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International Student

Scholarship Application
P lea s e m a il to:

International student scholarships are awarded based on both financial need and past academic
history. To receive consideration, your scholarship application must be submitted along with your
application for admission.

Berkeley College
International Division
12 East 41 Street, 14th Floor
New York, NY 10017 USA

Scholarship awards are non-transferable, and must be used for the quarter and for the location for
which you are accepted. Any changes are subject to further review. Scholarship recipients must
maintain a minimum Grade Point Average of 3.0 and full-time degree seeking status. Failure to do
so will result in a loss of the award.

Phone: 212-687-3730
Fax: 212-986-7827
international@BerkeleyCollege.edu

P ers on a l I n form a tion


Na m e
Family Name (CAPITALS)

First

Ma ilin g Addres s (Please do not write a P.O. Box address. Express Mail will not deliver to a P.O. Box.)
Street

City

Province

Country

Postal Code

P erm a n en t Addres s (If different from above)


Street

City

Province

Country

Postal Code

Phone

Fax

Email

City

Country

Country of Citizenship

Secondary School Attended

Are you tra n s fer rin g from a n oth er un ivers ity or college?

No

Name of College/University

Location

Semesters Completed

Degree Earned

Will you be a pplyin g for a n F -1 s tuden t vis a ?


Copyright 2011 Berkeley College

Yes

Yes

No

I f you do n ot receive a s ch ola rs h ip, do you s till pla n to en roll a t B erk eley College?

Wh en do you pla n to begin your s tudies ?

January

April

July

September

Yes

No

Year_________________

Ch eck l oca tion des ired

New York:

Online:
P rogra m of I n teres t

New York City

White Plains

New Jersey:

Newark

Paramus

Woodbridge

Woodland Park

Bachelors Degree

Associates Degree

Certificate Program

Major ____________________________________________________________________________________

F a m ily I n form a tion


Fathers Name

Occupation

Annual Salary

Mothers Name

Occupation

Annual Salary

F in a n cia l I n form a tion


Please indicate the amount of funds available to you from the following sources each academic year (9 months).
Source

Am oun t a va ila ble in US dolla rs

1. Personal Savings
2. Family Funds
3. Sponsors Funds
4. Other (please specify)

Are you cur ren tly em ployed?

Yes

No

I f yes , wh a t is your occupa tion a n d a n n ua l s a la r y?


I f your s pon s or is a n in dividua l oth er th a n your pa ren ts , plea s e a n s wer th e ques tion s below:
Name of Sponsor

Relationship to You

Occupation

Annual Salary

You m us t in clude th e followin g with th is a pplica tion :


One-two page essay explaining why you should be considered for a scholarship.
Two letters of reference commenting on your academic performance and potential as well as your maturity and character.
At least one of these letters should be written by the principal, dean of students or guidance counselor of the school you last attended.
Official letters from your employer (if applicable) and your sponsors employer verifying annual salary.

P lea s e n ote: T h e Sch ola rs h ip Applica tion will n ot be reviewed un les s your I NT E R NAT I ONAl
AP P l I CAT I ON F OR AdMI SSI ON a n d a ll s upportin g docum en ts a n d fees h a ve been received.

CE R T I F I CAT I ON I NF OR MAT I ON
By signing below I certify to the best of my knowledge that the information contained in this application is true and complete.

Signature of Applicant

Date

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