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 *
—Please choose an option—University of BirminghamCardiff UniversityUniversity of ExeterImperial College LondonLondon School of Economics

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.