Scholarship

Company Name

Personal Information

Full Name *:

Email Address *:

Date of Birth *:

Gender *:

Male

Female

Nationality *:

Country of Residence *:

Phone Number *:

What type of scholarship are you interested in? *:

Fully Funded

Partially Funded

If you are not accepted for a full scholarship, would you like to apply for a partially funded (50% discount)? *:

Yes

University/Institute *:

Year of Graduation *:

Degree/Certificate *:

Please upload your highest certificate *:

Current Employment Status *:

Employed

Unemployed

Student

Why do you want to pursue the Diploma in Environmental Health? *:

Max Word: 0

How will this diploma help you contribute to public health or environmental health in your community or country? *:

Max Word: 0

I certify that the information provided in this application is true and accurate to the best of my knowledge.

I agree to provide additional documentation upon request for verification purposes.

I agree to the terms and conditions.