Path Bursary Application Form

Download as pdf or txt
Download as pdf or txt
You are on page 1of 2

MINISTRY OF LABOUR AND SOCIAL SECURITY

PROGRAMME OF ADVANCEMENT THROUGH HEALTH AND EDUCATION (PATH)

Bursary Application Form


Read carefully and complete all sections of this form as applicable

Section A- CONTACT INFORMATION

First name: __________________ Middle Name: ___________________ surname __________________

Sex: M F Age: ________ DOB: dd____/mm_____/yyyy_________


Nationality: ___________________________ Family Number (PATH #) : ______________________________
Parish of birth _________________________
Address ______________________________________________________________________________
_____________________________________________________________________________________
Mailing Address (if different from above):
____________________________________________________
_____________________________________________________________________________________

Home number: (876)_______-________ cell: (876)_______-________

Email Address: _________________________________________________________

Section B- DETAILS OF PROGRAMME

Name of Institution you are currently enrolled in _______________________________________________

Course of study: __________________________________________________________

Duration of course of study: ______________________ Current year of study: ____________

Current GPA: ____________

How are you currently being supported with your tuition expenses?

Student Loan  Boarding Grant  Parental Support 

Other (please state) ________________________________________________________________

Section C- YOUR EDUCATION (INCLUDING TRAINING COURSES)

QUALIFICATION LEVEL COUSRE OF STUDY GRADE OBTAINED Institution


(eg. Certificate/CXC)
Name of High school attended _______________________________________

Were you a PATH beneficiary during High school? Yes  No 

Is your family presently on PATH? Yes  No 

Please state why you should be considered for a bursary _______________________________________


_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

Section D- VOLUNTEERISM

List any clubs or societies that you have been or currently a member.

Club _______________________________ position __________________________________

Section E- REFERENCES

Please give the names of two (2) referees (family members are not eligible)

1. Name _______________________________________________

Occupation _______________________________________

Address _______________________________________________________

Home number: (876) _______-________ cell: (876) _______-________

Email Address: ____________________________________________________

2. Name _______________________________________________

Occupation _______________________________________

Address _______________________________________________________

Home number: (876) _______-________ cell: (876) _______-________

Email Address: ____________________________________________________

Applicant signature: _____________________________________

Date of Application: dd____/mm_____/yyyy_________

You might also like