Apply

1
Provide your personal and contact details, describe your family and social circumstances.
2
Write a brief essay about yourself, your achievements, and your educational plans. You may also include a video or presentation.
3
Attach two references.
4
Sign and attach the required declaration and legal consent forms.
5
Fill out the application carefully. You can only do it once.

We will be expecting your application until May 10, 2024.

NOTE: all fields must be filled in, apart from those marked as additional

If you are under 18 years of age, the application form must be completed by your parent or legal guardian.

First name

Surname

Date of birth

Nationality Polishother, type:

ID number (additional field)

I attend

Years of education (current grade)

Name of the school / academic institution

If you finish school this year, please type which academic institution you have chosen. Which field of study and/or specialisation have you chosen? (additional field)

Average monthly income per one family member

Describe your family situation paying special attention to the difficulties that limited (or still limit) the possibilities of your development and achievement of your ambitions (max. 150 words)

Street name

House no.

City/town

Postal code -

Country

Current location

Poviat

Email address

Phone no.

Your website, internet address of your blog, profile on Facebook/Twitter/LinkedIn/other (additional field)

In a short text (up to 700 words) include information such as: your grade average; participation in conferences/competitions/concerts/exhibitions in the last two years; a description of the educational project for which you seek assistance from the Rafał Brzoska Foundation; the amount of support you are requesting.

We will also appreciate your involvement in volunteering, if you have achievements in social activities, be sure to inform us about it.

Additionally: If you want to supplement your application, use the same instructions as above and record a video (max. 3 minutes), in the appropriate quality, so we can clearly see and hear you (additional field)

Additionally: If you feel more comfortable making presentations and think that this format will help you introduce us to your project and your past achievements, attach a presentation (max. 10 slides) (additional field)

We believe in the power of recommendations. That is why we kindly ask you to provide 2 recommendations from the people who are important for you and who can confirm the information about your passions and achievements. They should address our criteria (talents, vision, positive impact). The recommendations should not exceed 500 words and may come from your teacher, guardian, instructor or any other person who knows you, cooperates with you or supports you (please use the Template provided). The recommendations may be provided in a language other than Polish.

How did you find out about the Scholarship Fund?

Please attach the signed and scanned Statement and Information Clause regarding your personal data.

Thank you for completing the form! We will send a confirmation of submission to your email address. We may contact you before we make the decision on who will advance to the second Stage. You will be informed about our decision on 5 June, 2024.

We are keeping our fingers crossed for you!
Rafał Brzoska Foundation

First name

Surname

Date of birth

ID number (additional field)

Street name

House no.

City/town

Postal code -

Country

Current location

Poviat

Email address

Phone no.

First name

Surname

Date of birth

Nationality Polishother, type:

ID number (additional field)

I attend

Years of education (current grade)

Name of the school / academic institution

If you finish school this year, please type which academic institution you have chosen (additional field)

Average monthly income per one family member

Describe the candidate’s family situation paying special attention to the difficulties that limited (or still limit) the possibilities of their development and achievement of their ambitions (max. 150 words)

Street name

House no.

City/town

Postal code -

Country

Current location

Poviat

Email address

Phone no.

Your website, internet address of your blog, profile on Facebook/Twitter/LinkedIn/other (additional field)

How did you find out about the Scholarship Fund?

Please attach the signed and scanned Statement and Information Clause regarding the parent’s / legal guardian’s personal data.

We are keeping our fingers crossed for you!
Rafał Brzoska Foundation

First name

Surname

Date of birth

Nationality Polishother, type:

ID number (additional field)

I attend

Years of education (current grade)

Name of the school / academic institution

If you finish school this year, please type which academic institution you have chosen. Which field of study and/or specialisation have you chosen? (additional field)

Average monthly income per one family member

Describe your family situation paying special attention to the difficulties that limited (or still limit) the possibilities of your development and achievement of your ambitions (max. 150 words)

Street name

House no.

City/town

Postal code -

Country

Current location

Poviat

Email address

Phone no.

Your website, internet address of your blog, profile on Facebook/Twitter/LinkedIn/other (additional field)

How did you find out about the Scholarship Fund?

Please attach the signed and scanned Statement and Information Clause regarding your personal data.

We are keeping our fingers crossed for you!
Rafał Brzoska Foundation

First name

Surname

Date of birth

ID number (additional field)

Street name

House no.

City/town

Postal code -

Country

Current location

Poviat

Email address

Phone no.

First name

Surname

Date of birth

Nationality Polishother, type:

ID number (additional field)

I attend

Years of education (current grade)

Name of the school / academic institution

If you finish school this year, please type which academic institution you have chosen (additional field)

Average monthly income per one family member

Street name

House no.

City/town

Postal code -

Country

Current location

Poviat

Email address

Phone no.

Your website, internet address of your blog, profile on Facebook/Twitter/LinkedIn/other (additional field)

How did you find out about the Scholarship Fund?

Please attach the signed and scanned Statement and Information Clause regarding the parent’s / legal guardian’s personal data.

We are keeping our fingers crossed for you!
Rafał Brzoska Foundation

First name

Surname

Date of birth

Nationality Polishother, type:

ID number (additional field)

I attend

Years of education (current grade)

Name of the school / academic institution

If you finish school this year, please type which academic institution you have chosen. Which field of study and/or specialisation have you chosen? (additional field)

Average monthly income per one family member

Describe your family situation paying special attention to the difficulties that limited (or still limit) the possibilities of your development and achievement of your ambitions (max. 150 words)

Street name

House no.

City/town

Postal code -

Country

Current location

Poviat

Email address

Phone no.

Your website, internet address of your blog, profile on Facebook/Twitter/LinkedIn/other (additional field)

How did you find out about the Scholarship Fund?

Please attach the signed and scanned Statement and Information Clause regarding your personal data.

We are keeping our fingers crossed for you!
Rafał Brzoska Foundation

First name

Surname

Date of birth

ID number (additional field)

Street name

House no.

City/town

Postal code -

Country

Current location

Poviat

Email address

Phone no.

First name

Surname

Date of birth

Nationality Polishother, type:

ID number (additional field)

I attend

Years of education (current grade)

Name of the school / academic institution

If you finish school this year, please type which academic institution you have chosen.*

Average monthly income per one family member

Street name

House no.

City/town

Postal code -

Country

Current location

Poviat

Email address

Phone no.

Your website, internet address of your blog, profile on Facebook/Twitter/LinkedIn/other (additional field)

How did you find out about the Scholarship Fund?

Please attach the signed and scanned Statement and Information Clause regarding the parent’s / legal guardian’s personal data.

We are keeping our fingers crossed for you!
Rafał Brzoska Foundation

You can submit your application by following these five simple steps:

Personal details

Your economic and social situation

Contact details

Introduce yourself

Tell us about yourself, your superpowers, and your plans. In a word - why you should be the one to receive a scholarship from the Rafał Brzoska Foundation.

References

Consents

Documents for download

Data of the person submitting the candidate’s application

Personal data of the underage candidate

Economic and social situation of the candidate and their family

Contact data of the underage candidate

Introduce yourself

Tell us about yourself, your superpowers, and your plans. In a word - why you should be the one to receive a scholarship from the Rafał Brzoska Foundation.

References

Consents

Documents for download

Personal details

Your economic and social situation

Contact details

Introduce yourself

Tell us about yourself, your superpowers, and your plans. In a word - why you should be the one to receive a scholarship from the Rafał Brzoska Foundation.

References

Consents

Documents for download

Data of the person submitting the candidate’s application

Personal data of the underage candidate

Economic and social situation of the candidate and their family

Contact data of the underage candidate

Introduce yourself

Tell us about yourself, your superpowers, and your plans. In a word - why you should be the one to receive a scholarship from the Rafał Brzoska Foundation.

References

Consents

Documents for download

Personal details

Your economic and social situation

Contact details

Introduce yourself

Tell us about yourself, your superpowers, and your plans. In a word - why you should be the one to receive a scholarship from the Rafał Brzoska Foundation.

References

Consents

Documents for download

Data of the person submitting the candidate’s application

Personal data of the underage candidate

Economic and social situation of the candidate and their family

Contact data of the underage candidate

Introduce yourself

Tell us about yourself, your superpowers, and your plans. In a word - why you should be the one to receive a scholarship from the Rafał Brzoska Foundation.

References

Consents

Documents for download