Scholarship Form
Bali Island School for a World Class Education
* Required
Email address
*
Your email
Date of Visit
MM
/
DD
/
YYYY
Time
Time
:
AM
PM
Student
Student Name (Family Name, First Name)
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Current Grade
*
Choose
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Current School
Your answer
Parents
Father
Father (Family Name, First Name)
Your answer
Nationality
Your answer
Phone Number
Your answer
Email Address
Your answer
Mother
Mother (Family name, First name)
Your answer
Nationality
Your answer
Phone Number
Your answer
Email Address
Your answer
How did you first come to learn about BIS Scholarship
*
Present/Former BIS Parent or Staff Member
Internet Search
Newspaper/Magazines
BIS Website
Radio
Social Media
Other:
Please select your option below
Academic Scholarship
Leadership Scholarship
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