Sample Page

Personal Information

First Name:

Last Name:

Gender:

Date of Birth:

Nationality (If other than Iranian):

Number of years in USA:

Email:

Phone:

Permanent Address:

Academic Information

High School Name:

Graduation Date:

GPA:

Program of Study

Proposed Field of Study:

Preferred University:

Degree Program:

Why do you want this scholarship? (Max 200 words)

Financial Information

Do you require financial assistance?

Have you applied for other scholarships?

Supporting Documents (Please attach the following with your application)

Passport Copy:

High School Transcripts (translated into English or Persian):

Recommendation Letter 1 (from teachers or academic professionals):

Recommendation Letter 2 (from teachers or academic professionals):

Personal Statement / Motivation Letter (Max 500 words):

CV / Resume (if applicable):

Declaration

I hereby declare that the information provided in this application is true and accurate to the best of my knowledge. I understand that providing false or misleading information may result in disqualification from the scholarship program.

Signature:

Date:

Important Notes:

The NIPOC Iranian Scholarship Program reserves the right to request additional documentation or information as part of the application review process.
All documents must be submitted in English or Persian.
Incomplete applications will not be processed.