HILLCITY 2018 EVENT REGISTRATION FORM
Register for the HillCity Foundation 2018 Event.
Note****
- Attend the event location closest to your school or residence.
- HillCIty Foundation shall not provide Accommodation or Transportation subsidy.
- REGISTRATION ENDS ON THE 21st APRIL 2018
- THIS FORM IS FOR SUCCESSFUL RECIPIENTS ONLY - visit www.hillcityfoundation.org to see list
Email address *
PHONE NUMBER *
Your answer
HCF REFERENCE NUMBER *
example 2014NQK7AA, 2016-HCF-64S90018 (You can get this from the award list)
Your answer
SURNAME *
Your answer
FIRST NAME *
Your answer
WHERE ARE YOU CURRENTLY? *
IS YOUR SCHOOL IN SESSION? *
WHAT STATE ARE YOU IN CURRENTLY? *
Your answer
ARE YOUR PARENTS/GUARDIANS FULLY AWARE OF YOUR SUCCESS IN THE HCF AWARDS? *
DO YOU HAVE FULL CONSENT FROM PARENTS/GUARDIANS TO ATTEND THE HCF 2018 EVENT? *
WHAT LOCATION WILL YOU ATTEND THE EVENT? *
Please Choose only location closest to you, meaning if you are at home please register to the center closest to your home, if you are in school register closet to your school. ****NOTE**** There will be no transportation or accommodation provision by HCF.
WHEN WILL YOU ARRIVE THE EVENT VENUE/STATE ? *
WHEN WILL YOU DEPART THE EVENT VENUE/STATE ? *
YEAR OF ADMISSION *
YEAR OF GRADUATION *
CURRENT YEAR OF STUDY *
ENTER YOUR CURRENT RESIDENTIAL ADDRESS AS SUBMITTED IN APPLICATION *
Your answer
SCHOOL / UNIVERSITY *
ATTESTATION *
Required
DO YOU HAVE ANY COMMENTS ?
Your answer
A copy of your responses will be emailed to the address you provided.
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