© KEW Gees) Sl S EAC SCHOLARSHIP PROGRAMME SCHOLARSHIP APPLICATION FORM Important 1. PRON OND Applications must be received by 22"! October 2020. Applications received after this date will not be considered. All relevant sections must be accurately and dully completed. Applications lacking any of the supporting documents will not be considered. Supporting documents should be submitted in pdf format to specified email addresses. Applicants may apply to more than one University and more than one programme. However each programme should have its own application form and attachments. Only the first submission for each programme will be considered Only successful candidates will be contacted. Female applicants are encouraged to apply. This programme will include a minimum of 30% female students and a special consideration will be given to South Sudan female applicants. All applicants should adhere to the immigration requirements of their potential host countries. Application process To apply for this Scholarship, interested candidates are advised to proceed as follows: Application for admission to the university; Step 1: Identify the programme and University of their choice from section 4 above that contains Eligible Programmes; Step 2: Fill the application form for admission to your university of choice (this can be found on the university website); ‘Step 3: Submit the completed university application form and its supporting documents to the university indicating that you intend to apply for the EAC Scholarship Programme. Page 1 of 9 Version 2: 2020Application for the EAC Scholarship Programme Step 4: Register online to express your interest in the EAC scholarship (find the link https://bit.ly/3jj0n69 ). Step 5: Download the scholarship application form from the IUCEA website and fill it. ‘Step 6: Submit both 1) the scholarship application form and its supporting documentation (see section 7 below) and 2) the university application form and its attachments electronically to; Y [email protected] and ¥ [email protected] indicating the subject line as; YOUR NAME, PROGRAMME APPLIED FOR AND UNIVERSITY e.g. Tsavo Simba, MBA at Adroit University Notes: (1) Where universities have an online application system, please complete this online application form then send the scholarship application form and attachments to the specified email addresses. Please ensure that you submit both application forms as described in step 6 above. (2) Candidates may apply to more than one University (3) Candidates may apply for more than one programme; however each programme should have its own application form and attachments 41. PERSONAL INFORMATION (as they appear in your passport or national ID) Surname (DIKUMANA Other names Emmanuel Gender ale Nationality Rwandan Passport or National ID Number _|!!99480015746004 Country of residence wanda 21/3/1994 Date of birth Postal address Physical Address (if different from above) Telephone number(s) (include country code) *250787966536 Email address ‘[email protected] [Alternative email address fidikumanaemmanuel34@apmail_com Version 2: 2020 Page 2 of 9| Are you able to pay for your-self for the programme that you are applying for? No If unable to pay for yourself, why? Because, I am jobless, poor and I can’t afford tuitions and all financial requirements for Masters programme, indeed all my previous studies I relied on Government if not, I couldn’t complete even ordinary level. During your undergraduate studies did you miss classes and orexams due to lack of fees/tuition? jo, Because I was sponsored by Government of Rwanda, If yes, how did you cope or solve the problem? Do you have any disability? If yes, kindly describe and provide evidence (such as a medical report): Are you entitled to any form of inheritance from your Parents/Guardians/any other source? If yes, describe: Do you currently have any dependents? State how many ‘es, Three (3) dependents including my parents who are poorly old. What is your average income per month (USD) Currently T get 708 per month What is your source of income in the question above From Professional internship of 6 months period renewed from August 2019 up to date. What would be the following groups contribution towards your studies; Version 2: 2020 Parents(USD) (08) Family and community f (08) members(USD) Parents’/Guardians’ information Indicator (Specify) 2 ¥ Father CV Mother CO Male guardian Female guardian Names of your parents/guardians SADIKT Fateme {UKABANDORA Domithile Page 3 of 9[Telephone contact of — your|°250785390286 No parent/guardian Citizenship of your [Rwandan Rwandan parents/guardians ‘Age of your parents/guardians 58 Years [60 Years Education level of your Primary (P6) Primary (P3) parents/guardians Does any —of__—your No 0 parents/guardians suffer from chronic disabling medical. condition? Describe and Provide evidence (such as medical report): Are your _parents/guardians No 0 employed? Give details of job and salary per month: No Do your parents/guardians own a No business? Describe and show the average monthly income: Do your parents/guardians own small land about (below 1 Small land about (below 1 land/plot? State number of acres, hectare) used for food crops, hectare) used for food crops, no type of crops grown, number of M0 cows, and 2 goats. cows, and 2 goats. cows/sheep/ goats/donkeys and income from such assets: Yes my Father used to sell |No, she doesn’t work any food crops (potatoes, income related business, -assava) using Bicycle from mne market to another. He an earn 30$ per month Do your parents/guardians have any other assets or sources of income, including casual labor? Indicate the approximate monthly income: Family information Indicator | Description During your lifetime have you or Ves, my family was displaced and left everything from your family been affected by civil Eastem Province and moved towards Souther province from| conflict and natural disasters such 1994 till today, this was caused of 1994 Genocide against as displacement, flooding, drought, Tutsi in Rwanda. fire or famine? Describe: What type of house do you live in? |It isa small house not cemented and covered by shingles. describe such as grass thatched, Photo is herewith attached iron sheet, cemented etc (Please attach a photo) Page 4 of 9 Version 2: 2020Please describe any other cause of disadvantage or vulnerability? f life to bring change in my family. [My entire family of 10 members both are not educated, they oth live in poverty and struggling for life, only me (8"") who fought for education at Bachelor's degree to carry that burden| 2. MASTER’S PROGRAMME DETAILS a. Country you are applying to Kenya b. University Applied to babii University Applied for Master's Programme(s) (Masters of Science in Human Resources Management 3. ACADEMIC QUALIFICATIONS (Educational background) Beginning with the most recent institution, list all universities and colleges attended and qualifications obtained: Version 2: 2020 # | University/colleg | Dates Degree/dipiom | Specializatio |CGPA_ or| Out of th e, Country aobtained, and|nofdegree equivalent | highest oy or diploma at the end) attainabl (eg. BSc. 2"/(eg. BSC in [Othe | grade/ Start | Finish | 99° 7 programm | CGPA class - upper) ..) : division orequivalent) 4 [University of Rwanda {15/9/2015 {8/11/2019 [BBA.2™Class_ BBA in Human [72.55 100 ‘ollege of Business fonors, Lower fesources jand Economics Division lanagement Rwanda 2 3 4 5 6 | Page 5 of 94, EMPLOYMENT HISTORY Please summarize your three most recent positions, employment or gainful engagements. Security Board # |Institution | Dates _| Position Key achievements held this position 4 [Rwanda Social 1/8/2019 [Professional| Interns Coordination High performance led to jo date [internship + preparation of reports, + Managing -orrespondences working with mentor renewal of contract. reporting skills L achieved in use software in IRM activities. and state key roles ani 5. MEMBERSHIP WITH PROFESSIONAL BODIES List up to two professional societies or other organizations in which you hold/held membership id impacts (if any) you had on them. # |Professional society | Key role! | Key achievements/impact | Dates or organization responsibility 4 [AFSAE) Affican Society [ust amember, ‘Association management From May jof Association Executives attending summits, Volunteerism 2019 up to And learning from} community development [ate feiven speakers 6. STUDY LEAVE FROM HOME ORGANISATION (for those who are employed) Version 2: 2020 Page 6 of 9Will you require study leave from your | - current employer? If yes, will you be able to acquire study | - leave if given the scholarship? If yes, give contact details of the] Name: person who can confirm your release | Position: Mobile no.: for the Masters study Name of organization: Email address: Alternative email address: 7. REFEREES Please provide the following information for two referees who can provide information on your qualifications and experience (professional & academic) and attach their reference letters to your Physical Address application. Referee 1 Referee 2 Title and Name IKABERA M BICAKUNGERI Gorett jean Claude Position irector of Human | Lecturer at ‘esources iniversity of Administration [Rwanda Unit Institution/Organization Rwanda Social iniversity of Security Board — Rwanda RSSB) ‘igali Rwanda igali Rwanda Email address 1 “oretti,kabera@rss [[email protected] Alternative email address Office telephone number Mobile phone number (+250)786 159395 (+250)788466473 How long have you known this referee? fl YEAR (from years from 2017 Version 2: 2020 ugust 2019. Whatis his/her academic/professional relationship to |My Internship ly Lecturer at you? Supervisor (Mentor)University Page 7 of 98. NEXT OF KIN Please provide the following information for next of kin who is able to provide information about you and is able to locate you in case we cannot reach you. Name : NYANGEZI Etienne Relationship: Brother Telephone contact (+250)785704213 Email address [email protected] Physical Address ‘igali Rwanda How long have you known this person? My lifetime ( from 2000) 9. OTHER INFORMATION Any other information in support of your application (200 words maximum) As | stated in above statement, | am the only one in a whole family who fought for my dreams of being educated and bring change in family. It wasn't easy to step in, from my primary studies | had many obstacles which could bring me down but | never gave up. | studied in free schools (no school fees education for all) but | strived to get the scholarship for University and finally | succeeded At University | worked hard to acquire needed skills to reach my dreams, from level 1 up to level 4, 1 never went below the average of 70% in all semesters. My performance gave another opportunity of getting Professional internship in recognized organization as Rwanda Social Security Board before I graduate. (In August 2019) which was for 6 months but after realizing my performance needed more experience and profitable to organization they chose to extend the contract for other 6 months. To all that | stated above, | humbly wish to pursue my studies to another level to reach totally to my dreams of my carrier development and this can only be reached through getting this Scholarship. 10. DECLARATION | declare that the above information is true and correct to the best of my knowledge. | acknowledge that any falsehood provided in the above information forms grounds for immediate disqualification of my application Name of applicant: NDIKUMANA Emmanuel =o Signature: Date: 15/10/2020 Page 8 of 9 Version 2: 202011. SUPPORTING DOCUMENTS. Please ensure that you have attached the following documents a) Signed curriculum vitae b) Certified copies of all university degree certificates and transcripts. Please combine into one file. If necessary, you may zip the file to make it smaller for uploading. ©) Applicants with academic qualifications obtained from foreign institutions must be equated by the National Council/ Commission for Higher Education in their respective Partner State. 4) Applicants with supporting documents (transcripts, certificates among others) in languages other than English are required to submit both the originals and copies translated to English language by an accredited language translations provider. e) Recent passport photograph in colour of your full head and upper shoulders. f) Evidence of Nationality of a Partner State in the East African Community such as copyof national identity card/ passport/birth certificate g) Any other form of evidence required in the application form e.g. medical reports, photos and letters of reference. h) A motivation letter. The deadline for receiving applications is 22" October 2020, not later than 17:00 hours East African Time. Only successful candidates will be contacted after the selection process is complete. Page 9 of 9 Version 2: 2020Cerca females aa oa: Nana)