SCHOLARSHIP APPLICATION FORM
Please complete this form to register your interest in our Scholarship programme, this will allow us to correspond with you accurately to arrange your 1:1 online call.

NOTE: The information you provide will be used solely for Histon FC Scholarship purposes and will not be shared with anyone else.
Players name *
Email address *
Player email address (if different from the one provided above)
Phone number *
Player date of birth *
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/
DD
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YYYY
Player position (tick those applicable) *
Required
Current club *
Previous clubs (last three seasons)
Injuries/medical information
Academic study: Please specify which courses you'd like to study *
Next of kin name *
Next of kin phone number *
Next of kin email address *
Additional comments to support application
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