<p> GASHORA GIRLS ACADEMY OF SCIENCE AND TECHNOLOGY Educate, Inspire, Transform P.O. Box 993 Kigali Gashora Sector, Bugesera District, Eastern Province, RWANDA 0788757447, 0785238414 www .r w andagirlsinitiative.or g</p><p>2018 APPLICATION FOR ADMISSION Urupapuro rwo gusaba ishuri</p><p>READ THESE DIRECTIONS:</p><p>Complete this form and drop it in GGAST drop box at UTC shop number 3.5 (T –KAY Investment) or email a scanned copy to [email protected] You must submit your application with the following documents (tick those included) before 24/12/2017 Uzuza uru rupapuro, urujyane kuri UTC (Kwa Rujugiro) igorofa ya kabiri umuryango No. 3.5 (T-Kay investment) cyangwa wohereze kuri email [email protected] Uru rupapuro rugomba kuza ruherekejwe n’ibi bikurikira mbere yo kw’itariki 24/12/2017 :</p><p>1. A copy of your child’s birth certificate/ icyemezo cy’amavuko 2. A copy of the parents’ Identity cards/ kopi z’indangamuntu z’ababyi 3. The school report card from Senior 1, 2 and 3/ indangamanota y’umwaka wa 1, 2, 3 4. When you receive your S3 National Examination results you must send them to us immediately/amanota y’ikizamini cya leta 5. Two passport photos/Amafoto abiri magufi 6. If you are accepted to GGAST, you will be required to provide a completed doctor’s examination certificate of health, pregnancy test, and medical insurance card before enrolling at the school/ Uzazana icyemezo cya muganga, icyemezo cy’uko udatwite, n’ ikarita y’ubwishingizi bw’indwara Name of student</p><p>Family name/Izina: Given name/Andi mazina Date of Birth/Itariki y’amavuko: Nationality/Ubwenegihugu: Sector/Umurenge: District/Akarere: Telephone #: Email: </p><p>1 S t ud e n t’s p re v i ou s sc hoo l Da te s ______Ishuri umwana yigagamo Amatariki Name of school: From: To: Izina ry’ikigo Kuva Kugera</p><p>Student’s S3 Index Number: ______Minerval 2017: ______Numero ya Index yo muri S3 Ayo Yishyura 201</p><p>Name of any other school attended: From: To: Ayandi mashuri yizemo Kuva Kugera</p><p>Name of School’s Director/Principal: Telephone #: Izina ry’umukuru w’Ikigo aho wiga</p><p>Warning: Providing false information may result in legal proceedings against you and GGAST reserves the right to dismiss you.</p><p>Icyitonderwa: Mugihe bigaragaye ko aya makuru Atari ukuri, byatuma mukurikiranwa mu nzego z’ubutabera, kandi bigatuma ubura umwanya muri GGAST</p><p>PARENTS/GUARDIANS’ INFORMATION: Umwirondoro w’Ababyeyi/Umurera Father’s Name: Living? or Deceased? (Family Name) (Given name) Ariho? Ntariho? Izina rya Se Ayandi mazina Profession: Employer: </p><p>Ikigo Akorera Umwuga Email: Telephone #: </p><p>Mother’s Name: ______Living? or Deceased? (Family Name) (Given Name) Ariho? Ntariho? Izina rya Nyina Ayandi mazina Employer: Profession: Ikigo Akorera Umwuga Telephone #: Email: ______Village : Sector: </p><p>Umudugudu Umurenge District : ______Province : BROTHERS AND SISTERS:</p><p>Abavandimwe Names Amazina : Date of School and grade in 2017/Aho School fees per term/Amafaranga Birth/Itariki yiga n’umwaka yiigamo muri y’ishuri ku gihembwe: y’amavuko: 2017</p><p>Emergency contact information: Name: _ Telephone #: Uwo guhamagara habaye ikibazo: Izina 2 Relationship to student: Isano bafitanye:</p><p>I certify that the foregoing particulars and information given are correct. I hereby agree to observe all the rules and regulations laid down by Gashora Girls Academy of Science and Technology. I agree to pay all school fees promptly and acknowledge that failure to do so could result in the dismissal of my child. Ndahiye ko ibyanditswe haruguru ari ukuri. Nemeye kuzakurikiza amategeko n’amabwiriza y’ishuri rya Gashora Girls Academy of Science and Technology. Nemeye kandi kuzariha amafaranga y’ishuri ntatinze mu gihe gisabwa.</p><p>When you submit your application, you are also granting GGAST permission to use your daughter's photos, videos, awards, and achievements for School publications such as the website and social media, magazines and newsletters, brochures, and advertising. Note that your daughter's full name will not be disclosed. </p><p>Mugutanga ubusabe bwanyu, mubamuhaye uruhushya GGAST rwo gukoresha amafoto, amashusho, ibihembo nibikorwa bitandukanye umunyeshuri yagezeho bigakoreshwa kumbunga mpuzabanga. Amazina y’umwana ntabwo azakoreshwa. </p><p>Signature of the Parent/Guardian: Papa Date: Umukono w’umubyeyi/Umurera Mama Itariki</p><p>3 STUDENT QUESTIONS</p><p>Th e st ud e n t m u s t an s w e r a l l t h e f o ll ow i n g qu esti on s in Eng lis h an d in you r ow n handw riti n g an d w it hou t a ssist an ce . M ak e s ur e yo u an s we r t h e que sti o n i n e ss a y f or m an d yo u ar e ver y c l ea r i n you r an s wer s. Yo u m a y an s w e r t h e qu esti on s on a se para t e p i ec e o f pape r an d a tt ac h i t t o t h i s For m . Umunyeshuli asabwe gusubiza ibi bikurikira akoresheje umukono we bwite kandi ari ntawumufashije. Ukeneye gusubiza ibi bibazo mu buryo busobanuye kandi bwuzuye. Ushobora gusubiza ibibazo ku rundi rupapuro ukarufatanya n’urunguru.</p><p>1. Why do you want to attend Gashora Girls Academy of Science and Technology?</p><p>2. Why should we select you over the many other qualified candidates who will be applying? </p><p>3. discuss 3 different career choices you would like to pursue in your life from what you like most to the one you like least.</p><p>4. Tell us about a time when you experienced failure (outside of school). How did it affect you and what did you learn from it? 5. Tell us about your passions. What are you passionate about? What sport, what activities, what jobs are you passionate about and why?</p><p>I certify that I have answered these questions without assistance from anyone else. Ndemeza ko nasubije ibi bibazo ari nta numwe umfashije.</p><p>Signature of Student: Date: Umukono w’umunyeshuri Itariki</p>