BERMUDA GOVERNMENT SCHOLARSHIPS & AWARDS APPLICATION FORM 14 Waller’s Point Road • St. David’s DD 03 • Mailing Address: P.O. Box HM 1185 • Hamilton HM BX

Telephone: (441) 278-3300 • Facsimile: (441) 278-3348 Website: www.moed.bm

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REGULATIONS FOR 2013/14: Bermuda Government Teacher Training Awards

Bermuda Government Further Education Awards Bermuda Government Mature Student Awards

Bermuda Government Interest Free Student Loans

IMPORTANT: PLEASE READ THESE REGULATIONS. Carefully refer to them often for answers to your basic questions.

1.0 General

1.1 The applicant must be Bermudian.

1.2 The applicant must have been educated in Bermuda for a minimum of five years.

2.0 Academic Requirements

2.1 The applicant must satisfy at least one of the following requirements:

2.1.1 Successful completion of the two-year Associate degree program at the Bermuda College;

2.1.2 Successful completion of the second year at an approved college or university (60 credit hours);

2.1.3 For Further Education Awards (FEA) and Interest Free Student Loan (IFSL) – Admission to a program of study at an approved institution abroad provided that an equivalent program of study is not offered at the Bermuda College; or

2.1.4 For Mature Student Award (MSA) – Successful completion of sixty (60) credit hours for admission to a program of study at an approved institution abroad provided that an equivalent program of study is not offered at the Bermuda College.

3.0 Required Documentation (documents must accompany completed application)

4.0 Submission of Financial Statement

4.1 Applicants under 25 years of age on 1st

September, 2013 who are single and living with a parent or parents are required to complete the Student’s Financial Statement and submit it to the Scholarships and Awards Committee along with their parents’/guardian’s Confidential Financial Statement.

4.2 Married applicants are required to provide the Student’s Financial Statement along with the Confidential Financial Statement of the spouse.

4.3 The Confidential Financial Statement should be sent in a separate envelope clearly marked Private and

Confidential for the attention of the Scholarship & Awards Committee. Payment of Funding

4.4 If successful, the recipient must complete a New/Change Address Form indicating bank details, i.e. the beneficiary bank and bank account number where the funds are to be sent. All funds are paid in Bermuda dollars. The Ministry accepts no responsibility for funding not received due to incorrect information.

Document

First-time

Applicant

Repeat

Applicant

Copy of Birth Certificate x -

Confirmation from Ministry of Immigration of Bermudian Status x -

Evidence of five years schooling in Bermuda x -

Two Letters of Recommendation (one academic + one character) x x

Senior School transcripts and/or university/college transcripts evidencing grades obtained up to

the end the academic year immediately preceding date of application

x

x

Bermuda School Certificate (BSC) if applicable x -

Acceptance letter from an approved college or university offering your program of study x x

Official university/college statement of estimated costs of tuition, room and board x x

Documents evidencing whether you currently hold or will hold any grants or awards from your

place of study or from another source

x

x

250 word essay explaining why you think you should be granted an award x x

Financial Statement from parents/guardians/spouse x x

Student Financial Statement X x

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4.5 Payment will be made in one payment at the beginning of the applicant’s academic year conditional upon receipt of a certificate of full registration from the university/college where the recipient intends to study or is already enrolled.

4.6 All funding must be collected by 31

st March 2014 or the award granted will be forfeited.

5.0 Recipients of Teacher Training Awards

5.1 Teacher Training Awards:

(i) Value: $15,000 (ii) Tenure: 3 years (iii) Conditions: Program of Study must be a required subject identified by the Ministry of Education

Human Resource Department for which future staffing is required. (iv) Restriction: Recipient cannot accept a Further Education Award or Mature Student Award. (v) Short listed applicants for the Teacher Training Award may be interviewed between June and July.

5.2 The recipient of a Teacher Training Award is required to affect a bond signed by two guarantors, both of whom must be Bermudian, over the age of twenty-one and not over the age of seventy years and only one of whom may be a parent of the recipient.

5.3 Guarantors must satisfy the Ministry of Education that they possess adequate means to secure the Teacher

Training Award. Failure by the recipient to observe the conditions governing the Teacher Training Award will entail liability on the part of the two guarantors to repay the amount expended.

5.4 The guarantors must sign the bond at the Ministry of Education within twenty-one working days after their

names are submitted. Failure to do so may result in considerable delay in the receipt of the Teacher Training Award. The Teacher Training Award recipient must apprise the guarantors of their responsibilities.

6.0 Recipients of Interest Free Student Loans

6.1 Interest Free Student Loans:

(i) Value: Between $1,500 - $10,000 (ii) Tenure: 1 year (iii) Conditions: Award based on financial need

6.2 The Loan will be paid in full at the start of the applicant’s academic year, conditional upon receipt of

an official certificate of full registration together with a class schedule showing a minimum of 12 credit hours (undergraduate degree) or 9 credit hours (post graduate degree) attesting to the recipient’s registration for the fall semester at college or university and provided that all other requirements have been met.

6.3 The recipient of a loan is required to affect a bond signed by two guarantors, both of whom must be Bermudian, over the age of twenty-one and not over the age of seventy years and only one of whom may be a parent of the recipient.

6.4 Guarantors must satisfy the Ministry of Education that they possess adequate means to secure the Interest Free

Student Loan. Failure by the recipient to observe the conditions governing the Interest Free Student Loan will entail liability on the part of the two guarantors to repay the amount expended.

6.5 The guarantors must sign the bond at the Ministry of Education within twenty-one working days after their

names are submitted. Failure to do so may result in considerable delay in the receipt of the Interest Free Student Loan. The Interest Free Student Loan recipient must apprise the guarantors of their responsibilities.

7.0 Recipients of Further Education Awards

(i) Value: Between $1,500 - $10,000 (ii) Tenure: 1 year (iii) Conditions: Awarded based on financial need (iv) Restrictions: Recipient cannot accept a Mature Student Award or Teacher Training Award

8.0 Recipients of Mature Student Awards

(i) Value: $15,000 (ii) Tenure: 3 years (iii) Conditions: Applicant must be over 35 years of age on 1

st September of the year in which the award is

granted. Awarded based on financial need. (iv) Restriction: Recipient cannot accept a Further Education Award or Teacher Training Award.

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9.0 Transcripts

9.1 The successful applicant is required to submit to the Scholarships and Awards Committee by 15th

January, 2014 (or as soon as it practicable thereafter) and by 1

st July 2014 (or as soon as is practicable thereafter) an up-to-

date academic transcript of work covered during the academic year to which the funding applies.

9.2 If for any reason the recipient is unable to register for classes for the first semester of this year, the award will be rescinded and the recipient must reapply during the following year.

11.0 Limitations

11.1 The Ministry of Education reserves the right in individual cases, and with prior consultation with the receiving facility, to alter the conditions governing the payment of the award. 11.2 The Ministry of Education reserves the right to cancel any award upon receipt of irrefutable proof that the academics and/or conduct of any holder is unsatisfactory. 11.3 The Ministry of Education reserves the right to request any document to support the parents’/guardian’s/student’s financial statement. In addition, the Ministry reserves the right to seek information from the parent’s/guardian’s/student’s employer or bank. 11.4 If the financial status of the successful applicant changes due to his or her acceptance of any other financial award/grant, then the Ministry of Education reserves the right to withdraw all or part of its funding.

12.0 Application Submission

12.1 It is the responsibility of all applicants/bearers of applications to obtain a slip acknowledging

receipt of the application. In the case of an application received by mail, an acknowledgement slip will be sent to the address provided on the application form.

12.2 All applicants will be notified by regular mail and/or email of the outcome of their applications by July 31

st.

12.3 Completed application forms should be mailed to:

Scholarship and Awards Committee OR hand-delivered to Scholarship and Awards Committee Ministry of Education Ministry of Education P.O. Box HM 1185 14 Waller’s Point Road Hamilton HM EX St. David’s DD 03 Should you require any further information please contact Darlene Hartley, Education Liaison Officer, at telephone 278-3318 or by email dhartley@moed.bm .

14 Waller’s Point Road • St. David’s DD 03 • Mailing Address: P.O. Box HM 1185 • Hamilton HM BX Telephone: (441) 278-3300 • Facsimile: (441) 278-3348

Website: www.moed.bm

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BERMUDA GOVERNMENT SCHOLARSHIPS & AWARDS APPLICATION FORM 2013/14 Please read the Regulations before completing this form.

Incomplete applications may render the applicant ineligible for consideration.

I wish to be considered for the following: (Tick one or more boxes)

Bermuda Government Further Education Award

Bermuda Government Teacher Training Award

Bermuda Government Mature Student Award

Bermuda Government Interest Free Student Loan

SECTION 1: APPLICANT PERSONAL INFORMATION

Mr. Miss Ms. Mrs.

Applicants Full Name: Last First Middle Other

Date of Birth: Age: Male Female

Day Month Year

Status: Bermudian Non-Bermudian

Local Address:

Street Number and Name Parish Postal Code

Overseas Address:

Street Number and Name City State Post Code

Local Contact No.: (H) (W) (C)

Overseas Contact No.: (H) (W) (C)

Email: Alternative Email:

Applicant Resides With (check all that apply): Father Mother Spouse

Other (please specify)

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SECTION 2: FAMILY PERSONAL INFORMATION

Father’s Full Name:

Address:

Home Phone: Work Phone: Cellular:

Email: Occupation:

Mother’s Full Name:

Address:

Home Phone: Work Phone: Cellular:

Email: Occupation:

Other – Full Name: Relationship to Applicant:

Address:

Home Phone: Work Phone: Cellular:

Email: Occupation:

SECTION 3: EDUCATION HISTORY List all educational institutions attended

Name and Address of School Date Started Date

Completed Final

Grade/GPA

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SECTION 4: ACADEMIC, PROFESSIONAL AND TECHNICAL QUALIFICATIONS List all qualifications held and provide copies of the same

Qualification Date Awarded

SECTION 5: EMPLOYMENT HISTORY List all work previous work experience

Name and Address of Employer Post Held Date Started Date Left

SECTION 6: COLLEGE/ UNIVERSITY ACCEPTANCE

Have you been accepted to a College/University overseas: Yes No

If yes, state the name of the College/University

If no, state the name of the College/University to which you have applied:

Proposed Program of study:

Expected level of study: Undergraduate Post Graduate

Expected Commencement Date: Expected Graduation Date:

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SECTION 7: COLLEGE/UNIVERSITY (in Bermuda) To be completed by applicants currently studying or working in Bermuda

Current place of study: Current Program of study:

Current level of study: Undergraduate Post Graduate

Date Commenced: Expected Graduation Date:

Current Employer: Date Commenced:

Occupation:

SECTION 8: COLLEGE/UNIVERSITY (overseas) To be completed by applicants who are currently attending College/University overseas

Current place of study: Current Program of Study:

Current level of study: Undergraduate Post Graduate

Date Commenced: Expected Graduation Date:

SECTION 9: SCHOLARSHIPS AND AWARDS CURRENTLY HELD (if any)

Name of Award Amount of Scholarship/Award Years for which award is tenable

From To

SECTION 10: SCHOLARSHIPS AND AWARDS List all Government/Non-Government Scholarships/Awards that you have made application for.

Name of Award Amount of Scholarship/ Award Years for which award is tenable

From To

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Please review your application to ensure that all questions are answered and all required documents are attached. It is the responsibility of the applicant to ensure that all required documents are submitted.

Please note that the Ministry of Education has no obligation to consider incomplete applications

or accept applications received after the deadline of 1st April, 2013.

Signature of Applicant_____________________________________________________ Date:___________________________________________________________________

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STUDENT’S FINANCIAL STATEMENT To be completed by all applicants

NAME OF STUDENT:__________________________________________________

Student’s Sources of Support for Educational Costs 2013/14 Student’s Estimated Expenses for 2013/14 Per Year $ Per Year $ Student’s wages, tips, etc. ____________________ Tuition and Fees: _________________ Family contributions: ____________________ Accommodation & Food _________________ Grants, awards, etc. ____________________ Books & Supplies _________________ Other (explain below) ____________________ Transportation _________________ Other (explain below) _________________ TOTAL: ___________________ TOTAL: _________________ Amount sought from the Bermuda Government Further Education Award: _________________ Amount sought from the Bermuda Government Interest Free Student Loan: _________________ Number of years for which financial assistance could be required: _________________ Signature of Applicant____________________________________ Date:__________________________________

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CONFIDENTIAL FINANCIAL STATEMENT 2013/14

(Parent/Guardian/Spouse)

This form is to be completed by the person(s) responsible for the applicant’s finances. Please write N/A (not applicable) where appropriate.

Name of Student: ___________________________________________________________ Name: Mr. _______________________________ Name: Mrs./Miss___________________________

relationship relationship Address: _________________________________ Address: __________________________________ ________________________________________ __________________________________________

Age: _____________________ Age: _______________________

Occupation: ______________________________ Occupation: _______________________________ Employer:________________________________ Employer: __________________________________

INFORMATION ON DEPENDENTS Dependents in school, excluding applicant

Number and ages of dependents in household, excluding parents: ____________ Name School Cost per year Number of dependents in college/private school: _____________ ___________________________________ Are any dependents currently In school receiving financial assistance? ______________ _____________________________________ If yes, please state (1) source (1)_________ _____________________________________

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INFORMATION ON FINANCE

Assets Loans and other Indebtedness

Current value of home: Mortgage: Other real estate (current value): Personal loan:

Consumer loan: TOTAL: TOTAL: Income

wages/salary gratuities bonuses pensions TOTALS Per Year Earned income

Interest investment rent other

Unearned income Fixed Expenses

emergencies future goals

rent Manage. Fee land tax maintenance mortgage

Housing

car furniture appliances personal loan c/c payments

Loan

Electricity telephone gas water

Utilities Expenses

food eaten out house. products

Food

license insurance repairs bus/ferry/taxi fuel

Transportation

Tuition book/supplies room & board transportation educ.funds

Education

doctor visits dentists visits prescriptions eye care dietitian

Health Care

offering/tithes charities work/social

Contributions

cable tv/WOW newspapers magazines

Subscriptions

haircare grooming allowances

Personal care

Cleaner gardener baby sitter nursery summer camp

Household help

clothes shoes laundry cleaning repairs

Clothing

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Movies videos parties

Entertainment

Hobbies sports travel gym

birthdays Christmas Special occasions

Gifts

Stationary club dues pocket money veterinary other

Other

Annual Income:

Annual Expenses:

I/We certify that to the best of my/our knowledge the information provided in this CONFIDENTIAL FINANCIAL STATEMENT is true and accurate. In addition I/We understand that should the information provided herein be found to be incorrect, then any financial assistance offered may be withdrawn. Signature of Parent/Guardian/Spouse: Date:

Please note: Applicants and their parents/guardians are advised that they may be requested to authorize the release of financial information from their employer or bank.

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APPLICANTS PLEASE COMPLETE FOR RECECIPT OF ACKNOWLEDGMENT:

Name:

Address:

Contact Number:

Received By:

Date:

Thank you for your interest in the Ministry of Education’s Scholarships and Awards. Please note that your application will be forwarded to the Scholarship and Awards Committee for consideration. If you any questions pertaining to your application, please do not hesitate to contact Ms. Darlene Hartley, Scholarship Administrator at (441) 278-3318 or by email dhartley@moed.bm.