Application Form

HEConnect offers full tuition scholarships in honor of Martin Luther King Jr., Malcolm X, John Lewis, and Frederick Douglass for students who demonstrate a commitment to social justice, leadership, and community empowerment. These scholarships are designed to honor the legacies of these iconic leaders, who each fought for equality, civil rights, and the betterment of society.

1. Personal Information

Full Name *

Date of Birth *

Gender *

Contact Number *

Email Address

Country *

Permanent Address *

2. Academic Information

Name of Institution First Option *

Faculty / Section *

Department *

Current Grade/Year/Level *

Course/Program of Study *

Student ID Number

Final Marks Percentage (most recent)

Expected Graduation Date

3. Financial Information

Your Occupation *

Your Income (monthly/annually)

Parents / Guardian Names

Family Income (monthly/annually)

Parent/Guardian's Occupation

Number of Dependents in Family

Supporting Documents (e.g., income proof, tax returns) ( Only .docx,.doc.,.pdf files are allowed )

4. Additional Documents/Information

Transcript/Academic Records ( Only .docx,.doc.,.pdf files are allowed )

Certificates of Achievements (optional but recommended) ( Only .docx,.doc.,.pdf files are allowed )

Proof of Enrollment (e.g., admission letter) ( Only .docx,.doc.,.pdf files are allowed )

Personal Statement/Letter of Motivation

5. Declaration Section

I confirm that the information provided is accurate to the best of my knowledge. *

I confirm that I have read, understood, and accept the terms and conditions, as well as the policies of HEConnect *

I confirm that by benefiting from the HEConnect Scholarship program, I agree to be part of an elite group dedicated to live for the sake of others, inspiring my community as a mentor, and subscribing to the HEConnect success stories YouTube channel *

Date of Submission *

Account Information

Password *

Confirm Password *

Application Form

Scholarship Fee: $50