1. Student Name (First name and last name): _________________________________________

2. Date of Birth (MM, DD, YYYY): _________________________________________

3. E-mail Address: _________________________________________

4. What school do you attend? _________________________________________

5. What city do you live in? _________________________________________

6. What university in Tanzania will you be attending? _________________________________________

7. What will you be studying in college? _________________________________________

8. Why are you a good candidate to receive this award? _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

9. Pick an experience from your own life and explain how it has influenced your development. ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

10. Briefly describe your long-term and short-term goals. _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

11. What impact would this scholarship have on your education? _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

12. What degree are you working towards? ___________________________________________________________________________________________________

13. Have you won the DAR scholarship previously? If so, what year(s)? ___________________________________________________________________________________________________

14. How many years is your academic program? ________________________________________________

15. How many years do you have left in your academic program?_______________________________

16. Please write a 500 word essay on why you feel The DAR project scholarship would be important to you. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________