Ministry of Education Elimu Form One 2024 Application Form and Requirements

The Ministry through The Jomo Kenyatta Foundation (JMF) and Equity Group Foundation is awarding Form One 2024 Secondary School Elimu Scholarships in all 47 Counties to needy and vulnerable learners who attained 280 marks and above in the 2023 KCPE Examination.

Get all the instructions below;

REPUBLIC OF KENYA
MINISTRY OF EDUCATION
STATE DEPARTMENT FOR BASIC EDUCATION

ELIMU SCHOLARSHIP PROGRAMME – 2024 DATA PROTECTION OVERVIEW

In accordance with the Data Protection Act, 2019, and Regulations, as amended and reviewed from time to time (Data Protection Laws), Equity Group Foundation (“EGF”) is a not-for-profit organization registered as a limited by Guarantee entity under the laws of Kenya.

EGF is collecting consent from the parent(s) or guardians, on behalf of the applicants as minors to ensure compliance. EGF is committed to protecting the privacy and security of personal information. This Privacy Notice explains how we collect, use, and disclose personal information in connection with the Elimu Secondary School Scholarship Program.

Information we collect.

EGF will collect the following types of personal information through application forms provided at the Equity Bank (Kenya) Limited Branches or through events organized by EGF:

• Contact Information: Names, addresses, phone numbers, and e-mail addresses.
• Demographic Information: Date of Birth, gender, health status and other relevant demographic details.
• Academic Information: Educational background, grades, and other academic records.
• Program Participation Information: Data related to participation in the Elimu Program, including attendance, performance, sibling
information and referrals.

How We Use Your Information

EGF uses your personal data for the following purposes:

• Program Administration: To manage and administer the Elimu Program, including fair scholarship distribution and academic
support.
• Communication: To communicate with participants, parents or guardians regarding program updates, events, and relevant information.
• Research and Reporting: To conduct research and generate reports to improve the effectiveness of the program.
• Compliance: To comply with Legal and Regulatory requirements.

Sensitive Personal Data

EGF collects health information, property details, family details including names of the person’s children, parent(s), guardians, spouse or spouses and gender. Under the Data Protection Laws, these data categories are termed as sensitive personal data.
EGF uses your sensitive personal data for the following purposes:

• Program Administration: Your health information, gender and family details are collected and used to ensure fair scholarship
distribution.
• Home Visit: To conduct follow up visits, if successful after the interviews. The visits are structured to be impromptu, without the knowledge of the applicants to avoid instances of fraudulent applications.

Information SharingWe may obtain and or share personal information:
• EGF may obtain additional information concerning the applicant’s education and financial records, as needed to complete this scholarship application.
• EGF may also communicate and release information to others who are involved in making decisions relating to the applicant’s
educational plans, including, and not limited to their previous and future schools, Referees named in this form and the Ministry of Education.
• EGF may also share your personal information with the donors, certified counsellors, psychosocial and medical service providers, and mentors.

Data Security

EGF implements adequate technical and organizational measures to protect personal information from accidental or unlawful destruction, loss, alteration, unauthorized disclosure of, or access to, personal data.

Data Transfers & Cross-Border Transfers

Once the forms are received, the data is transferred to the EGF Data Management Information System (DMIS). The physical forms are then archived based on Bank Policies by the branches that received the personal data.

In the course of our operations, personal data may be transferred to entities located outside Kenya. Such transfers could be necessary to provide oversight to our donors, who are located outside the country.

EGF takes measures to ensure that your data remains adequately protected and that these transfers comply with the Data Protection Act, 2019.

Applicants Data Subject Rights

Applicants can exercise their rights to access, rectify, erase, restrict processing, data portability, object and in relation to automated decision making and profiling by sending a request to: [email protected].

We may however continue to process where we have a legal basis of processing.

CONSENT FROM THE PARENT(S) or GUARDIAN

 I _______________________________________, hereby provide my consent to EGF for processing of my sensitive personal data for the purposes described above.

FORM A: REFUGEE APPLICATION FORM (2024)

INSTRUCTIONS/GUIDELINES
• This form is given FREE OF CHARGE by the Equity Group Foundation.
• The information provided in this form is intended to help the Equity Group Foundation Community Scholarship Advisory Committee
understand the applicant’s academic and financial position for the purpose of assessment for scholarship award.
• This application form must be filled accurately and completely in CAPITAL LETTERS.
• On being called for an interview, the applicant must bring the originals of all documents attached.
• All incomplete or inaccurately filled forms will be automatically rejected.
• Copies of ALL DOCUMENTS required must be provided by the applicant. Any applications without relevant documents will be rejected.
• Canvassing will lead to automatic disqualification.
• The completion and submission of this form is not a guarantee for sponsorship.
• Any false statements, omissions or forged documents will lead to automatic disqualification.
• Equity Group Foundation reserves the right to make the final determination of scholarship beneficiaries.
• Only 2023 KCPE refugee candidates who sat for their KCPE exams in camp based primary schools will be considered.
• The application form can be submitted either at the nearest Equity Branch or online via
https://egfdmis.equitybank.co.ke/register_elimu
• Every part of this form must be filled. Failure to do so makes this application form incomplete and therefore renders the applicant
illegible for the scholarship.

PART A: APPLICANT’S PERSONAL DETAILS

PERSONAL DATA

Full Name of Applicant

First / Baptismal: __________________________ Middle:_____________________ Surname / Family Name: ________________________
Gender: Male Female Date of Birth: D D M M Y Y Y Y
UNHCR Individual Number X X X – X X X X X X X X Registration Group Number
Please attach copy of Manifest
Nationality:__________________________ Physical Address (Address home location) _______________________________________
Camp Name:_________________________
Tel /Mobile No.: Alternative Mobile No.:
Physical Address: County :_____________________________________ Sub-county: __________________________________________
Village/Area Number: ________________________________________ Compound/Zone Number: ______________________________
Neighbourhood/Block Number: ________________________________ Household/Group Number:______________________________

ACADEMIC INFORMATION

Name of Primary School Attended ___________________________________________________________________________________
Postal Address: P.O. Box:
Town/City:
Postal Code:
Tel/Mobile No.:
Alternative Mobile No.:
Physical Address: County: _____________________________________ Sub-County: _________________________________________
Village/Area Number: ________________________________________ Compound/Zone Name and Number: _____________________
Neighbourhood/Block Number: ________________________________
KCPE Index No.:
KCPE Marks:

(Attach copy of results slip or one provided by the Headteacher of your former school with his / her certification)
Year sat for KCPE: ________________ Have you attempted KCPE in previous years? Yes n No n
If yes, how many times and why? ___________________________ Please indicate the KCPE scores attained for previous years: _______
Have you repeated any class (1-8) while in primary school? Yes n No n If yes, which one(s)? _____________________________

PART B: APPLICANT’S FAMILY INFORMATION

PARENT’S INFORMATION

Father’s Full Name
First Name:___________________________ Middle Name: ____________________________ Surname: __________________________
UNHCR Individual Number

Registration Group Number
Living:

Deceased:

[If deceased, please attach copy of death/burial certificate]
Please attach copy of Manifest
Physical Address: County: _____________________________________ Sub-County: _________________________________________
Camp Name:________________________________ Village/Area Number: ____________ Compound/Zone Number: _______________
Neighbourhood/Block Number: ________________________________ Household/Group Number:______________________________
Postal Address: P.O. Box:
Town/City:
Postal Code:
Tel/Mobile No.
Source of Income: ________________________________________________________________________________________________
Mother’s Full Name
First Name: ___________________________________ Middle Name: _____________________ Surname: __________________________
UNHCR Individual Number

Registration Group Number
Living:
Deceased:

[If deceased, please attach copy of death/burial certificate]
Please attach copy of Manifest
Physical Address: County: ___________________________________________ Sub-county: ____________________________________
Camp Name:________________________________ Village/Area Number: ____________ Compound/Zone Number: _______________
Neighbourhood/Block Number: ________________________________ Household/Group Number:______________________________

ELIMU SCHOLARSHIP PROGRAMME – 2024

Postal Address: P.O. Box:
Town/City:
Postal Code:
Tel/Mobile Number:
Source of Income: ________________________________________________________________________________________________
Are your parents living together? Yes n No n
GUARDIAN INFORMATION (If not living with your parents)
First Name: ___________________________________ Middle Name:_____________________ Surname :__________________________
UNHCR Individual Number

Registration Group Number
Relationship with Student/Applicant:_________________________________
Please attach copy of Manifest
Physical Address: County:__________________________________________Sub-County:_____________________________________
Camp Name:________________________________ Village/Area Number: ____________ Compound/Zone Number: _______________
Neighbourhood/Block Number: ________________________________ Household/Group Number:______________________________
Postal Address: P.O. Box:
Town:
Postal Code:
Tel/Mobile Number:
Source of Income: ________________________________________________________________________________________________

SIBLING INFORMATION

List all your brothers and sisters starting with the oldest and state what each is doing.
(If working, describe job and monthly salary; if in university, state; if in school, state the form or class; if in training, describe it; if a sister is married, show the occupation of her husband and if a brother is married, show the occupation of his wife).
Name
Age
School/Employer
Class/Position in employment
1.
2.
3.
4.
5.
6.
7.
8.
6

ELIMU SCHOLARSHIP PROGRAMME – 2024

PART C: APPLICANT’S EVIDENCE OF NEED

APPLICANT’S INFORMATION
Indicator
Description
Why are you applying for a scholarship?
Have you received any financial support/bursaries in the past?
If so, please provide details:
Do you suffer from any physical impairment (disability)?
Do you have any disability or any chronic illness? If yes, kindly describe and provide evidence:
Are you entitled to any form of inheritance from your parents guardians/any other source? Describe:
Who do you live with? Parent(s) n Guardian(s) n Other n Specify ______________________________________________

PARENT/GUARDIAN INFORMATION

Indicator
Father/Male Guardian
Mother/Female Guardian
Other
Age of your parents/guardians?:
Does any of your parents have any form of disability?
If yes, describe the disability:
Does any of your parents/guardians suffer from a chronic disabling medical condition? If yes, describe:
Are you living with both parents? If not, explain:
Are your parents/guardians employed? If yes, give details of job and salary per month: Attach Payslip
Do your parents/guardians own a business?
If yes, describe and show the average monthly income: Bank Statement
Do your parents/guardians own land/plot? State number of acres, type of crops grown, number of cows /sheep/goats/donkeys and income from such assets:
Land size:
List livestock:
Do your parents/guardians have any other assets or sources of income, including casual labor? If yes, indicate the approximate monthly income:

FAMILY INFORMATION

Indicator
Description
Has your family been affected by civil conflict or natural disasters such as displacement, flooding, drought, fire or famine?
If yes, describe:
What type of house do you live in? Describe such as grass thatched, iron sheet, cemented, etc.:
Please describe any other cause of disadvantage or vulnerability?
Any siblings in i) Secondary School?:
ii) University?:

ELIMU SCHOLARSHIP PROGRAMME – 2024

SKETCH A DIRECTIONAL MAP TO YOUR HOME FROM THE NEAREST LANDMARK, INDICATE CLEARLY THE BLOCK NUMBER AND YOUR HOMESTEAD.

Part D: How did you first learn about the Elimu Scholarship Programme?

(Please mark only one)
n School – teacher, principal or counselor (list name)
n Church, mosque or synagogue (specify name)
n Friends, parent, guardian or relative
n Equity Bank Branch (specify location)
n Internet (specify site)
n Radio or TV (specify)
n Newspaper or magazine (specify)
n Social networks such as Facebook, Twitter or MySpace (specify)
n Others (specify): ______________________________________________________________________________________________
PART E: DECLARATIONS

APPLICANT’S DECLARATION
I, _________________________________________ declare that the information given above is true to the best of my knowledge and I am aware that giving false representation will mean that my application will not be considered and will lead to automatic disqualification.

I authorise Equity Group Foundation or its representatives to obtain such additional information concerning my educational program and financial records as needed to complete this scholarship application.

I also authorise Equity Group Foundation and its representatives to communicate and release information to others who are involved in making decisions relating to my educational plans including and not limited to my previous and future schools, referees named in this form and the Ministry of Education.

In the event I win the scholarship, I commit myself to working hard and posting excellent results throughout my secondary school course. I declare that I am aware of the Kenyan secondary school set up and commit to remain in school without any undue absenteeism.
Signature:
Date:

PARENT’S/GUARDIAN’S DECLARATION

I confirm that the above information is true to the best of my knowledge and I am aware that giving false representation will mean that the application will not be considered and will lead to automatic disqualification. On behalf of my child, I authorise Equity Group

Foundation or its representatives to obtain such additional information concerning this applicant’s education and financial records as needed to complete this scholarship application.

I am familiar with the Kenyan Secondary schools system and conditions and commit to ensuring that my child remains in school without any undue absenteeism if selected. I also commit to report to the bank any incident of my child absenteeism from school.

I also authorise Equity Group Foundation and its representatives to communicate and release information to others who are involved in making decisions relating to this applicant’s educational plans including and not limited to their previous and future schools, referees named in this form and the Ministry of Education.

ELIMU SCHOLARSHIP PROGRAMME – 2024

Parent/Guardian Name: ___________________________________________________________________________________________
Signature:
Date:

If you wish to provide additional information, please attach a separate piece of paper.

PART F: RECOMMENDATIONS

This part must be completed by the relevant authorities indicated. Any false infomation will lead to disqualification.

1. Primary School Head Teacher

Please report on the above named applicant’s performance, conduct, special interests and talents. Also explain why he/she should be considered for the Elimu Scholarship Programme:
How long have you known the candidate/family? ______________________________________________________________________

My school has ______ pupils who sat for KCPE and in the most recent tests sat by the applican before sitting for KCPE, this applicants
position was no. ______ overall and attained ______ marks out of 500.

Report on any special interests or talents the child may have e.g. Leadership, Sports, Arts, Music, etc:__________________________________________________________________

Rate the candidate’s financial ability: n Very Rich n Rich n Middle Income n Poor n Very Poor

I have reviewed the information given in this form and believe it to be truthful. The above named student attended my school and based on my knowledge and/or inquiries, I affirm that he/she is needy/vulnerable. Please describe facts about his/her circumstances.
______________________________________________________________________________________________________

Name:
Signature & Official Stamp:
Date:

Postal Address: P.O. Box:
Town/City:
Postal Code:
Telephone No.:
Camp Name____________________________________________ Village/Area Number_______________________________________
Compound/Zone Number _________________________________ Neighbourhood/Block Number_______________________________

2. Community Leader/Block Compound Leader
How long have you known the candidate/family? ______________________________________________________________________
Rate the candidate’s financial ability: n Very Rich n Rich n Middle Income n Poor n Very Poor
Yes
No
Orphaned
Parents/Guardians are employed
Parents/Guardians
Any additional information, explain:

ELIMU SCHOLARSHIP PROGRAMME – 2024

I have reviewed the information given in this form and believe it to be truthful. The above named student is a resident of my Location/Sub-Location. Based on my knowledge and/or inquiries,

I affirm that she/he is needy/vulnerable.

Name:

Signature & Official Stamp:
Date:

Postal Address: P.O. Box:
Town/City:
Postal Code:
Telephon No.:
Camp Name_________________________________ Village/Area Number______________ Compound/zone Number_______________
Neighborhood/block number____________________House/group number_____________

3. Religious Leader (Bishop, Pastor, Priest, Imam, etc.)
How long have you known the candidate/family? ______________________________________________________________________

Rate the candidate’s financial ability: n Very Rich n Rich n Middle Income n Poor n Very Needy
I have reviewed the information given in this form and believe it to be truthful. Based on my knowledge and/or inquiries I affirm that this student is needy / vulnerable based on the following facts about his/her circumstances.
______________________________________________________________________________________________________
Name:
Signature & Official Stamp:
Date:

Postal Address: P.O. Box:
Town:
Postal Code:
Telephon No.:

Camp Name_________________________________ Village/Area Number______________ Compound/Zone Number_______________
Neighborhood/Block Number___________________ Household/Group Number_____________________________________________

NB: If a family is found to have misrepresented their circumstances, the scholarship will be terminated and they will be required to refund fees paid.