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APPLICATION FOR TRENT INTERNATIONAL GLOBAL CITIZEN SCHOLARSHIPS AND AWARDS

Applicants Personal Information (as it appears on official documents)_______________________________ _______________________________ _______________________________
Family/Last name First name Middle name

Female Male Date of Birth: ____/ ____/_________________________________ ______________________________
day month year Citizenship Countryof Residence

Have you applied for these scholarships before? No Yes

I would like to be considered for the following (you can indicate more than one option, if it is applicable to you):Full international scholarships (cover tuition and ancillary fees, room and board)
Tuition international scholarships (cover tuition and ancillary fees)
International Awards (provide partialreduction of tuition fees by $2,000-$5,000CDN)

_______________________________________________________
Which academic program(s) do you intend to pursue at Trent University?

Mailing Address(correspondence will be sent to this address)

____________________________________________________________

___________________________________________
House/Apartment #, Street Name____________________________________________________________

___________________________________________
City/town Province/State Country Postal/Zip Code
(_____)___________________(_____)_____________________ (_____)_________________________
Home Telephone Mobile Telephone Fax
_______________________________________ ___________________________________E-mail address Alternative E-mail address
Financial Information
________________________ ______________________________________ ________________
Father’s Profession...
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