SCHOLARSHIP APPLICATION FORM

If you are neither a Singapore citizen nor a permanent resident of Singapore, please contact us at uwcsingapore@gmail.com before applying.

The purpose of this application form is to enable the selection committee to get to know you better. We appreciate thoughtful and mature responses, and would encourage you to take the time to come up with answers that best represent you as a person and why you want this scholarship. Academic performance is part of the criteria, but not the only basis for selection. Please include the results of either your end-of-year or preliminary examinations (whichever is most recent). However, if you have not received them yet, please submit your results from the previous year. If you enter the next stage of the selection process, we will ask for original copies of your most recent results for verification.

Understanding the Application Form

End-of-Year Results

The Essay
The Essay component will allow you to express your views on issues that you are passionate about or have academic thought over. While the format is entirely up to you, the length of the essay will be restricted to one A4 sheet, double-sided. A maximum of three pages of additional information, certificates or testimonials will be accepted. Any material beyond this will be discarded and not taken into account in the selection process. Please include your name at the top left hand corner of each supporting document. Closing date of applications for the 2014 intake is 16th December 2013 (Monday). Please submit your application form, your essay, supporting documents (if any) and results slip either as soft copies via email to uwcsingapore@gmail.com, or as hard copies via mail to: The Chairperson UWC Scholarships Selection Committee C/o United World College of Southeast Asia Pasir Panjang PO Box 15 Singapore 911 121 Visit our page: www.uwcsingapore.tumblr.com or feel free to email us and we will get back to you as soon as possible.

Supporting Documents (Optional)

Closing Date Submission

Questions?

All the best and we look forward to your application!

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Personal Particulars
Ouch Theng Male Name: ______________________________________________ Gender: _____________

Photo

20-Feb-1988 Khmer Khmer Date of Birth: ______________________ NRIC: ______________________ Nationality: _____________________ (Please indicate if you are a Singapore PR) Address: #21, Street 201, Sangkat Phsar Doeum Thkov, Khan Chamka morn, Phnom Penh _____________________________________________________________________________________________

Cambodia _____________________________________________________________________________________________
ouch.theng@hotmail.com Email: _______________________________________________________________________________________ +85516586376 Phone (Mobile): __________________________ School: ______________________________________________

Family Particulars
Please include all immediate family members in your household. No. 1. 2. 3. 4. 5. 6. Name Relationship to Applicant

1 2 3 4

Chhim Ouch Kann Vy Ouch Theng Ouch Thea

Father Mother 1th Brother 1th Sister

5
6

Ouch Vuthy
Ouch Leng

2th Brother
3th Brother

Ouch Thea (Tel: +855973530580 Name and contact number of parent/guardian: _______________________________________________________
Address of parent/guardian (if different from above): _____________________________________________________

_____________________________________________________________________________
Annual family income (Please select only one of the options below):


< S$36,000 $$36,000-S$60,000  S$60,000 - S$150,000 > S$150,000

Please be assured that this information will be kept private and confidential.

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Academic Record
Present School / Junior College
Present Academic Subjects

Past Secondary School

Grade at GCE O-level / Preliminary Exams
(Please enclose a copy of your results slip)

(Please enclose a copy of your results slip)

National University of Management

Bachelor Degree of Computer Science

Bac II Diploma

Chinese Secondary School

Are you presently holding a scholarship or planning to apply for one? If so, give details.

I am planning to apply for UWC Singapore Scholarship. I expected to pass this scholarship to continue my education in future. This opportunity is the most wonderful for me to bring my knowledge to develop my country.

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Activities Record
Where applicable, please indicate the level of your involvement and positions of responsibility held. Uniformed/Youth groups

Clubs/Societies

Artistic/Musical interests

Social/Community work

Which activity has been most meaningful to you and why?

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Miscellaneous Questions
This section is meant to stimulate your thought process, which will help in the development of your response for the essay section. For this reason, we recommend doing this section before the essay. Please limit your responses to 100 words per question. 1. Do you already have a university course or career in mind? If so, give details.

2. Have you travelled abroad before? If so, give details.

3. If you answered yes to the previous question, how has travelling abroad impacted you or your formative growth?

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4. Mention any special interest, hobby or achievement, which you would like the selection panel to know about.

5. In what way do you see yourself as an engine for change?

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Essay
This final component of the application provides an opportunity for you to give us a clearer sense of you as an individual. We encourage you to write about something of direct importance to you. Please restrict yourself to no more than two (2) sides of 1 sheet of A4-sized paper. The essay can be either handwritten or typewritten. In your essay, you may choose to answer the following guiding questions: " " " " Is there a particular person or experience that has inspired or influenced you to be who you are today? Why do you want to go to a UWC? What qualities would you be able to contribute to a UWC? What are your plans for the future? How would a UWC education be conducive to or factor into that?

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Parent/guardians Endorsement
I have read the information sheet on the first page and I understand the selection criteria for the UWC scholarship. This application has been made with my full knowledge and approval, and the facts as given in the form are, to the best of my understanding, true and accurate. The selection committee has the right to verify this information.

Name of Parent/Guardian: ___________________________________ Relationship to Applicant: ______________

Signature: _____________________________________________ Date: __________________________________

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Census/Review
The following questions are solely for research purposes and will only be looked at the end of the application process. Although this section will not affect the outcome of your application, we would appreciate your time in responding with detail and honesty. 1. Apart from your first and second languages, what other languages do you speak and write?

2. What is your religion or belief system?

3. What occupation(s) do your parent/guardian(s) hold? Parent/Guardian 1: Parent/Guardian 2: 4. Does either of your parent/guardian(s) hold a university degree? Yes No 5. How did you find out about UWC? (You can tick more than 1 box)

School (Presentations) Centralized Presentations, Programmes / Short-courses Social Media (Facebook, Tumblr, etc.) UWC Singapore Website Posters Word of Mouth Others: ______________________

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6. Have you come across any form of print or published advertising on UWC (Colleges, movement or scholarships)? Yes No
(If yes, please ensure you have ticked the appropriate boxes in the previous question accordingly)

If you selected No, what do you think wouldve been an effective platform to reach out to you or others like yourself?

7. When did you find out about UWC (movement and/or scholarships)?

8. Are you active on Social Media platforms such as Facebook and Tumblr? If so, do you think its an effective means of reaching out to the youth of your generation? If not, what other modes of communication do you use most?

9. State your three most important reasons why you are applying to UWC.

10. State any other options (of educational institutions) that you had to choose from, if any, and explain how UWC compared to those options.

11. If you were awarded this scholarship, in what way do you see yourself returning to Singapore and giving back to the National Committee?

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Singapore National Committee

Submission Reminders
Deadline: 16th December 2013 (Monday) Completed application forms are to be submitted in the following order: 1) 2) 3) 4) Application Form Essay Supporting Documents (if any) Results Slip

By mail: The Chairperson UWC Scholarships Selection Committee C/o United World College of Southeast Asia Pasir Panjang PO Box 15 Singapore 911 121

By email: To: uwcsingapore@gmail.com Subject: Application (Your full name)

*All scanned supporting documents are to be included along with the Application Form and essay, into one single PDF document. If you are unable to insert your photo into this document, please include it at the back of the abovementioned PDF as well.

Thank you for your application.

To find out more, please visit: www.uwcsingapore.tumblr.com

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