Scholarship Application

Parent/Guardian Name*

First Last

Parent/Guardian Adress*

Street Address City State / Province / Region ZIP / Postal Code Country

Contact Email Address (will be used for communications)*

Phone Number*

Skype Name

Student Information

Name*

First Last

Nickname

Date of birth*

Email Address*

Skype Name

Nationality (please state all)*

Gender

Check if you would expect to be a boarding student

Current School (Name and location)*

Current School Year*

Recent School Report (.pdf) (2 MB max. file size)

Teachers Reference

Recent Passport Style Photo (.jpg)

List noted accomplishments (academic, sporting or cultural)*

Community Projects if applicable

Scholarship Applied for:*

As the parent/guardian of the applicant I am aware of, and support, the scholarship application

Untitled