JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Glims Web Design Scholarship Program Registration for 2025
This registration form will enable us collate your certificate for the Free Website Design Class. Please provide accurate information
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Full Name
*
Your answer
Email
*
Your answer
State of Residence
*
Your answer
Sex
*
Male
Female
Phone number
*
Your answer
Whatsapp Number
*
Your answer
Are you a student in a tertiary institution?
*
Yes
No
Other:
If yes, what school
Your answer
Department
*
Your answer
Level
*
Your answer
Why do you want to learn website design?
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
