Graduate Scholarship Application Form

DFL Graduate Scholarship Application Form 2024/2025

Step 1 of 8

Graduate Scholarship Application Form
- Please answer all questions in English. If you fill your application in any language other than English, your application will be inadmissible.
- If you submit an incomplete application, your application will be inadmissible.
- Use the same email address and name spelling throughout the application and your communications.
- For your supporting documents, please make sure to name the files with your name as well as the content. (i.e. Jane Smith Resume; Jane Smith Transcript)
- In addition to filling this form, you are required to apply to your university of your interest. By the time you submit your application to DFL, you should have applied to the university or universities and the program(s) of your interest and received the university application number, reference number, identification number or OUAC number (Except for ULB, whose application date begins on February 16, 2024).
- You are required to provide Proof of English Proficiency as required by the university of your interest.
- You may save and edit your responses later and your data will be saved for 30 days. (Documents may need to be re-uploaded.)
- The deadline for submission is: January 19th, 2024.
Email Address*
First Name*
Last Name*
Date of Birth*
Nationality*
Which country/state issues your passport?
- Palestine
- Israel
- Egypt
- Jordan
- Syria
- Lebanon
- Iraq
- Morocco
Residence*
Which country do you currently live in?

City State / Province / Region Country
Phone Number*

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University Applications

DFL's Graduate Scholarship is only available to those applying to our academic scholarship partners for 2024/2025.

To be considered for the scholarship, you have to apply to the university of your interest. You are also required to pay any applicable application fees.
Select the graduate degree you are applying for*
- Select All
- Université libre de Bruxelles (ULB), Belgium
- University of the Fraser Valley, Canada
Université libre de Bruxelles (ULB) Program #1
Université libre de Bruxelles (ULB) Program #2
University of the Fraser Valley Program #1
University of the Fraser Valley Program #2
If applied, please provide your ID/Reference Number
If applied, did you hear back from the university? Did you get admission?

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Education History
High School Education
High School Name*
Address*
City State / Province / Region Country
Grade Average*
Date of Graduation*
(MM/YYYY)
University/College Education

Please include details of any universities and/or colleges you have attended or are currently attend, starting with the most recent. You should also include any incomplete or ongoing courses. Upload the latest transcripts or certificate from all programs.
A. University/College Name
Location
City State / Province / Region Country
Program of Study
Degree
BA, BSc, MSc, etc.
Cumulative GPA
Date of Completion
Expected or Actual (MM/YYYY)
B. University/College Name
Location
City State / Province / Region Country
Program of Study
Degree
BA, BSc, MSc, etc.
Cumulative GPA
Date of Completion
Expected or Actual (MM/YYYY)
C. University/College Name
Location
City State / Province / Region Country
Program of Study
Cumulative GPA
Degree
BA, BSc, MSc, etc.
Date of Completion
Expected or Actual (MM/YYYY)

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Short Answer Questions

Use your own words to answer these questions. Your answers should demonstrate your compassion, your creativity and your motivation. Refer to specific examples. *Limit of 400 Words
1. Please describe a significant challenge or hardship you have faced in your life. How did you overcome it, and what did you learn from the experience that has helped you succeed?*
Use examples to demonstrate your creativity in doing this.
2. In what ways do you embody the attributes and characteristics of a Daughters for Life scholar, including your commitment to education, advocacy for positive change, and dedication to empowering women in your community?*
Use examples to demonstrate what motivates you to do this.
3. Scholarly Intent Statement: Please elaborate on your selected field of study, your approach to pursuing this subject, and your vision for utilizing the expertise and skills acquired during your academic journey to make a positive impact on the well-being of girls and women in the Middle East.*

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Supporting Documents

Please use this section to submit the required supporting documents for your application to the DFL Graduate Scholarship Program.

Please make sure to name the files with your name as well as the content. (i.e. Jane Smith resume; Jane Smith high school transcript, Jane Smith TOFEL Result, etc...)

Files must be in one of the following formats: .doc, .docx, .pdf, .jpg, .jpeg, .png

Please make sure that your files' sizes do not exceed 1 MB each. There are many online websites to compress the size of your files.
Undergraduate Degree & Transcript
If you are applying to a Master's or PhD program, please submit a copy of your undergraduate (e.g. BA, BSc, etc.) degree and transcript
Accepted file types: doc, docx, pdf, jpg, jpeg, png, Max. file size: 1 MB.
Graduate Degree & Transcript
If you are applying to a PhD program, if available, please submit a copy of your graduate (Master's) degree and transcript
Accepted file types: doc, docx, pdf, jpg, jpeg, png, Max. file size: 1 MB.
ESL Certificate (IELTS, TOEFL, etc.)
If you are applying to a Master's program, please submit a copy of your undergraduate (e.g. BA, BSc, etc.) degree and transcript
Accepted file types: doc, docx, pdf, jpg, jpeg, png, Max. file size: 1 MB.
CV/Resume
Accepted file types: doc, docx, pdf, jpg, jpeg, png, Max. file size: 1 MB.
Other Supporting Documents
Here you may upload any other documents you feel may help your application (e.g. Participation certificates for competitions, awards, extracurricular activities, volunteer work, reference letters, etc.)
Drop files here or

Accepted file types: doc, docx, pdf, jpg, jpeg, png, Max. file size: 1 MB, Max. files: 5.
University/College Degree & Transcript*
Have you submitted your undergraduate and/or graduate degree and transcript? If not, please explain why and when we should expect them.
- Yes
ESL Certificate (IELTS, TOEFL, etc.)*
Have you submitted your ESL Certificate? If not, please explain why and when we should expect it.
- Yes
CV/Resume*
Have you submitted your CV/Resume? If not, please explain why and when we should expect it.
- Yes

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References

This is to input the information about references who support your application to the Daughters For Life Foundation's Scholarship Program. You should have at least two references (one academic, one community-based)

The referee should email the Daughters For Life Foundation at apply@daughtersforlife.com separately with the reference letter to explain briefly why he/she feels that this candidate is qualified for the Daughters for Life Foundation Scholarship including examples where appropriate.
1st Referee Details
First Name*
Last Name*
Email Address*
Position*
Institution/Organization Name & Department*
Institution/Organization Address*
Street Address City State / Province / Region Country
Phone Number*
Relationship to the applicant*
How long have you known them?*
Please explain briefly why the referee believes you are qualified for the Daughters for Life Foundation's Scholarship. Please include examples where appropriate:*
2nd Referee Details
First Name*
Last Name*
Email Address*
Position*
Institution/Organization Name & Department*
Phone Number*
Relationship to the applicant*
How long have you known them?*
Please explain briefly why the referee believes you are qualified for the Daughters for Life Foundation's Scholarship. Please include examples where appropriate:*

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Financial Needs Analysis

This information will not be made public and will only be used by the Daughters for Life Foundation to help select scholarship recipients. You should fill in the form below as completely and accurately as possible. Please refer to official documentation as you may be required to provide evidence of the information you provide in this section in the future. Since one of the main criteria for the scholarship is financial need, the more information you provide, the better we can consider your application.
What is your local currency?*
Please use your local currency when answering all related questions below
1. Current Educational Funding

Please tell us about any sources of funding for your current education, or any education you have received in the last 12 months (If you have not been in education in the last 12 months, please leave this blank)
i. How much are/were your tuition fees per year?
ii. Who pays/paid for your tuition fees?
iii. What amount of your fees do/did they pay?
iv. Do/Did you receive any other scholarships, grants, or outside financial assistance to help cover the cost of your tuition fees?
- Yes
- No
v. If yes, how much do/did you receive?
2. Future Educational Funding

If you have applied for any other outside financial assistance to help cover the cost of fees to attend University/College, please list them all below:
Type of Funding
- Scholarship
- Grant
- Other
Program Name(s)
Amount
Outcome
3. Parent Contact Information

Please include details of your parents, even if they live in a different household.
Father/Parent/Guardian Full Name*
Father/Parent/Guardian Address*
Street Address City State / Province / Region Country
Father/Parent/Guardian Phone Number*
Father/Parent/Guardian Email Address*
Mother/Parent/Guardian Full Name*
Mother/Parent/Guardian Address*
Street Address City State / Province / Region Country
Mother/Parent/Guardian Phone Number*
Mother/Parent/Guardian Email Address*
4. Parents' Occupation

Please tell us more about the parents you detailed in section 3
Father/Parent/Guardian's Occupation*
Employment Status*
Full-time, Part-time, Freelance, etc.
Are they a Director/Shareholder or Proprietor of this Company?*
- Yes
- No
If yes, please state the proportion of company or business that they own as a Percentage (%)
Employer's Address*
Street Address City State / Province / Region Country
Employer's Phone Number*
Employer's Email Address
Mother/Parent/Guardian's Occupation*
Employment Status*
Full-time, Part-time, Freelance, etc.
Are they a Director/Shareholder or Proprietor of this Company?*
- Yes
- No
If yes, please state the proportion of company or business that they own as a Percentage (%)
Employer's Address*
Street Address City State / Province / Region Country
Employer's Phone Number*
Employer's Email Address
5. Dependent

Please include details of all children in your family not including yourself - if there are more than 3 children, please give details of these in section 8 ("Other Household Members")
Dependent 1
Dependent Full Name
Date of Birth
If applicable, name of school/college and grade
If applicable, cost of school/college fees for the year
If applicable, total amount received to support for fees and other academic costs
From grants, scholarships, charities, relatives, etc.
If applicable, income earned
Any funds brought into the household, through work, etc.
Dependent 2
Dependent Full Name
Date of Birth
If applicable, name of school/college and grade
If applicable, cost of school/college fees for the year
If applicable, total amount received to support for fees and other academic costs
From grants, scholarships, charities, relatives, etc.
If applicable, income earned
Any funds brought into the household, through work, etc.
Dependent 3
Dependent Full Name
Date of Birth
If applicable, name of school/college and grade
If applicable, cost of school/college fees for the year
If applicable, total amount received to support for fees and other academic costs
From grants, scholarships, charities, relatives, etc.
If applicable, income earned
Any funds brought into the household, through work, etc.
6. Household Income

Please tell us about any parents who live in your house. If there are more than 2 parents, please give details of these in section 8 ("Other Household Members"). If any section below is not applicable, please write N/A.
Father/Parent/Guardian*
If different from Parent/Guardian entered above in sections 3 & 4
i. Net Salary

Amount of money earned from working after deducting taxes and social insurance, including bonuses, incentives, and profit shares
Net Salary - Actual (2022)*
Sum of 12 months
Net Salary - Estimate (2023)*
ii. Net Pension

After deducting taxes
Net Pension - Actual (2022)*
After deducting taxes
Net Pension - Estimate (2023)*
iii. Maintenance Payments

Any funds provided from a parent, guardian, or relative who does not live in your household
Maintenance Payments - Actual (2022)*
Maintenance Payments - Estimate (2023)*
iv. Net Rental Profit

Any funds earned from renting out a property(ies)
Net Rental Profit - Actual (2022)*
Net Rental Profit - Estimate (2023)*
v. Net Profit on any Bank Accounts
Net Profit on any Bank Accounts - Actual (2022)*
Net Profit on any Bank Accounts - Estimate (2023)*
vi. Other Income
Other Income - Actual (2022)*
Other Income - Estimate (2023)*
Total Income

Sum of i. - vi.
Total Income - Actual (2022)*
Total Income - Estimate (2023)*
Mother/Parent/Guardian*
If different from Parent/Guardian entered above in sections 3 & 4
i. Net Salary

Amount of money earned from working after deducting taxes and social insurance, including bonuses, incentives, and profit shares
Net Salary - Actual (2022)*
Net Salary - Estimate (2023)*
ii. Net Pension

After deducting taxes
Net Pension - Actual (2022)*
Net Pension - Estimate (2023)*
iii. Maintenance Payments

Any funds provided from a parent, guardian, or relative who does not live in your household
Maintenance Payments - Actual (2022)*
Maintenance Payments - Estimate (2023)*
iv. Net Rental Profit

Any funds earned from renting out a property(ies)
Net Rental Profit - Actual (2022)*
Net Rental Profit - Estimate (2023)*
v. Net Profit on any Bank Accounts
Net Profit on any Bank Accounts - Actual (2022)*
Net Profit on any Bank Accounts - Estimate (2023)*
vi. Other Income
Other Income - Actual (2022)*
Other Income - Estimate (2023)*
Total Income

Sum of i. - vi.
Total Actual Income - (2022)*
Total Estimate Income - (2023)*
Extra Notes:
7. Savings

Please complete all sections that apply to the parents in your household.
Father/Parent/Guardian Total Savings*
Total amount of funds in bank and savings accounts
Mother/Parent/Guardian Total Savings*
Total amount of funds in bank and savings accounts
Please explain if and why these funds cannot be used to pay for your university/college attendance.*
8. Outgoings

Please complete all sections that apply to your household
i. Rental Payments*
Total amount spent on renting out your home for the year
ii. Loan Repayments*
Total amount spent on repaying any loans for the year
iii. Medical Costs*
Total amount spent on medical costs
iv. Maintenance Payments*
Any funds paid to a dependent(s) who does not live in your household
v. Any Other Outgoings*
If applicable, please detail amount and reason for outgoings not being included in i. - iv.
Total Outgoings*
Sum of i. - v.
9. Other Household Members

Please tell us about any other dependents or members of your household not already mentioned and any costs and/or income they spend/earn (e.g. grandparents, children other than the four described above, your husband if you are married)
Member 1
Full Name*
Total Outgoing Amount*
Total Outgoing Amount - Sources*
List all the sources for 'Total Outgoing Amount' and their individual breakdown below
Total Income Amount*
Total Income Amount - Sources*
List all the sources for 'Total Income Amount' and their individual breakdown below
Member 2
Full Name*
Total Outgoing Amount*
Total Outgoing Amount - Sources*
List all the sources for 'Total Outgoing Amount' and their individual breakdown below
Total Income Amount*
Total Income Amount - Sources*
List all the sources for 'Total Income Amount' and their individual breakdown below

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Declaration and Submission

By submitting this application, I am confirming that:

- The information on this application is complete and accurate;

- Falsification of any information will cause my disqualification from the scholarship application process;

- I understand it is my responsibility to make sure the application process is complete by the required deadline. If not, the application may be disqualified from the application process and may not be considered for a scholarship;

- This application, upon receipt, becomes the property of the Daughters for Life Foundation;

- If selected as a scholarship winner for the DFL Scholarship, the foundation may use my name and likeness and any other information or materials provided in connection with this program for purposes of news, publicity and advertising in all media, including but not limited to print and electronic media, press releases, internet websites, and video media;

- If you are under 18, your parent or guardian must also agree to these Terms and Conditions.
Consent*
I agree to the privacy policy listed above.
Signed*
Date*
MM slash DD slash YYYY
Email
This field is for validation purposes and should be left unchanged.

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DFL Graduate Scholarship Application Form 2024/2025

Step 1 of 8

Graduate Scholarship Application Form

University Applications

Education History

High School Education

University/College Education

Short Answer Questions

Supporting Documents

References

1st Referee Details

2nd Referee Details

Financial Needs Analysis

1. Current Educational Funding

2. Future Educational Funding

3. Parent Contact Information

4. Parents' Occupation

5. Dependent

Dependent 1

Dependent 2

Dependent 3

6. Household Income

i. Net Salary

ii. Net Pension

iii. Maintenance Payments

iv. Net Rental Profit

v. Net Profit on any Bank Accounts

vi. Other Income

Total Income

i. Net Salary

ii. Net Pension

iii. Maintenance Payments

iv. Net Rental Profit

v. Net Profit on any Bank Accounts

vi. Other Income

Total Income

7. Savings

8. Outgoings

9. Other Household Members

Member 1

Member 2

Declaration and Submission