TERTIARY EDUCATION SCHOLARSHIP TRUST

AFFIX ONE
(TEST) FOR GHANA ENDORSED
PASSPORT SIZE
PHOTOGRAPH
APPLICATION FOR SCHOLARSHIP WITH YOUR FULL
NAME BEHIND IT.
(2023/24 Academic Year)

THIS APPLICATION FORM IS FREE AND NO APPLICATION FEES APPLY

THE DEADLINES FOR SUBMISSION OF THE APPLICATION FORMS ARE:
1. CONTINUING STUDENTS (IN LEVEL 200 AND ABOVE APPLYING FOR THE FIRST TIME)
- THURSDAY 31ST AUGUST 2023
2. FRESH STUDENTS (JUST APPLIED FOR THE FIRST YEAR ADMISSION)
- TUESDAY 31ST OCTOBER 2023.
NO APPLICATIONS WILL BE ACCEPTED FROM STUDENTS AFTER THESE DATES.

(Complete all questions using BLOCK letters only. Please note that your application will not be processed if you leave any
questions unanswered)

SECTION A – APPLICANT’S BACKGROUND INFORMATION

1. Full name, as it appears on your documents.

Surname: Other Name(s):

2. Date of Birth (e.g. 20th May 1986) 3. Gender (Female/Male) 4. Student ID #

5. Place of Birth: Village/Town/ City District Region Country 6. Nationality

7. Home Town (This is where you hail/come from): Village/Town/ City District Region

8. School Term Address: (where you reside when school is in session. 9. Permanent Home Address: (where you normally reside with your
Provide details on your hall of residence, hostel, rented accommodation or parents/guardian. Do not provide a post office box number alone but a full
your home address if you will be living at home) address).

District:…………………………… Region: …………………………..

Name of Tertiary institution:
How long have you lived at this address? …………………………
.................................................................................................
Institution’s Telephone #: Personal Email Address (if applicable):
…………………………………………………………………….. ……………………………………………………………………….....
Institutional Email Address: Telephone #: …………………………………………………………
…………………………………………………………………….. Personal Mobile #: ……………………………………………………
…………………………………………………………………….. WhatsApp #. (if applicable): …………………………………………
……………………………………………………………………..

Website: www.testforafrica.org C/O Bureau of Ghana Languages

Email: [email protected] P. O. Box 1851
Page 1
Tel: 0503133975 Accra, Ghana.
10. Address to which correspondence regarding this application should be sent: (The postal address on which you can be
reached)
……………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………

11. Academic Programme of Study (e.g. BA, BSC, etc) 12. Level of Study for 2023/24 14. CGPA; if you are already
academic year (e.g. if you are in enrolled in a tertiary institution
…………………………………………………………………….. level 100 currently, then your level of Or Aggregate if all you have is
Study in 2023/24 would be level 200) SSS/SHS results.
COURSE: (e.g. Agric, Sociology, Maths etc) ……………………
13. Total Duration of your Study (1, 2,
…………………………………………………………………….. ……………………………………
3, 4,...7) years: …………………

15. Please provide the following information on all your siblings. (Use the back of the sheet if necessary)

Education Level (e.g. none,

Surname Other Name(s) Age
primary, secondary, tertiary etc)

16. Applicant’s Schools attended with dates

Who was responsible

Dates of for your education
Full Name of School Town/District/Region Attendance expenses and general
(e.g. 2001-2003)
upkeep at this level?
Primary

JHS
SHS
(Provide full
address)
Tech/Voc Inst.
(Provide full
address)
Other

Website: www.testforafrica.org C/O Bureau of Ghana Languages

Email: [email protected] P. O. Box 1851
Page 2
Tel: 0503133975 Accra, Ghana.
17. Indicate the mode by which you gained admission to the University/Polytechnic.

*Total Aggregate
MODE Year of Examination Candidate Index Number
Score/ CGPA
SSSCE/WASSCE
A LEVEL
Diploma
Matured Students Examination

*NOTE: Use the aggregate that your admission into the University was based on. For Diploma holders provide the CGPA obtained.

SECTION B 1 – INFORMATION ON FINANCES

18. Estimated Expenses for the 2023/24 academic year. (Estimate how much you will need to spend during the academic year. These
expenses should be relevant to your studies only.

Academic Fees (University Approved Fees and Charges) GH¢

Residential /Housing/ Hostel GH¢
Feeding GH¢
Books GH¢
Transportation GH¢
Other (specify) GH¢
Other (specify) GH¢
TOTAL GH¢

19. Indicate below the amount of money that you expect will be available to you from each of the following sources for the 2023/24
academic year.

Personal GH¢
Parents/ Guardian (if you are not employed and do not expect any money from your
parents/guardian, please attach a sworn affidavit from them explaining why they will not GH¢
give you money towards your educational expenses).
Benefactor GH¢
Part-time employment GH¢
Students Loan Trust Fund (SLTF) student loan GH¢
Scholarship (specify: e.g. MPs Common Fund, District Assembly etc) GH¢

Other (specify) GH¢

Other (specify) GH¢
TOTAL GH¢

20. How much funding do you require? This amount is the difference between your total estimated expenses (question18) and what
you expect will be available to you from the sources indicated (question 19).
(The total of question 18 minus the total of question 19) GH¢

21. What type of Financial Support are you seeking? (Tick ONE only)
Full Tuition Scholarship
Partial Tuition Scholarship

Website: www.testforafrica.org C/O Bureau of Ghana Languages

Email: [email protected] P. O. Box 1851
Page 3
Tel: 0503133975 Accra, Ghana.
 SECTION B 2 – INFORMATION ON SPONSORSHIP
22. If you have applied or intend to apply for other types of financial support for the 2023/24 academic year please state:

The type of financial The agency to which application has

Amount Are you already on the support of your
support (e.g. Scholarship, been, or, will be made (e.g. Ghana
(GH¢) stated scholarship?
bursary, student loan) Government, SLTF, MTN)
YES / NO
Student Loan from
a.
the SLTF
b.

c.

23. If you have been promised financial support for the 2023/24 academic year by Body/Organization, Benefactor, or Individual please
provide the details below:

Name and address of the

The amount in financial support (GH¢)
Body/Organization/Benefactor/Individual

a.

b.

24. Provide the name and address of the organization, which has 25. Will the said sponsor continue to provide financial support for
up to date been responsible for your education (If applicable). your education?

26. If YES what is the expected total amount of sponsorship per

year?
GH¢

Website: www.testforafrica.org C/O Bureau of Ghana Languages

Email: [email protected] P. O. Box 1851
Page 4
Tel: 0503133975 Accra, Ghana.
27. If you have limited financial support for the 2023/24 academic year, which of the following options would you prefer? (Tick ONE
only; its either ‘a’ or ‘b’ below)

Financial support paid to the institution directly for your

a.
fees.

Financial support paid to you directly for your fees

b.
and/or upkeep.

SECTION B 3 – FOR STUDENTS WITH DISABILITIES

29. a. What is the percentage of your disability?

28. Do you qualify to receive Government Bursary for disability?
(YES / NO)
b. State type of disability)

30. How much in scholarship do you expect to receive?

GH¢

SECTION B 4 - APPLICANT’S EMPLOYMENT HISTORY (If applicable)

(This section is also applicable to those who worked during the one-year period after SHS and any other long vacation jobs or part time
jobs done)

31. Period of Employment.

32. Name, address and contact information of current or last employer.

33. Will you be on salary during the period of your studies? 34. State your total gross income (Salary and income from other
sources) per year (in GH¢).

35. Will you be expected by your employer to serve a bond after completing your studies?

Website: www.testforafrica.org C/O Bureau of Ghana Languages

Email: [email protected] P. O. Box 1851
Page 5
Tel: 0503133975 Accra, Ghana.
 SECTION B 5 – TO BE FILLED BY APPLICANTS WITH DEPENDANTS
36. Provide the following information on your dependants.

Surname Other Name(s) Age Level of Education Relationship

37. If married, provide the following information about your spouse.

Full Name:
…………………………………………………………… ………………………………………………………………………………………
(Surname) (Other Name(s))
Level of Education Occupation
…………………………………………………………………………… ……………………………………………………………………………
Name and address of Employer.

Annual Total Gross Income (Salary and income from other sources. Attach evidence):
(GH¢…………………………………………………………)

SECTION B 6

38. You may provide additional information to support this application. (Additional paper may be used if required)

39. In no more than 500 words, state why you feel you are eligible for the financial support and how you intend it to contribute
to improve the socio-economic prospects of the country (Ghana). (Submit this essay on a separate sheet)

Please submit every one of the following that are applicable to you (do not send the originals of any of these documents unless
they are addressed to TEST):
 Photocopy of examination results
 Photocopy of admission letter if you have been newly admitted to a tertiary institution
 Evidence of income of parent/guardian.
 Most up-to-date academic transcript
 Applicant’s most current payslip, if applicable.
 Documents/evidence to establish the relationship with siblings and or dependants as the case may be.
 Attach sworn affidavits to support any claims made on this application form.
 Any other supporting documents that you believe will assist in the processing of your application.

Website: www.testforafrica.org C/O Bureau of Ghana Languages

Email: [email protected] P. O. Box 1851
Page 6
Tel: 0503133975 Accra, Ghana.
 40. Have you ever been Charged and/or Convicted of a criminal offence? If so, please state the Charge/Conviction and elaborate on the
circumstances and outcome. (Use an extra sheet if required)

………………………………………………………………………………………………………………………………………………………………

Declaration
It is important that your eligibility for financial support be based upon accurate information.

I do hereby declare that all the information given above is true.

Signature of Student Date

Note: Misrepresentation in any material form renders the application null and void. Any award made based on misrepresentation shall be
withdrawn or refunded by the applicant, and he/she may be prosecuted. The truth, rather than lies, will get you Financial Support.

SECTION C 1 - TO BE COMPLETED BY PARENT/LEGAL GUARDIAN –

(person so far responsible for financing the education of the applicant)

41. Full Name 42. Address.

Surname: Other Name(s):

Telephone #
43. District of residence: Region of residence:

44. Occupation. 45. Name and address of employer.

Contact Person:
46. Annual Total Gross Income (GH¢)

(Salary and income from other sources. Please substantiate with a recent official salary slip, pension slip or audited financial statement.
If unemployed, please attach a sworn affidavit and declare how you survive and your sources of funds for survival). Please note that this
information is necessary and if not provided TEST will not process the application.

Other sources of income:

Pension:
Investment interest:
Income from rent:
Contributions from other sources:
Earnings from taxi, passenger cars, corn mill, farming activities, petty trading, remittances
from family members etc. :

47. The applicant ……………………………………………………………………………………is my

(name of applicant)

Son
Daughter
Niece
Nephew
Brother
Sister
Other (Specify)

Website: www.testforafrica.org C/O Bureau of Ghana Languages

Email: [email protected] P. O. Box 1851
Page 7
Tel: 0503133975 Accra, Ghana.
48. What is your highest level of Education?
Tertiary JSS Primary
Secondary Middle School No Formal Education

49. Are you:

Currently Employed Retired
Self Employed Unemployed

50. SSNIT Number (if applicable)

51. National Health Insurance Number: ………………………………………………………..

52. Please tick the type of accommodation that you and your family occupy.

Own House
Family House
Rented Premises paid for by my employer
Rented premises paid for by self
Other (specify)

53. Provide information on your dependants.

Surname Other Name(s) Relationship Age Educational Level

54. Indicate total amount paid in fees and other related expenses per year for dependants at each level of education and provide proof of
current attendance (Attach school bills and receipts):

Number of dependants Total amount paid in the last year

Level of Education
attending school at this level (GH¢)
Kindergarten/Primary

JSS

SSS/Tech-Voc.

Tertiary
Other

TOTAL

Website: www.testforafrica.org C/O Bureau of Ghana Languages

Email: [email protected] P. O. Box 1851
Page 8
Tel: 0503133975 Accra, Ghana.
55. How much are you prepared to pay towards the fees and upkeep of your ward for the 2023/24 academic year?

GH¢

SECTION C 2 - TO BE COMPLETED BY YOUR SECOND PARENT/LEGAL GUARDIAN

56. Full Name 57. Address.

Surname: Other Name(s)

Telephone #
58.
59. District of residence. Region of residence.

60.
61. Occupation. 60. Name and address of employer.

61. Annual Total Gross Income (Salary and income from other sources)

(GH¢…………………………………………)

62. SSNIT Number (if applicable)

63. National Health Insurance Number:…………………………………………………………………….……

64. The applicant ………………………………………………………………………………is my

(name of applicant)
Son
Daughter
Niece
Nephew
Brother
Sister
Other (Specify)

Website: www.testforafrica.org C/O Bureau of Ghana Languages

Email: [email protected] P. O. Box 1851
Page 9
Tel: 0503133975 Accra, Ghana.
 SECTION D
DECLARATION TO BE SIGNED AND STAMPED BY BOTH PARENTS OR GUARDIANS

It is important that your dependant’s eligibility for student financial support be based upon accurate information.

I/We …………………………………………………………………………………………………………………………………………do hereby

declare that all the information given above is true.

Signature or thumbprint of parent/legal guardian Date

Signature or thumbprint of second parent/legal guardian Date

Note: Misrepresentation in any form or manner shall render the application null and void. Any awards made based on a
misrepresentation shall be withdrawn or refunded by the applicant, and he/she also may be prosecuted.

TEST for Ghana reserves the right to cancel the applicant’s application if false or incorrect information is supplied.

Thank you for your cooperation. Together, we can ensure that the right students get financial support, and that the integrity of
the TEST scholarship scheme is preserved.

FOR OFFICE USE ONLY

…………………………………………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………………………

Website: www.testforafrica.org C/O Bureau of Ghana Languages

Email: [email protected] P. O. Box 1851
Page 10
Tel: 0503133975 Accra, Ghana.
 TERTIARY EDUCATION SCHOLARSHIP TRUST (TEST) FOR GHANA BOND FORM
(THIS PAGE [11] MUST NOT BE LEFT OUT OF THE APPLICATION UNCOMPLETED.)

KNOW ALL MEN BY THESE PRESENT THAT

I,………………………………………………………………………………………………………………………
(Full name of applicant)
of………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………...
(Full address in Ghana)
In Ghana aforesaid is jointly and severally bond unto the Tertiary Education Scholarship Trust (TEST) for Ghana
for five years.

WHEREAS the said………………………………………….…..……………………with student ID ……………...

(Name of applicant)
of BSc/BA/BED/HND……………………………………….….…………………………………………………………
has accepted the Scholarship Award of TEST for Ghana for the 2023/24 academic year to pursue his/her
education at………………………………...………University/Polytechnic.
Sealed this………………day of……………………………….….... in the year of our Lord 2023.

Now the conditions of the bond is such:

That the said …………………………………………………shall complete the course requirements of the said
(Name of applicant)
University/Polytechnic, obey and perform all lawful instructions, orders and directions given to him/her. Will support
and participate in TEST for Ghana fund raising activities, annual meetings and serve his/her bond period by
working in Ghana after completion of said University/Polytechnic. Will be bonded for a fixed term of five (5) years.
All TEST for Ghana scholars will commit to the highest moral standards and not bring TEST for Ghana into
disrepute. That all TEST for Ghana Scholars wishing to pursue further postgraduate studies outside Ghana, but
within the bonding period, to secure permission from the Trustees, and immediately following completion of such
studies shall return to Ghana to serve out such non-utilized bonding period.

(SIGNED SEALED AND DELIVERED)

By the obligator in the presence of:

Name in full:………………………………………………………………………………………………….……………

Signature:…………………………………………………………………………………………………….……………

Address……………………………………………………………………………………………………….……………
………………………………………………………………………………………………………………………………

Occupation…………………………………………………………………………………………………………………

NOTE:
Guarantor should not be below the grade of Head of Department, Deputy Head of Department, Director, Legal
Practitioner, Medical Practitioner, Senior Public Officer/ Senior Civil Servant and Business Owner with identifiable
address.

Website: www.testforafrica.org C/O Bureau of Ghana Languages

Email: [email protected] P. O. Box 1851
Page 11
Tel: 0503133975 Accra, Ghana.