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Apply for the Addison Kelly Memorial Scholarship
Home
/ Apply for the…
Apply for January 2025 for studies starting in Fall 2025
Please enable JavaScript in your browser to complete this form.
1. Are you Caymanian or have the Right to Be Caymanian?
*
Yes
No
Please note that this scholarship is available only for Caymanians or those individuals who have the Right to Be Caymanian. If your answer is "no", you will not be able to complete this form nor will you be eligible for the scholarship opportunity.
2. Please indicate the degree you plan to pursue.
*
APPLICANT DETAILS
Name
*
First
Middle
Last
Gender
*
Woman
Man
Transgender Woman
Transgender Man
Non-Binary
Agender/I don't identify with any gender
Prefer not to say
Gender not listed.
Date of Birth
*
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DD/MM/YYYY
CONTACT INFORMATION
Local Mailing Address
*
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Cayman Islands
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Kingdom of)
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Please put both your local mailing address and local physical address.
Your Email Address
*
Local Phone Number
*
Alternate Phone Number
If applicable.
Overseas Mailing Address
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
--- Select country ---
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Kingdom of)
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Please put both overseas mailing address if applicable.
Overseas Phone Number
If applicable.
DECLARATION OF ACCURACY
To be eligible for a scholarship/funds from the Alex Panton Foundation (“APF”) you must agree to the following statements and sign to indicate your approval: I hereby make an application for a scholarship/funds from the APF to assist with my tertiary education.
*
I declare that, to the best of my knowledge, the information provided on this application is true, correct and complete. The APF has my permission to verify any information provided and contact any credit reporting agency as deemed necessary.
I fully understand that it is unlawful to knowingly make any false statement or representation on this application and that any such false statement or misrepresentation will result in the said scholarship being rescinded, whereupon I will become liable to the APF for the full amount of the funds disbursed to me.
I understand that my request for a scholarship/funds will not be reviewed and may be voided unless my application form is complete, accompanied by the required documentation and submitted within the specified timeframe through the online application programme featured on the APF website at https://alexpantonfoundation.ky/addison-kelly-memorial-scholarship/.
Please check the boxes as an indication of your understanding of, and agreement to the above mentioned and sign below:
ACADEMIC REFERENCE
*
Click or drag a file to this area to upload.
Please submit an academic reference that has been completed by someone who has known you (the applicant) in an academic capacity for at least one year and is not an immediate family member. NOTE: This reference cannot be the same person as your personal reference.
PERSONAL REFERENCE
*
Click or drag a file to this area to upload.
Please submit a personal reference that has been completed by someone who has known you (the applicant) in a personal capacity for at least one year and is not an immediate family member. NOTE: This reference cannot be the same person as your academic reference.
UPLOADS
*
Click or drag files to this area to upload.
You can upload up to 3 files.
Please submit a recent photo, birth certificate and proof of having the right to be Caymanian.
PROOF OF DOMICILE (RESIDENCY)
Scholarships will only be awarded to students who have been legally and ordinarily resident – as defined by the Cayman Islands Immigration Law (2015 Revision – in the Cayman Islands for a minimum of five (5) years prior to their application.
Proof of residence will be required for all scholarship applications. This can be a letter from most recent school or from parents’ employer. Students who are overseas for academic purposes and off island for more than 6 months will not be penalised as long as their parents/guardians are legally and ordinarily resident.
Have you spent the last five (5) years living in the Cayman Islands as a resident?
*
Yes
No
If answer is NO, please explain why you have not been in the Cayman Islands and where you have been.
ACADEMIC HISTORY
What type of applicant are you? State which type of institution you are currently attending or last attended.
I am...
*
Currently in college or university completing an undergraduate degree
Currently in college or university completing a post-graduate degree
College or university graduate with an undergraduate degree
College or university graduate with a post-graduate degree with a desire to pursue further post-graduate qualifications
Layout
Name of Institution
Leaving Date (month/year)
Academic Achievement
Please upload the following documents:
*
Click or drag files to this area to upload.
You can upload up to 4 files.
- Official transcripts from high school, post-secondary and tertiary institutions.
- Copies of all degrees or certificates achieved.
INSTITUTION AND PROGRAMME DETAILS
Please fill out the below form with your top three university choices.
Institution Details: First Choice
*
Visual
Text
- Name of Institution
- Country
- Physical Address
- Telephone Number
- Website Address
- Proposed Major
- Total Cost of Programme Per Annum (please specify the currency)
- Total Length of Programme (years)
- Estimated Graduation Date
Institution Details: Second Choice
*
Visual
Text
- Name of Institution
- Country
- Physical Address
- Telephone Number
- Website Address
- Proposed Major
- Total Cost of Programme Per Annum (please specify the currency)
- Total Length of Programme (years)
- Estimated Graduation Date
Institution Details: Third Choice
*
Visual
Text
- Name of Institution
- Country
- Physical Address
- Telephone Number
- Website Address
- Proposed Major
- Total Cost of Programme Per Annum (please specify the currency)
- Total Length of Programme (years)
- Estimated Graduation Date
File Upload
*
Click or drag files to this area to upload.
You can upload up to 7 files.
Please upload above:
Letter of acceptance or evidence of application from college/university (provisional/unconditional). The Alex Panton Foundation office will require an unconditional acceptance letter from your university before your 1st disbursement of funds. *A provisional acceptance letter or proof of applying to the school will suffice for now.
Degree Plan outlining schedule of courses throughout programme of study
Correspondence from the institution regarding successful transfer of credits (if applicable). If your university is going to give you transfer credits, please show proof of the university accepting these credits.
Official documentation from college/university stating specific costs per semester
University costs spreadsheet
PERSONAL STATEMENT
Think about each question below and give a comprehensive response that reflects what is important to you.
1. Why do you believe you deserve the Addison Kelly Memorial Scholarship? (Maximum 500 words)
*
2. Why did you choose to pursue a course of study in the mental health field? (Maximum 500 words)
*
3. Following completion of your course of study, what type of work do you intend to pursue upon return to the Cayman Islands? (Maximum 500 words)
*
4. How will this proposed work be of service to the Cayman Islands? (Maximum 500 words)
*
5. Please detail any personal circumstances that you believe to be relevant when considering your application for the Addison Kelly Memorial Scholarship. (Maximum 500 words)
*
6. Please state any medical, psychological or learning need that may require accommodation or intervention or special education consideration. This will not prevent favourable consideration of your scholarship. Failure to declare any issues at this time may affect future funding. (Maximum 500 words)
*
7. Share a strength of yours that you feel will be an asset in managing challenges that may occur during your studies. (Maximum 500 words)
*
8. What, if anything, has been done to secure other funding to cover your costs? (Maximum 500 words)
*
FINANCIAL INFORMATION FORM
Please provide the following details for your primary surety (i.e., an individual who will take responsibility for repayment of funds if applicant defaults on scholarship requirement).
Surety 1
Full Name
*
First
Last
Relationship to Applicant
*
Occupation
*
Employer
*
Annual Salary (KYD)
*
Email Contact
*
Email
Confirm Email
Phone Contact
*
Upload surety’s employment letter
*
Click or drag a file to this area to upload.
Surety 2
Please provide the following details for your secondary surety. You do not need to complete this section if you only have one surety.
Full Name
First
Last
Relationship to Applicant
Occupation
Employer
Annual Salary (KYD)
Email Contact
Email
Confirm Email
Phone Contact
Upload surety’s employment letter
Click or drag a file to this area to upload.
Total Combined Annual Salary (KYD)
*
Total of any additional income (rent, bonuses, commissions, investments, other income) (KYD)
*
Total Combined Income (KYD)
*
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