LESLIE INNES SCHOLARSHIP

First Name

Contact Number

Last Name

Email Address

Home Address

Street Address

City

State

Post Code

Current Year Level at School

Are you a MHSOBA member?

Yes

What sports are you involved with in relation to this Scholarship?

Please provide a brief description of how this scholarship will assist you

Please Upload your Files here

I declare that the information contained in this application is true and correct. I understand that all applications will be treated in strict confidence with the information only available to members of the interview panel. I understand that all applications and related material will remain the property of MHSOBA Inc.

Agree