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Term to start in

Campus

Grade or year level

I am

Program or strand (Senior High and College)

Second choice

Scholarship you are applying for

The applicant

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Middle name

Suffix

Sex

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Learner reference number (if any)

Home address

Mobile number

E-mail

School last attended

General average there

Parent or guardian

Full name

Relationship

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E-mail

I agree that Little Harbor Learning Center keeps and uses this information to process the application, as the Data Privacy Act allows.

You get a tracking code to check the status and upload your requirements.