PERSONAL INFORMATION OF APPLICANT

Fields marked with an * are required

Your Name*

Your Address*

Your Email*

Date of Birth*

Phone*

Name of School*

Class Level*
---1st. form2nd. form3rd. form4th. form1st. year sixth form2nd. year sixth form
Area of study*

School District*

FINANCIAL STATUS

Financial Benefactor Name*

Relation to Student*

Telephone Number*

Address*

Employer*

Annual Income*
$

SCHOLASTIC RECORD

Cumulative Grade Percentage/GPA*

Kindly attach your most recent report card.*

JUSTIFICATION

Kindly submit a letter stating the reasons why you should be considered to receive a scholarship from the BHA.*

Deadline to Submit Application is June 30, 2020. Recipients will be advised within 4 weeks of deadline.