THE BLACK HEART FOUNDATION SCHOLARSHIP PROGRAMMEApplication Checklist, for applications to be considered, they must include the following information:

1A. Name: ...................................................................................................................................

B. Address: ...................................................................................................................................

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C. Telephone Number: ...................................................................................................................................

D. Email Address: ...................................................................................................................................

E. Date of Birth: ...................................................................................................................................

F. Gender: ...................................................................................................................................

G. Place of Birth: ...................................................................................................................................

H.Nationality: ...................................................................................................................................

Nameandaddressofcurrentschool/college/university/employer:

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Qualificationstodate:...........................................................................................................................................................................................................................................................

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Information aboutthe applicant...

2A. Nameandaddressofeducationalestablishment/activityforwhichascholarshipissought:

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B. Whatisthefocusofthescholarship?egprimary/secondary/tertiary/post-graduateeducation:

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C. Thesubjectareaofstudyorexploration:

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D. StartandFinishdatesofthecourse/activity:

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E. Full-time/Part-time

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Information about the educational experience for which you are seeking a scholarship...

3A. Financialcircumstancesandneedforfinancialsupport:

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B. Nameoflocaleducationauthority(ifapplicable):

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C. Detailsofanygrantscurrentlyappliedforand/orawarded:

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D. Detailsofanytrustsorfoundationsappliedtoandtheresultofanyapplication:

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E. Detailsofanyeducationalloansappliedfor:

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Information about your financial need...

PleasenotethataspartofthetermsandconditionsofTheBlackHeartScholarship,successfulcandidateswillberequiredtoi)provideproofofidentity,ii)provideproofofexpenses,iii)consentin(potential)publicityassociatedwiththeScholarshipProgrammeandiv)provideasummaryreporttoTheFoundationoutliningwhatthecandidatehasachievedasaconsequenceoftheawardofascholarship

ToapplytotheBlackHeartScholarshipProgramme,pleasesubmitanapplicationofnomorethan1200wordsprovidingabriefsum-maryoftheeducationalactivityforwhichyouseekascholarship,outlininghowthescholarshipwouldalignwiththeaimsofTheBlackHeartFoundationandpresentingaclearcaseoffinancialneed.Takecaretoalsoincludealloftheinformationontheapplicationcheck-listbeforesubmittingitineitherofthefollowingways.

BY POST

TheBlackHeartScholarsProgrammeTheBlackHeartFoundationPOBox7789LondonW1A6PW

BY EMAIL

BHFSP@blackheartfoundation.org

Please note that only successful candidates will be contacted and all scholarships will be announced on The Black Heart Foundation website.