THE MICROSOFT UNLIMITED POTENTIAL SCHOLARSHIP FOR PEOPLE WITH DISABILITIES APPLICATION PACKAGE



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THE MICROSOFT UNLIMITED POTENTIAL SCHOLARSHIP FOR PEOPLE WITH DISABILITIES APPLICATION PACKAGE 1. Objectives The scholarship aims to: 2. Scholarship Details Motivate disabled people to pursue higher level of learning in IT. Nurture outstanding disabled students in the IT field so that they can serve as good role models in encouraging other disabled students to strive for success. 2.1 The Scholarship is available for local full time diploma or degree course. A list of approved tertiary institutions is found in Annex 1 of this package. 2.2 Application of the scholarship will be opened from 1 April to 30 June 2012. Late application will not be entertained. 2.3 The scholarship funds complete course fees and all related examination fees up to a cap of $7,500 per annum. In additional the scholarship provides S$750 per annum for purchase of textbooks and related study materials. 2.4 Scholars from low income family (per capita household income not exceeding $700 per month) may apply for Microsoft Specific Assistance of up to S$3,000 per annum, subject to means testing and the approval of the Microsoft Unlimited Potential Scholarship and Certification Training Grant Review Panel. 2.5 There will be no bond attached to this Scholarship. Scholars are encouraged to contribute in the form of community service with any organisation in the social service sector and serve as role models. 2.6 The Microsoft Scholarship and Certification Training Grant Review Panel reserves the right to revoke any Scholarship awarded if the progress, performance and behaviour of the scholar are considered unsatisfactory. Infocomm Accessibility Centre 2 Peng Nguan Street SPD Ability Centre Singapore 168955 Tel: 6579 0710 E-mail: enquiry@iacentre.org.sg Website: http://www.iacentre.org.sg

3. Eligibility Criteria Applicants must satisfy the following eligibility criteria and conditions: must be a Singapore citizen or permanent resident have a permanent disability (medical certification is required) have good academic records satisfy the admission criteria of the tertiary institutions listed in Annex 1 prove relevance of training to employment opportunities demonstrate ability to handle both academic studies and work commitments, if any demonstrate commitment to serve the disabled community upon completion of course continuation of scholarship will be dependent on the scholar s academic performance at the registered tertiary institution at point of the award of scholarship 4. Instructions for completion of application 4.1 Please complete all sections of the application form by writing or typing in BLOCK LETTERS. 4.2 Certified true copies of citizenship status, educational certificates and transcripts, testimonials, medical report and other relevant documents must attached to application 4.3 Any misrepresentation of information or wilful suppression of material facts will lead to disqualification of the application and if awarded, to termination of the grant. 4.4 All applications are subject to the evaluation and approval of the Microsoft Scholarship and Certification Training Grant Review Panel. Application that is incomplete or lack of documentary proof will not be entertained. 4.5 All documents submitted in support of your application will not be returned to you. 4.6 IA Centre and Microsoft Singapore shall not enter into correspondence with applicants on the reasons for non-selection of applicant. 4.7 Please submit application and all necessary required documents to: Infocomm Accessibility Centre 2 Peng Nguan Street SPD Ability Centre Singapore 168955 Infocomm Accessibility Centre 2 Peng Nguan Street SPD Ability Centre Singapore 168955 Tel: 6579 0710 E-mail: enquiry@iacentre.org.sg Website: http://www.iacentre.org.sg

Microsoft Unlimited Potential Scholarship Annex 1 Eligible Full time Local Basic Degree Courses Institution Course Name Duration 1 NUS Bachelor of Computing in Electronic Commerce 4 years Bachelor of Computing in Computer Science Bachelor of Computing in Information Systems Bachelor of Computing in Communications and Media Bachelor of Computing in Computational Biology Bachelor of Computing in Computer Engineering Bachelor of Computing in Computing (Business or Technology Focus) (not available from Admission Exercise 2006) Bachelor of Engineering in Computer Engineering Bachelor of Engineering in Engineering & Technology Management 2 NTU B.Eng Computer Engineering B.Eng Computer Science 4 years B.Eng Information Engineering and Media B.Eng Computer Engineering & Economics B.Eng Computer Science & Economics B.Eng Information Engineering and Media & Economics BEng (Computer Engineering) & MSc (Computer Science) BEng & MSc Computer Science BEng (Electrical & Electronic Engineering) & MSc (Electrical & Computer Engineering) 3 SMU Bachelor of Science (Information Systems Management) 4 years 4 SUTD Bachelor of Engineering (Information Systems 4 years Technology and Design) Kindly note that the above list is not exhaustive. Applicants can write in to enquire about courses that are not listed above. Infocomm Accessibility Centre 2 Peng Nguan Street SPD Ability Centre Singapore 168955 Tel: 6579 0710 E-mail: enquiry@iacentre.org.sg Website: http://www.iacentre.org.sg

Microsoft Unlimited Potential Scholarship Annex 1 Full time Local Basic Diploma Courses 5 NYP Diploma in Information Security Diploma in Financial Informatics Diploma in Engineering Informatics Diploma in Business Informatics Diploma in Business Enterprise IT Diploma in Multimedia Infocomm Technology Diploma in Electronics, Computer & Communications Engineering Diploma in Telematics & Media Technology 6 NP Diploma in Financial Informatics Diploma in Multimedia & Animation 7 TP Diploma in Cyber & Digital Security Diploma in Financial Business Informatics Diploma in Game & Entertainment Technology Diploma in Interactive Media Informatics Diploma in Mobile & Network Services 8 RP Diploma in Business Information Systems Diploma in Business Applications Diploma in IT Service Management Diploma in Interactive and Digital Media Diploma in Technology and Arts Management Diploma in Design for Interactivity Diploma in Game Design Diploma in New Media Diploma in Sonic Arts 9 SP Diploma in Infocomm Security Management Diploma in Business Information Technology Diploma in Financial Informatics Diploma in Digital Animation Diploma in Information Communication Technology Diploma in Digital Media Diploma in Music & Audio Technology Diploma in Visual Effects & Motion Graphics Kindly note that the above list is not exhaustive. Applicants can write in to enquire about courses that are not listed above. Infocomm Accessibility Centre 2 Peng Nguan Street SPD Ability Centre Singapore 168955 Tel: 6579 0710 E-mail: enquiry@iacentre.org.sg Website: http://www.iacentre.org.sg

THE MICROSOFT UNLIMITED POTENTIAL SCHOLARSHIP FOR PEOPLE WITH DISABILITIES APPLICATION FORM PERSONAL PARTICULARS Name (As in NRIC) Date of Birth NRIC No. Gender: Marital Status Citizenship F / M Email Address Address Contact No. Mobile: Home: FAMILY PARTICULARS 1. 2. 3. 4. 5. Name Relationship Date of Birth I/C No. Occupation Gross Salary GCE 'O' LEVEL OR EQUIVALENT School Name: Start Date: Country: Completion Date: Stream: Aggregate L1R5: Subject Grade Subject Grade Subject Grade GCE 'A' LEVEL OR EQUIVALENT School Name: Country: Start Date: Stream: Completion Date: Subject Grade Subject Grade Subject Grade

POLYTECHNIC DIPLOMA School Name: Country: Start Date: Course of Study: Completion Date: Subject Grade Subject Grade Subject Grade OTHER QUALIFICATIONS/CERTIFICATION Qualification Institution Year of Award INTENDED ADMISSION INFORMATION OF DIPLOMA/DEGREE COURSES (Please list down your applications in order of preference and submit a copy of your acceptance letter of the tertiary institution upon request) 1. Course of Study Institution Outcome 2. Course of Study Institution Outcome 3. Course of Study Institution Outcome CO-CURRICULAR ACTIVITIES Institution Position From To Description of Participation AWARDS, COMMENDATIONS, PRIZES, ETC Awards/Commendations Year of Award

REFEREES Full Name Occupation Organisation Contact Tel/Mobile: Email: Tel/Mobile: Email: Period Known WORK EXPERIENCE Company: From: To: Position: Company: From: To: Position: Company: From: To: Position: Company: From: To: Position: OTHER INFORMATION Language Spoken: About Yourself Language Written: Nature of Disability (Please provide details on the nature of your disability, diagnosis i from doctor and attach relevant medical report) Have you been convicted in a court of law in any country? Do you have any pending court case or police investigation? Have you been or are you under any financial embarrassment, i.e., (a) an un discharged bankrupt, (b) a judgement debtor, (c) have unsecured debts and liabilities of more than 3 months of last drawn pay, (d) have signed a promissory note or an acknowledgement of indebtedness? If your answer to the above questions is 'Yes', please provide details. Yes / No* Yes / No* Yes / No*

Have you applied or are applying for any other scholarships? If yes, please provide details below. Yes / No* a) Name of Scholarship: b) Course: c) Organisation: d) Outcome of Application: DECLARATION I declare that all the particulars in this application are true to the best of my knowledge and belief, and I have not wilfully suppressed any material fact. I acknowledge that I will be disqualified, or if accepted, my scholarship will be terminated without notice if any particulars are found to be untrue or material facts have been wilfully suppressed. Signature of Applicant Date * Please delete accordingly