Camparista Dependent Applicants

Dependent Information

First Name *

Last Name *

Middle Name *

Age *

Date Of Birth (mm-dd-yyyy) *

Gender *—Please choose an option—MaleFemale

Contact Number

Email Address

Contact Information

Camparista Name *

Phone *

Email Address *

ID Number *

Job Title *

Department *

Parish *—Please choose an option—KingstonSt. AndrewSt. CatherineClarendonManchesterSt. ElizabethWestmorelandHanoverSt. JamesTrelawnySt. AnnSt. MaryPortlandSt. Thomas

Community

Permanent Address*

Academic Profile

Educational Level*PEPSecondaryTertiary

Secondary Applicants

School Name

Current Grade Level

Tertiary Applicants

Tertiary Institution Attending

Faculty/Area of Study

Degree (BA/BSc/MBBS)

Major

Year Entering

Essay (PDF Only)

Birth Certificate (PDF Only)

COPY of payment voucher (no original vouchers) (PDF Only)

Tertiary - Transcript (PDF Only)

Secondary - Progress Report January to March 2023 (must be on school letterhead or sealed with school stamp) (PDF Only)

Tertiary - Recommendation by academic advisor or professor - Optional (PDF Only)

Reference Letter from MP, Justice of the Peace, Church Leader, Principal or Police Officer above the rank of officer. (PDF Only)

Volunteer Hours Sheet - Returning Tertiary Applicant (PDF Only)

I understand that by submitting a completed scholarship application form and agreeing below, I consent to the JWN Foundation processing (collecting, using, storing or otherwise dealing with) my personal information for the purposes of considering my scholarship application and, to the extent that I may be successful, administering any such scholarship, including sharing my personal information with third parties, which may including publishing my name in press releases and publications and to facilitate payment of scholarship proceeds to me. In terms of this consent, I understand and agree that my personal information will be used by the JWN Foundation and/or its third party agents and service providers for these purposes and may be shared with its affiliates. I understand that the JWN Foundation will later anonymize my personal data in order to use it for analytical purposes. If the applicant is under 18 years old then the applicant’s parent or guardian shall submit the response below on behalf of the applicant.

I Agree *YesNo