Register for university nomination form

Register to download a Nomination Form which must be completed by the Head of your current secondary school. Registration is an indication of interest only, and is confidential. No details will be shared with third parties until a full Beacon Scholarship Application Form is formally submitted.

Registration Form

Surname of applicant *

Forename(s) of applicant *

Applicant's country of citizenship *

Applicant's gender *

Date of birth *

Applicant's contact email *

Re-enter applicant's contact email *

Applicant's contact telephone number *

Applicant’s current school *

Applicant’s current school grade or year *

Applicant’s preferred Beacon University *

Where did you hear about The Beacon Scholarship? *

I'm registering on behalf of an applicant
For example you may be a parent, school officer, sponsor, agent, or other family member with an interest in the applicant.

Your surname *

Your forename(s) *

Your institution or organisation *

Your relationship to applicant *

Your contact email *

Re-enter your contact email *

Your Contact telephone number *