First Name * Surname (Last Name) * Email * Phone * Where did you hear about this scholarship? * Africa.com Website Facebook Africa.com Top 10 Newsletter Twitter Banner Display Ad on other website Other Company Sector? * Agriculture Education Energy Government Health Care Financial Services Manufacturing & Industrial Media, Arts, Entertainment Mining Multilateral Organisation NGO or Religious Organisation Professional Services Real Estate Retail Technology Telecoms Tourism & Hospitality Utilities In what country do you live? * Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia (Plurinational State of) Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo (Democratic Republic of the) Cook Islands Costa Rica Croatia Cuba Curaçao Cyprus Czech Republic Côte d'Ivoire Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran (Islamic Republic of) Iraq Ireland (Republic of) Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea (Democratic People's Republic of) Korea (Republic of) Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia (Federated States of) Moldova (Republic of) Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Macedonia (Republic of) Northern Mariana Islands Norway Oman Pakistan Palau Palestine (State of) Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Romania Russian Federation Rwanda Réunion Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania (United Republic of) Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom of Great Britain and Northern Ireland United States Minor Outlying Islands United States of America Uruguay Uzbekistan Vanuatu Vatican City State Venezuela (Bolivarian Republic of) Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Åland Islands How many people live in your household / family unit? * Individual Monthly Income * Under $500 $501 - $1000 $1001 - $1500 $1501 - $2000 $2001 - $3000 $3001 - $4000 $4001 - $5000 $5001 - $6000 $6001 - $7000 $7001 - $8000 $8001 - $9999 Greater than $10,000
What is your individual monthly income in U.S. Dollars, from all sources? Include full-time work, part-time work, entrepreneurial efforts, grants, rental income, alimony, maintenance, etc.
Household Monthly Income * Under $500 $501 - $1000 $1001 - $1500 $1501 - $2000 $2001 - $3000 $3001 - $4000 $4001 - $5000 $5001 - $6000 $6001 - $7000 $7001 - $8000 $8001 - $9999 Greater than $10,000
What is the total monthly income in U.S. Dollars, for your household (all sources of income for all persons living in your home)? Include full-time work, part-time work, entrepreneurial efforts, grants, rental income, alimony, maintenance, etc.
Investments Value * Under $500 $501 - $1000 $1001 - $1500 $1501 - $2000 $2001 - $3000 $3001 - $4000 $4001 - $5000 $5001 - $6000 $6001 - $7000 $7001 - $8000 $8001 - $9999 Greater than $10,000
What is the value of all your investments? Include bank accounts, investment funds, shares, etc.
Have you ever taken an online course before? * Why do you need a scholarship? * Employed but do not earn enough to pay for my basic needs of rent, food, transport, etc. Employed and earn enough for my basic needs, but not enough for discretionary needs Self-Employed but do not earn enough to pay for my basic needs of rent, food, transport, etc. Self-Employed and earn enough for my basic needs, but not enough for discretionary needs Unemployed but do not earn enough to pay for my basic needs of rent, food, transport, etc. Unemployed and earn enough for my basic needs, but not enough for discretionary needs Please tell us in your own words why you need the scholarship. *
150 words or less
Every scholarship recipient will be required to pay something towards this course. How much can you and your family afford to pay towards this course? * If you were offered a payment plan, could you and your family afford to pay more towards this course? * If you were offered a payment plan, you would be required to make an upfront payment of $100. After that how much could you afford to pay each month, for each of the following three months? * Which of the following payment methods could you use to pay your portion of this online course? Select all that apply. * The above statements are true and correct to the best of my knowledge and belief. Under penalty of perjury, all of the information I have provided is true and accurate. Failure to disclose income or assets may result in legal action and or expulsion from the course and forfeiture of any course fees paid, and revocation of course certificate. * If your scholarship application is successful we will inform you before the 31st of December by email.