Closing The Gap 2023 Cohort Student Application Form

Closing The Gap Malaysia is looking for high-potential, deserving students who aspire for ambitious universities to be part of our 2023 Cohort!

WHAT ARE CLOSING THE GAP PROGRAMMES?

In the CTG Core and ReachUni Virtual programmes, Scholar will undergo a series of workshops and development opportunities that boost their university and scholarship planning/ application skills, critical thinking and English communication skills.

For more on the CTG Core Programme: https.//bit.ly/CTGCore2023

For more on the ReachUni Virtual Programme: https://bit.ly/ReachUni2023

Comparison of the Closing The Gap Core Programme and ReachUni Virtual Programme

Learn more about Closing The Gap here: https://linktr.ee/closingthegap

APPLICATION PROCESS

Please complete this form carefully and in complete sentences. We will shortlist students based on the quality of your responses.

Deadline for Core CTG Application: 11.59 pm, 19th March 2023

Deadline for ReachUni Virtual Application: 11.59 pm, 15th May 2023

You may be called for a short interview (March/April) - this is for us to get to know you better and understand your ambitions.

QUESTIONS

You might have a senior from school who was/is a CTG Scholar. If you are interested to speak to past programme participants, contact your teacher-in-charge.

If you have any questions or concerns on the programme, email program@yayasantar.org.my with the subject "CTG Scholar Enquiry"

Personal Information

Your Name

Biological Sex

Race

Your IC Number

State

Postcode

City

Home Address

Your Current School

Example: SMK Tengku Ampuan Jemaah

Your Phone Number:

Example: +60101234567

Email Address

Please state how many devices you personally own or share with your family.
(Eg: I have my own mobile phone but I share a laptop with my 3 siblings.)

Please describe how you and your family access the internet in detail so we can better understand your situation.
(Eg: I share a mobile phone with my sister and I use Umobile. I use data to access the internet. Sometimes, I am unable to get signal to access the internet.)

Which Closing The Gap Malaysia programme are you applying for?

CTG Core Programme (For Form 5 & Lower 6 students in 2023, in KL/Selangor only) ReachUni Virtual Programme (For Form 4, Form 5 & Matrikulasi/STPM students in 2023, outside KL/Selangor only)

In the academic year January 2023 to March 2023, what form are you in?

Form 4Form 5Lower 6

When are you taking SPM/ when did you take SPM?

February/ March 2022February/March 2023February/March 20242025 onwards

Academic Results

For Form 4/5 students: Please fill in your overall your latest examination results and state your English result in the following section. (Select the number of subjects to which you obtained in the respective grades).

For Lower 6 students: Please fill in your overall SPM results and state your English result. (Select the number of subjects to which you obtained in the respective grades).

Please ensure the results provided below are accurate - the Closing The Gap Malaysia team will check this against your result documents. Inaccurate or incomplete submissions will be disqualified. Sila pastikan anda memberi keputusan akademik yang tepat. Permohonan yang dibuat dengan keputusan akademik yang tidak tepat akan ditarik balik.

Latest Examination Results

What were your English results?

Number of A+ (Total)

Number of A (Total)

Number of A- (Total)

Number of B+ (Total)

Number of B (Total)

Number of C+ (Total)

Number of C (Total)

Number of D (Total)

Number of E (Total)

Number of G (Total)

SPM Results

English

Number of A+

Number of A

Number of A-

Number of B+

Number of B

Number of C+

Number of C

Number of D

Number of E

Number of G

Please submit your academic results in one file in pdf format.
(Note: We recommend doing this using the CamScanner app or other similar scanning apps. If you're unsure how to do this, please contact your teacher-in-charge.)

Additional Information

Are you currently holding or have previously held positions of responsibility in your school?

(eg - Prefect, librarian, class monitor, co-curricular involvement)

Please describe any positions of responsibility that you may hold in your school as well as any extracurricular activities you've taken part in.

We recommend that you list 2 - 3 activities that were important to you and describe your role as well as what you've learned from the experience.

What do you hope to achieve from joining the Closing The Gap Malaysia programmes, and why?

max 300 words - please make full use of this space.

Share with us your biggest challenge. In your answer, explain the challenge clearly, what you've learned from the challenge as well as the steps you took to overcome the challenge.

max 300 words - please make full use of this space.

Are there any questions, worries or concerns you have about the Closing The Gap Malaysia programmes?

max 250 words

Is there any additional information about yourself or your circumstances that you would like to share with the Closing The Gap Malaysia team?

max 300 words

Please share the details of the school teacher who would be able to recommend you for the program.

Your recommender should be a school teacher who knows you and is able to speak about you (eg. your class teacher or a teacher who knows you from an cocurricular activity.)

Name of Recommending Teacher:

Please share your recommender's contact details.

Phone Number:

Email (If available)

I declare that all information above is correct and true, to the best of my understanding. I also understand that I may be expected by Closing The Gap Malaysia to show proof for some information provided. I accept that I may be disqualified during selection and/or after the programme has commenced if, at anytime, Closing The Gap Malaysia finds that the information I provided is inaccurate or untrue.

YesNo