testplayground

Personal Information:

Program Choice: *

First Name: *	Last Name: *
Birthdate: *	Gender: *
Mobile: *	Email Address : *
Address: *	Primary Address City: *
Primary Address State: *	Primary Address Country: *

How did you hear about us?

Facebook

Instagram

HTC Website

Alexandria School

Nationality and Residents details

Nationality: *

Country of Permanent Residence: *

Country of Birth: *

Employment Information

Current Employer: *

Job Title: *

Job Start Date: *

Gross Monthly Income:
Please provide a copy of last three pay slips:

How would you finance the non-scholarship element of your program fees? *

Please detail below how you intend to fund the balance of the program fees *

Do you have children/adults who rely on your income for support? *

Please list full details below.

Personal Statement *

Please describe your ideas and ambitions for your future. Why do you think you should be considered for this scholarship?

Reference

Please provide reference as to character, conduct and eligibility for this scholarship. Cannot be a family member. Please attach letter to this application.

Referee's Name: *	Referee's Occupation: *
Referee's Phone Number: *	Referee's Email Address: *

Scholarship Application History

Have you ever been admitted at Agora University before? *

If yes, please provide program name, year, and reason for not joining the program

Have you ever applied for a scholarship with Agora University before? *

If yes, which scholarship, year it was offered, and if you completed the program.

Declaration

I hereby declare that the information contained in this form of application are correct and I confirm that i will notify Agora School of Business of any changes.

I also understand that the scholarship award decision is at the sole discretion of Agora School of Business and that there is no right of appeal.

I confirm that I would be happy to be contacted by Agora School of Business for an interview if required.

By signing your name electronically on this form, You are agreeing that your electronic signature is the legal equivalent of your manual signature on this form. *

Signature: *

Date: