AAM-CSD Scholarship Application Form

SCHOLARSHIP APPLICATION FORM

Project: Empowering Africa through Academic Mobility for Climate Change Mitigation, Adaptation, and Sustainable Development (AAM-CSD)

Intra-Africa Academic Mobility Scheme (PhD, MSc)

1. ABOUT THIS FORM

Instructions: Please complete this form electronically. In exceptional cases of limited Internet connectivity, you may download the MS Word version, complete it using a computer, and send it (together with other required documents) as an attachment to: AAM-CSDscholarships@gmail.com.

Deadline: Submission of the application is Midnight of 14th February 2026, East African Time (EAT).

I have read and understood the application procedures as described in the call and project brochure.

2. TARGET GROUP

Please select the appropriate box based on your current university affiliation:

TG1 (Applicants from Partner Universities involved in the project)
TG2 (Applicants from other African Universities not directly partnered)

3. PERSONAL INFORMATION

Title (Mr/Mrs/Miss/Dr)

Family Name / Surname

Given Names

Marital Status

Date of Birth

Gender

Male Female

Country of Birth

Nationality

Country of Residence

Language(s) Spoken

Disability / Special Health Conditions (Please specify if any)

Next of Kin / Emergency Contact

Name

Relationship

Telephone

Home Town

4. APPLICANT CONTACT DETAILS

Primary Email

Alternative Email

Mobile Telephone

Alternative Phone

Postal Address

5. HOME / SENDING INSTITUTION (For TG1 Applicants Only)

Name of Institution

Country

City

State/Province/Region

Zip/Postal Code

6. TYPE OF STUDY APPLIED FOR

Full-time MSc. Scholarship
Credit Seeking MSc. Scholarship
Full-time PhD Scholarship
Credit-Seeking PhD Scholarship

7. ACADEMIC PROGRAMME CHOICES

Make up to three choices of degree programmes. For information on participating HEIs and programmes, please refer to the project brochure.

Choice	Degree Programme	Host Institution	Why this programme?
1
2
3

8. EDUCATION AND PROFESSIONAL QUALIFICATIONS

List all university/college education. Include current studies and previous studies (even if not completed).

From (Mo/Yr)	To (Mo/Yr)	University/College	Full/Part-time	Qualifications Sought	Date/Class of Award

Different Name: If any qualifications were obtained under a different name, please state it here:

Previous Mobility: Have you benefited from any INTRA-ACP Mobility funding previously?

Yes No

If Yes, indicate Name of Mobility, Location, and Dates:

9. PROPOSED PROJECT FOR PhD DISSERTATION (PhD Applicants ONLY)

Title of Proposed Research:

Note: You must attach a 3-5 page concept note of your proposed study to this application.

10. MOTIVATION STATEMENT

Please motivate your suitability for receiving this scholarship (Max 250 words).

11. PUBLICATIONS / RESEARCH EXPERIENCE (PhD Applicants ONLY)

1. 2. 3. 4.

12. EMPLOYMENT HISTORY (Three most recent)

From (Mo/Yr)	To (Mo/Yr)	Position Held	Name and Address of Employer

13. REQUIRED SUPPORTING DOCUMENTATION

Please ensure the following are attached (Tick to confirm):

Full Academic Testimonials (Certified by a qualified body).
Copy of Passport Data page or National ID.
Curriculum Vitae (Required for PhD Students).
Letter of Recommendation from sending HEIs (For TG1 Applicants only).

Upload Documents (PDF/Zip):

14. CHECKLIST & FURTHER INFORMATION

I confirm that I do not have a running scholarship at the time of this application.
I confirm that I have attached the required documents.
I acknowledge that I have to apply independently for admission to the programme of my choice at the Host University.

Do you have any additional requirements that might affect your study?

Yes No

If yes, please enclose a separate letter giving details (or describe here):

15. REFEREES

Name two people whom the University can consult in confidence. At least one should be an academic staff member from your previous university.

Referee 1

Name

Position

Telephone

Referee 2

Name

Position

Telephone

16. DECLARATION

By submitting this application, I declare that the information provided in this application and the supporting documentation is true and complete.

I understand that the AAM-CSD Project reserves the right to withdraw or cancel any offer made on the basis of information that proves to be untrue or misleading.

I accept that the information I provide on this form and during my enrolment can be provided, in certain circumstances, to the European Commission (Intra-Africa Mobility Scheme) and designated authorities, including publishing it on the project website. I understand that the AAM-CSD Secretariat will keep all my personal information confidential unless otherwise required.

Signature (Type Full Name)

Date