Scholarship Form

General Information

Full Name *

First

Last

Phone *

Email *

Present Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Passport / ID *

Date of Birth *

click to choose date

City / ST / Country of Birth

Nationality *

Are you a US veteran? *

Yes
No

Is English your primary Language? *

Yes
No

If not English, what is?

What is the Degree you want to apply for ? *

Detailed Information

Are you married? *

Yes
No

Do you have kids? *

Yes
No

If yes, then how many kids?

Are you employed now? *

Yes
No

What is your average yearly income? (USD)

Have you been unemployed in the last 12 months? *

Yes
No

if yes, then how long time have you been unemployed?

Do you own a real estate property? *

Yes
No

if yes, then what is the value of the property? (USD)

What is the net value of your assets (including cash, cash equivalent, real estate property, cars, and any asset that has a value of over $5,000)?

List your hobbies, community service activities and extracurricular activities:

List any awards you got:

Are you or any one from your family (kids, wife/husband/, parents) suffering from any disease? *

Yes
No

If yes, what type of desease?

Why do you think you deserve the scholarship ?

Terms

Universidad Empresarial de Costa Rica received approval of its charter from the Consejo Nacional de Enseñanza Superior Universitaria Privada (CONESUP) of the Costa Rican Ministry of Education, during Session number 336-97 which met on 5 November 1997. UNEM is listed with the UNESCO (United Nations Educational, Scientific and Cultural Organization) International Association of Universities’ World List of Universities and International Handbook of Universities and other international directories.

I hereby make application for admission to Universidad Empresarial de Costa Rica. I hereby state that all of the information given in this application is true and complete to the best of my knowledge. Failure to give true and complete information may lead to denial of this application or future dismissal. By signing, I acknowledge that I have read the terms and understand the contents stated within.

Yes, I would like to receive communications via e-mail from UNEM.

Applicant's Digital Signature *

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APPLICATION FOR SCHOLARSHIP

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