Application Form

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Personal information

Tell us more about yourself

Full Name *

First

Last

Date of Birth *

Gender *

Male
Female

Email address *

Phone number *

State of origin *

Nationality *

Passport number (if available)

Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Family & financial background

Parents / Guadians name *

First

Last

Email address *

Phone number *

Relationship to applicant *

Father
Mother
Guardian

Occupation *

State of origin *

Nationality *

Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Annual household income *

Below $1,200
$1,2000-$5,000
Above $5,000

Are you currently receiving any other scholarships? *

Academic information

Current/Last school attended *

Year of graduation *

Highest qualification obtained *

Preferred course of study *

STEM
Medicine
Law
Business & Economics

Scholarship motivation

Tell us your story. Share your aspirations, challenges, and the unique strengths you’d bring to our community. This essay helps us understand your character, goals, and alignment with our mission (600–800 words). Be authentic—we’re eager to listen!

Personal essay (Why are you applying for this scholarship?) *

How will this scholarship impact your future goals? (200 words max) *

How did you learn about this scholarship? *

Please specify *

Documents upload

Applicant passport photograph *

(Upload a clear, recent passport-sized photograph in JPG or PNG format, max 2MB.)

letter Parents specify

High school transcript *

Upload your most recent academic transcripts (translated to English if applicable). These documents verify your academic history and help us assess your eligibility. Ensure files are legible and under 5MB. (jpg or PDF

Medical report *

Upload an official medical report from a licensed practitioner in your home country (translated to English if applicable). These documents MUST disclose any pre-existing medical conditions. Ensure files are legible and under 5MB. (jpg or PDF)

Letters of Recommendation

Submit two recommendation letters from non-family members who can vouch for your character and potential (e.g., teachers, religious leaders, or mentors). Letters should include contact details for verification. (Scanned or PDF)

Recommendation letter 1 *

Recommendation letter 2 *

Bio data page of passport (If available, upload a scanned copy.)

Medical & vacine information

Do you have any medical conditions we should be aware of? *

If yes, please specify *

Have you received any required vaccinations? *

If yes, please specify *

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Review all entries before submitting. Incomplete or inaccurate applications may delay processing. Upon submission, you’ll receive a confirmation email within 48 hours.

Honesty Agreement

By submitting this application, you certify that all information provided is accurate, complete, and truthful to the best of your knowledge. The Rochas Foundation reserves the right to verify all documents and statements. Any intentional submission of false or misleading information—including forged documents, misrepresented qualifications, or plagiarized materials—will result in immediate disqualification, revocation of an awarded scholarship, and potential exclusion from future opportunities.

Honesty Agreement *

I agree to the terms above.

Personal information

Family & financial background

Academic information

Scholarship motivation

Documents upload

Letters of Recommendation

Medical & vacine information

Honesty Agreement

Links