Online Bursaries Application Form

Fill out the form below to apply for bursaries at Mpoma Parents School

Submitting your application...

Student Information

Surname *

Other Names *

Date of Birth *

Gender *

Nationality *

Religion

District of origin

Academic Information

School Section *

Class Applying For *

Academic Term *

Academic Year *

Previous School (if any)

Last Class Completed

Parent/Guardian Information

Full Name *

Relationship to Student *

Email Address

Phone Number *

Home Address *

Bursary Information

Type of Bursary Requested *

Percentage Requested (%)

Reason for Applying *

Current Financial Situation *

Emergency Contact (Other than Parent/Guardian)

Full Name

Relationship

Phone Number

Email Address

Medical Information

Any Allergies? *

Yes

If Yes, please specify:

Any Medical Conditions? *

Yes

If Yes, please specify:

Doctor's Name

Doctor's Phone

Additional Information

How did you come to know about scholarship and bursary scheme? *

Additional Comments or Questions

Bursary Application Submitted Successfully!

Thank you for applying for a bursary at Mpoma Parents School. We have received your application for and will review it shortly.

Application Reference:

Our bursary committee will review your application and contact you via email or phone within 7-10 business days.

For any urgent inquiries, please contact us at mpomaparentsschool@gmail.com or call +256 763 200 455.