FOUNDATION JIAJIRI SCHOLARSHIP APPLICATION FORM SECTION A: GENERAL INFORMATION ON 2JIAJIRI

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FOUNDATION 2JIAJIRI SCHOLARSHIP APPLICATION FORM (TO BE COMPLETED IN BLOCK LETTERS) Dear Applicant, We are excited that you are applying for the 2jiajiri programme. Before completing the application form, please read the information below carefully. Fill out the application form as clearly and as completely as possible. Only complete applications will be considered and admission into the programme is based on a competitive selection process. During the interview, candidates will be expected to come with completed application forms with passport size photo attached together with copies of National Identity card and certificate of their highest academic qualification. The candidates will also be expected to present originals of the above documents. Failure to produce these documents will lead to automatic disqualification. SECTION A: GENERAL INFORMATION ON 2JIAJIRI 2jiajiri is an enterprise development and wealth creation programme of the KCB Foundation. The objective of the programme is to create and support new and existing enterprises in the informal sector through vocational training, business development services and market linkages. The intention of the programme is that the increasing expansion and formalisation of enterprises will create employment opportunities. The programme focuses on the following sectors: 1. Agribusiness 2. Automotive Engineering 3. Beauty and Personal Care 4. Building and Construction 5. Domestic Services Scholarship Selection Criteria Eligibility: To qualify for 2Jiajiri scholarships all applicants must fulfill the criteria below: - Have a National Identity Card - Possess the ability to read and write - Commit to attend all training sessions in participating technical training institutions in their county of residence - Contribute Ksh 2,000 towards the school fees. This is payable to the training institution upon receiving official communication from KCB Foundation on award of the scholarship - Must fulfill the criteria and be within one of the three categories( Business Owner, Apprentice or Skiller) NOTE Applicants will be given equal opportunity and shall not be discriminated on the basis of disability, gender, regional, religious and ethnic background. 1 NOT FOR SALE V2

SECTION B: BIO DATA Please note that any false information will lead to automatic disqualification at any point Attach Passport Picture here Full name of applicant: Sex (Male/Female): Date of Birth: ID Number: County of Residence: Email Address: P.O. Box Mobile Contact: Alternative Contact Number: How did you find out about the scholarship? KCB Branch Radio TV Social Media KCB Foundation Website Others (Please specify) SECTION C: COURSE SELECTION The list below outlines the courses/trades that shall be considered in awarding the scholarships. The trades must be NITA certified at the level of grade 3 or internal certification by the institution in courses where NITA is not applicable. Please select only one course and the training institution based on the list provided on page 6. Please note that courses considered for the scholarship should not exceed 6 months of study. Agribusiness Automotive Engineering Beauty and Personal Care Building and Construction Domestic Services Hydroponic Farming, Vegetable Production, Aquaponics and Aquaculture Electronic Mechanics, Motor Vehicle Electrician, Motor Vehicle Mechanic, Panel Beater, Plant Mechanic, Spray Painter and Upholstery Beauty Therapy, Hair dressing, Tailoring and Dressmaking Arc Welder, Cabinet Maker, Carpentry and Joinery, Electrical Fitter, Electrical Wireman, Gas Welder, General Fitter, Masonry, Molder, Painter Decorator, Plumber, Pipe Fitter, Polisher, Refrigeration and Air Conditioning, Sheet Metal, Sign Writer, Solar Photovoltaic, Tiling, Wood Curver and Wood Machinist Food & Beverage, Housekeeping and Laundry Name of Training Institute Duration of Training Name of the course 2 NOT FOR SALE V2

SECTION D: CATEGORY WHICH YOU FALL UNDER Business Owner Apprentice Skiller a. The business must be existing at the time of this application and operational for a minimum of one year and a maximum of five years. b. Applicant must provide records/ evidence to prove operational existence e.g. business permits c. Applicant must have a verifiable business location a. Applicant must have worked under a supervisor for the past 6 to 12 months performing aspects of the skill they are applying the scholarship for. b. Must be above 18 years a. Applicant does not need to have any prior experience in the skill they are applying the scholarship for. b. Must be between 18 and 35 years old Tick the category you fall under (Tick One Only) Business Owner Apprentice Skiller For Business Owners and Apprentices, answer part a or b below with the most accurate information. (You can only fill one category) A. BUSINESS OWNERS Name of business Location of Business? (County, Town, Village, Plot, Building and Street) Period the business has been in operation Is the business registered? YES NO Nature of Business E.g. Garage, Kiosk, Mtumba, etc. B. APPRENTICES Are you currently working/ undertaking apprenticeship/training? YES NO If YES, state location of employment / business (County, Town, Village, Plot, Building and Street) Name and contact of current employer/supervisor Nature of employment/ business 3 NOT FOR SALE V2

If NO, state details of any previous work/ apprenticeship/training experience i.e. Location of employment/ business (County, Town, Village, Plot, Building and Street) Name and contact of previous employer/supervisor Nature of employment / business 4 NOT FOR SALE V2

SECTION E: JUSTIFICATION FOR BEING AWARDED SCHOLARSHIP THIS SECTION MUST BE COMPLETED Please provide an explanation of why you deserve this scholarship *Note that this section should ONLY be completed BY THE APPLICANT What are your expectations of the 2jiajiri Programme? (Minimum 100 words) 5 NOT FOR SALE V2

SECTION F: CONTACT DETAILS THIS SECTION MUST BE COMPLETED Name (As it appears on your National ID Card) ID Number: Signature of the applicant: Mobile/Telephone: PARTICIPATING INSTITUTIONS & COUNTIES COUNTY INSTITUTION COURSE INTERVIEW DATES Nairobi Christian Industrial Training College Welding & Metalwork Monday, 5 th Mar (CITC) Automotive Engineering Carpentry & Joinery Plumbing & Pipefitting Nairobi Imani Marianists Hairdressing & Beauty therapy Catering Machakos Mumbuni Technical Training College Automotive Engineering Electrical Installation Dressmaking & Tailoring Machakos Baraka Technical College Carpentry Masonry & Brickwork Dress Making Beauty & Hairdressing Nairobi NITA Masonry & Brickwork Plumbing & Pipefitting Tiling Carpentry & Joinery Automotive Engineering Dress Making & Tailoring Monday, 5 th Mar Tuesday, 6 th Mar Wednesday, 7 th Mar Thursday, 8 th Mar Nairobi St. Dominic's Technical & Agricultural Aquaculture Technology Thursday, 8 th Mar Training Institute Kilifi Mabati Technical Training Institute Welding & Metalwork Thursday, 8 th Mar Machakos Katine Technical Training Institute Carpentry & Joinery Masonry & Brickwork Welding & Metalwork Electrical Installation Nakuru Comboni Polytechnic Automotive Engineering Carpentry & Joinery Electrical wiring & Installation Dress Making Friday, 9 th Mar Friday, 9 th Mar 6 NOT FOR SALE V2