1810 Scholarship Application Form 2024-2025
1810 Scholarship Application Form 2024-2025
1810 Scholarship Application Form 2024-2025
Faculty /University______________________
Semester/Student ID____________________
Application 2024-2025
Please, answer every question with capital letters and attach all the information related to the questions
1. Personal Data
Name
Religion
Present address/telephone
Home address/telephone
School address/telephone
Email address
Emergency contact
Person/address/telephone.
Hobbies/interests
2. Family Information
Father Mother
Name:
Address:
Job:
Gross salary
(please attach evidence)
Level of education
Additional comments
1
Name ________________________________
Faculty /University_____________________
Semester/Student ID___________________
3. Financial Data
Please list all sources of income you received per month Parents
from January to November 2023, from where and how Other family members
much? Scholarship
Job
Other
Total __________________
How did you cover your school fees and other monthly
expenses?
4. Scholarship
Have you ever received any scholarship award in the past two years? If you have, please
list from where, how much, how long.
2
Name ________________________________
Faculty /University______________________
Semester/Student ID____________________
5. Academic Information
Elementary school
Comments
Middle School
Comments
High School
Comments
University attending
Faculty
Department
Year of entrance
Year of study/semester in
August 2023 - January 2024
3
Name ________________________________
Faculty /University______________________
Semester/Student ID____________________
6. Non-academic experiences
4.1 Please list your organizational experiences and position/s you have held during the past
three years.
4.2 Please list your extracurricular and volunteer activities during the past three years.
4.3 Please list your paid job experiences and positions you have held during the past three
years.
4.4 To which activity or interest have you made the greatest commitment or contribution?
Why? What do you feel you have accomplished?
4
Name ________________________________
Faculty /University______________________
Semester/Student ID____________________
8. Additional Questions
Help us to get to know you better. Be yourself. There is no right or wrong answers. Please type
your answers on a separate sheet in English and attach to the application form. Write your name
and school as well as the date in the corner of each page.
1. Tell us the field of study that interests you. Why? How did your interest develop?
2. How are you going to apply the knowledge from your courses in your work after university to
benefit the country?
3. Choose three adjectives to describe yourself. Comment briefly on your choice
4. Why do you think you are the right person to receive the Yayasan Praseetia Luhur Indonesia
Scholarship Award?
5. If you receive a Yayasan Prasetia Luhur Indonesia scholarship award, are you willing to
participate in Prasetia Luhur activities, including our training programs and ‘meet the sponsor’
gathering? If you answer is “yes”, how are you going to arrange your time as you may have
classes and other activities?
6. If you would like the Yayasan Prasetia Luhur Committee to know any special circumstances
not reflected in your application, please describe.
9. Profile
In order to attract prospective sponsors to support your education, we have to write your profile.
Please help us to write a concise profile for the purpose of convincing the perspective sponsors to
support your education. Include your background, achievement, experiences and activities, and
why it should be attractive to the prospective sponsors. Please, note that writing your own profile is
like writing a short essay about yourself. We don’t want your CV.
10. Essays
Your essays are a very important part of your application. We want to get to know you. We also
want to see how well you present yourself.
For each question below, please type a one page essay with approximately 300–400 words in
English. Make sure to put your name and your school as well as the date in the corner of each
page. Attach the essays to your application form. Note: One essay answering three questions is
not acceptable.
1. Name a non-religious figure, person (other than your family), place, book or event that has
affected you and caused you to change your outlook on life.
2. Describe an experience that has given you a sense of satisfaction or pride. Explain why you
were satisfied or proud.
3. Describe a situation or activity in which you took a leadership role. What qualities do you
Possess that distinguish you as a leader?