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M-K-D Foundation Scholarship Application
Please complete and submit application by June 1st, 2020 (Please submit only one application). After completing application email
mkdfoundation1@gmail.com
with copies of your SSCE/WASSCE or University Transcripts and one page personal essay.
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* Indicates required question
Email
*
Your email
Which Scholarship are You Applying For?
*
Dr. Hayford Emmanuel Kodzo Dzodzomenyo Scholarship
Victoria Gbagbey Nartey Educational Support Scholarship
Required
How did you hear about the scholarship?
Your answer
Student Name
*
First and Last name
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Female
Male
Student Phone Number
*
Your answer
Address (city and region)
*
Your answer
Are You Willing to become a MKD Foundation Ambassador?
*
Yes
No
Family Information
Mother's Name
*
Your answer
Mother's Occupation
*
Your answer
Father's Name
*
Your answer
Father's Occupation
*
Your answer
How many siblings do you have?
*
Your answer
Academic Information
Name of Senior High School
*
Your answer
University of Acceptance/Attendance
*
Your answer
Area of Studies
*
Your answer
Academic Person of Reference
i.e. Teacher or Professor
First and Last Name
*
Your answer
Email
*
Your answer
Profession/Occupation
Your answer
Phone Number
*
Your answer
Character Person of Reference
i.e. Religious Leader
First and Last Name
*
Your answer
Email
*
Your answer
Occupation/Profession
Your answer
Phone Number
*
Your answer
Send me a copy of my responses.
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