2015 Sunflower Mission Engineering & Technology Scholarship
Application Form Thank you for applying to the 2015 Sunflower Mission Engineering &Technology Scholarship program. Please complete ALL sections. If you are completing the form by hand, please write clearly using a blue or black pen. The application deadline is 16 October 2015. For more information, please visit the scholarship web page.
1. Personal Information Gender: □ Male
Full name:
Your most recent photo (3”x4”)
□ Female
Date of birth (dd/mm/yyyy):
Contact phone number:
Cell phone number:
Email address: Vietnamese ID number:
Home address:
2. Educational Background Please list briefly in chronologic order and provide a copy of your latest official transcript with this application form In academic year 2015-2016, I am due to complete year ______
Academic Results Name of university
Major (nganh)
Academic year (1/2/3/4/5)
GPA score
Faculty (khoa) □ Electrical and Electronics □ IT/Computer Science □ Electronics □ Electronics & Telecommunication □ Other, please specify: …………………………………………………………
Other Courses/Qualifications/Training (Optional) Courses
From/to (mm/yy)
Qualifications/certificates awarded