2026 University Scholarship Program Application PART A | Principal's NominationName of School(Required) First Name of Nominating School's Principal(Required) Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix Last Principal's Contact Number(Required)Principal's Contact Email(Required) PART B – Nominee DetailsName of Nominated Student(Required) First Last Date of birth(Required) DD slash MM slash YYYY Residing Street Address(Required) Street Address Address Line 2 City State Is the nominee in receipt of any other educational grant or scholarship?(Required)If Yes, please disclose the name of the grant or scholaship received, the value and the date received:PART C – Course InformationName of Institution(Required)Course Name(Required)Course CodeTerms/Semesters of Study/Funding Period(Required)Date of Commencement MM slash DD slash YYYY Approx. cost ($) of course per term/semester(Required)Please attach any relevant information applicable to the CourseMax. file size: 50 MB. PART D – LeadershipPlease list and attach below details or examples of leadership qualities and experience:(Required)Please attachMax. file size: 50 MB. PART E – Reference (at least 2x Independent References are required)File(Required)Max. file size: 50 MB. File(Required)Max. file size: 50 MB. FileMax. file size: 50 MB. PART F: Submit your Mid-Year Report and End of Year ReportMid-Year ReportAccepted file types: jpg, gif, png, pdf, Max. file size: 50 MB. End of Year ReportAccepted file types: jpg, gif, png, pdf, Max. file size: 50 MB. PART G – DeclarationConsent We declare that the information supplied on this form, and attached documents are true and correct. We authorise the release of this application and supporting documents, for internal management and compliance purposes. In signing this declaration, we acknowledge that we have received, understand, and accept the terms and conditions for the HBG Scholarship Program.
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