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FAQ
Alumni
0641195088
E-mail

Home
For who
Objective
Submit request
Origin of the Foundation
To donate

Form EN

Form EN.

Form ENPascal L'Abee2023-02-22T13:58:34+00:00

Application Form

"*" indicates required fields

Documents to be submitted

The application form has to be filed with the support of a Student counsellor. In an accompanying letter, the student counsellor explains in writing why the application for a scholarship is justified. In this explanation, the following issues are addressed: (1) Start of the studies. (2) Study results in the past per year. (3) Causes of the delay of studies. (4) Expectations with regard to a successful continuation and finishing the studies. (5) Expected date of finishing studies. (6) Arguments for applying for a scholarship. (7) Advice on the amount of the scholarship needed. Without an accompanying letter from a Student counsellor, the application will not be processed.

Personal data

Name:*

Last name: First name:

Gender(M/F/X):

Male

Female

Nationality:*

If applicable: permit status

Telephone number:

City of residence:*

Date of birth:*

MM slash DD slash YYYY

For example: 01/01/1993

Place of birth:*

Bank account number:*

IBAN example: NL 00 BANK 0123 4567 89

E-mailadres*

Prior education

Name of university:

Year of first of enrollment:

For example: 2018

Total number of ECTS credits?

Expected date of finishing studies?*

MM slash DD slash YYYY

Have you followed a different study or studied elsewhere?

Yes

If yes, which studies and at what School or University?

If yes, in what period?

Did you finish these studies?

Yes

If yes, when?

Extra income or Earnings

Do you have any sources of income or extra earnings?

Yes

If yes, what is the net amount per month?

Will this income or these earnings be continued in the next college year?

Yes

If yes, what will be the net amount per month?

Are you married or are you living together?

Yes

If yes, does your partner have a separate income?

Yes

If yes, what is the net amount per month?

Study financing or contributions

Did you have right to a study grant (studiefinanciering) at DUO?

Basic government grant:

Yes

Interest bearing loan:

Yes

Additional grant:

Yes

If no grant, what was the reason?

Do you have a study debt?

Yes

If yes, what is the amount of your debt?

Did you apply for a scholarship with other funds?

Yes

If yes, what funds?

If yes, to what amount?

Have you received a scholarship from the Groesbeek-Assenbroek Foundation before?

Yes

If yes, how much and how many times?

What is the amount requested from the Groesbeek-Assenbroek Foundation?

Information family

Name father:

Taxable income:

Name mother:

Taxable income:

Did any of your brothers or sisters ever receive a scholarship from the Groesbeek-Assenbroek Foundation?

Yes

Are your parents able to support you financially?

Yes

If yes, to what amount?

If yes, are they willing to?

Yes

If no, then what is the reason for not financially supporting you?

PLEASE NOTE THAT THE REQUESTED DOCUMENTS ALL NEED TO BE UPLOADED IN PDF FORMAT

Letter of Student counsellor:*

Max. file size: 1 GB.

Motivation letter of the student:*

Max. file size: 1 GB.

Curriculum Vitae (pdf):*

Max. file size: 1 GB.

Official printout study results:*

Max. file size: 1 GB.

Specified budget:*

Max. file size: 1 GB.

Please provide a specified budget with a breakdown of the monthly costs and income. An example can be downloaded below.

I declare that I have completed this form fully and truthfully.

Place:

Date:

MM slash DD slash YYYY

Since its incorporation, the Groesbeek-Assenbroek Foundation has been able to offer support to several thousands of students with a lack of financial resources. This enabled them to complete their studies and build a career.

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Contact

Groesbeek – Assenbroek Foundation
Emmalaan 25
1075 AT Amsterdam.
Secretariat: mrs. D. Nijkamp LL.M.
Tax number (RSIN): 8050.13.921

06 4119 5088

info@GroesbeekAssenbroek.nl

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