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UWC schools, colleges and programmes enable students to make a difference. They provide the opportunity for highly
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motivated young people from diverse backgrounds to transcend the boundaries of race, religion, ethnicity, gender,
nationality and economic status to develop a critical consciousness of the issues and causes of division in our world.
d mission is to make education a force to unite people, nations and cultures for peace and a sustainable future.
Our

Minimum qualifications: Moldovan citizen and between 16-19 years old

The application should be emailed to: moldovauwc@gmail.com
W Application deadline: December 20, 2017

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SECTION A

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Applicant Information
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Personal
dInformation
Family Name

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First Name

oMiddle Name (only

if noted on passport)
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lSex
Date of Birth
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gNationality
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sCountry of
Citizenship (on
which passport
would you travel)
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E-mail
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Home Phone
uCell Phone
dHome Address
eCity/Region/Post
Code
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Country
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Applicants School Information
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dName of School
Address

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Email

oName of Head of
School
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lContact Detail of
Your Class Master
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Please attach a scanned copy of your grades for the last three previous years of schooling.
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Please attach a signed recommendation letter from a mentor, employer, professor, excluding family members.
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l Applications submitted without the school transcript document will not be accepted !

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SECTION B
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Please answer the following questions to the best of your abilities. You are required to adhere to the indicated
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word limit. This section is to be completed by the applicant only!

At UWC, we value passion - tell us about yours. It could be for anything, a subject, an issue, a team. (max
W150 words)
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t What have you learnt from working in a team? Illustrate your answer with examples from your
personal experience. (max 150 words)
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Share with us an incident when you came to understand the other side to a situation you previously
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(start here):
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What can a UWC provide to you that you cannot get in your present life? (max 150 words)
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t How did you hear about UWC? (max 50 words)
(start here):
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o indicate below your college preference order (1 - your first preference, 2 - your second preference, 3 -
Please,
your third preference).
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l UWC Mostar: Partially funded. (The College covers 75% of costs which include tuition and
accommodation. Student's family is obliged to cover the remaining 25% (~ 7000 USD per
d year and travel costs).

Li Po Chun UWC: Full Scholarship. (If proven needed, additional financial aid is provided for air
travel and daily expenses).
C UWC Changshu: Partially funded. (The College covers 50% of costs which include tuition and
accommodation. Student's family is obliged to cover the remaining 50% (~ 12500 EUR per year
o and travel costs).
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Please note: all scholarships are need based.

Ilhave discussed all aspects of the commitment involved with applying for entry UWC school or college with my
parent(s)/guardian(s) and this application has their full approval. Should the application be successful, I hereby
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undertake for myself to observe the rules, regulations and guidelines of the school/college. I recognise that the
school/college has the right to exclude me for violations of these and/or behaviour bringing disrepute or danger on
g school/college or other students/staff.
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Applicants Signature:

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Date:

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Essay
e provide one essay (in English) in the maximum extent of 1 page (max 500 words) answering the following topic
Please
question:
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Which of your beliefs, ideas, or tastes puts you in the minority? Why do you think/believe/like this thing
when no one else seems to?
(start here):
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Parental information & consent.
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Full Name of mother or
dguardian
Occupation

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Full Name of father or
guardian
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Occupation
rAddress (mother/guardian)
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E-mail/Telephone
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Address (if different)
(father/guardian)

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E-mail/Telephone

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If there is anything of special note (background, health information, etc.) that you would like to bring to the
attention of the Selection Committee or the School/College Head please add that here or attach a separate letter.
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I have read the application for entry to a UWC school or college made by my son/daughter/ward; we have discussed
all aspects of the commitment involved and this application has my full approval. Should the application be successful,
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I hereby undertake for myself and for him/her to observe the rules, regulations and guidelines of the school/college. I
recognise that the school/college has the right to exclude my son/daughter/ward for violation of them and/or behaviour
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bringing disrepute or danger on the school/college or other students/staff. While my son/daughter/ward is in residence
at a UWC school or college, I wish and authorise the school/college to act as Guardian in my place for decisions
involving his/her personal care and welfare.
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Signature of mother/father/or guardian:
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(electronic signature with First Last Name)
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Date:
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t answer with full honesty by neither inflating or deflating the truth as to assure transparency and a smooth
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running of the selection process. Thank you.
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Parent(s) / Guardian(s) Financial Assets Information
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Currency:
Local currency:
Exchange rate to US$:
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Date of exchange rate:
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Parent
Professional income (per month):
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Income from pension (per month):
Income from investments (per month):
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Income from property (per month):
Land & property:
d other income, please specify (per month):
Any

Parent / Guardian Two (indicate if stated before or after tax) in US$:

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Professional income (per month):
Income from pension (per month):
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Income from investments (per month):
Income from property (per month):
Land
l & property:
Any other income, please specify (per month):
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Total monthly household income:
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Amount you feel you can contribute annually:
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Documentation must be provided to verify income and asset information requested on this form. At this stage in the
process a statement from the employer, a pension statement, or a bank statement, or disability status statement will
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suffice. A translation is not required at this stage in the process.
s signature certifies that the financial information is completed accurately, and in the event the applicant is selected,
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you agree to fulfill your financial obligation to the UWC school the applicant will attend.
Failure to fulfill your financial obligation will result in the school taking action in accordance with the school policies.
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I declare that all of the information on this form is, to the best of my knowledge, correct. By signing this assessment
form
u I accept that any false information given may cause the place at UWC to be redistributed. I confirm that the
required documentation is attached.
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Parent / Guardian Signature Date
e note this should be the person who
(please
has legal responsibility towards the student)
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(electronic signature will suffice)

t note that on receipt of this application form the information will be handled in accordance with the data
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protection laws of the country in which the school or college is located.

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