USD.$_______ h. Other household members: USD$_______
Do your parents own their own home?
Yes No
USD.$_______
USD.$_______
______________________________
(if yes, complete a-d below)
a. What year was it purchased? __________ c. How much do they still owe on the purchase price? USD $_________
b. What was the original purchase price? USD.$________ d. What is the present market value? USD$_________
6.
Please list the value of your parent’s assets:
In what country are they located?
a. Land and other buildings (other than home): USD$___________
_________________________________________
Annual income produce:
USD$___________
_________________________________________
b. Savings:
USD$___________
_________________________________________
c. Money owed to them by others:
USD$___________
_________________________________________
d. Other (explain):______________________________________
7.
Do your parents own an automobile(s)?
Yes No
_________________________________________
If yes, complete a and b for each automobile
a. Make (Nissan, Ford, Toyota, etc.):_________________________________________ b. Year of manufacture:_________
a. Make (Nissan, Ford, Toyota, etc.):_________________________________________ b. Year of manufacture:_________
We declare that the information on this form is true, correct, and complete. St. George's University has our permission to
verify the information reported by obtaining documentation when needed. WARNING: Providing false information may
result in the University revoking its initial decision to enroll this student.
STUDENT'S SIGNATURE _____________________________________________________
DATE
____________________
SPOUSE'S SIGNATURE _____________________________________________________
DATE
____________________
FATHER'S SIGNATURE
_____________________________________________________
DATE
____________________
MOTHER'S SIGNATURE _____________________________________________________
DATE
____________________
NAME: _____________________________
STUDENT ID NUMBER: AOO______________