HELP GROUP OF COLLEGES

THE HELP – MIC SCHOLARSHIP

Application Form
BZ-2 Pusat Bandar Damansara, 50490 Kuala Lumpur, Malaysia
Tel: 603-20942000 Fax: 603-20947495 www.help.edu.my

A. PERSONAL PARTICULARS (Please use BLOCK LETTERS)

PHOTO
STUDENT ID (Please attach 2 photos)

FULL NAME

E-MAIL
ADDRESS

PERMANENT
ADDRESS

PERMANENT HANDPHONE NO.

TEL NO.

CURRENT
ADDRESS
(If different
from above)

CURRENT NRIC NO.

TEL NO.

SEX M F MARITAL STATUS

DATE OF BIRTH AGE

NATIONALITY RACE

Note: Incomplete application forms will not be considered for selection

B. PROGRAMS APPLIED FOR

HELP UNIVERSITY COLLEGE

HELP Bachelor of Business (Hons)

HELP Bachelor of Psychology (Hons)
HELP Bachelor of Business (Hospitality Management) (Hons)
HELP Bachelor of Information Technology (Hons)

American Degree Transfer Program

UK Law Transfer Program

Foundation Programs

Master of Entrepreneurship
Master of Executive Management

HELP ACADEMY

University of London International Programs BSc (Hons)

University of East London 3+0 Programs

BA in Accounting & Finance
BA in Business Management

HELP COLLEGE OF ARTS & TECHNOLOGY

GCE A-Levels (London Examinations, Edexcel)

Foundation Programs

Diploma Mechanical Engineering

Diploma Electrical Engineering
Diploma in Business
Diploma in Accounting
Diploma in Computer Science
Diploma in Business Information System
Diploma in Culinary Arts

HELP Bachelor of Business (Marketing) (Hons)

Southern New Hampshire University 4+0 Programs

Bachelor of Science in Business
Bachelor of Arts in Psychology
Bachelor of Arts in Communication

University of London International Programs BSc (Hons)

Northumbria University 3+0 Program

BA (Hons) Accounting

CAT (UK) ACCA (UK)

C. ARE YOU CURRENTLY APPLYING FOR ANY OTHER SCHOLARSHIP/FINANCIAL ASSISTANCE?

No Yes State the name of the organisation offering the scholarship or financial assistance

_________________________________________________________________

D. HAVE YOU WON OR OFFERED ANY SCHOLARSHIP FROM THE HELP GROUP?

No Yes State the name of the scholarship or the events.

_________________________________________________________________
Note: Incomplete application forms will not be considered for selection
E. DETAILS OF PARENTS, GUARDIAN OR NEXT OF KIN

FATHER'S NAME MOTHER'S NAME

NRIC NO. NRIC NO.

OCCUPATION OCCUPATION

OFFICE NAME & ADDRESS OFFICE NAME & ADDRESS

OFFICE TEL NO. OFFICE TEL. NO.

HANDPHONE NO. HANDPHONE NO.

Are your parents financing your studies? Yes No

If not, please specify name of the person who is financing your studies (FINANCIAL SPONSOR)

NAME: _____________________________________ NRIC NO:___________________________________________

RELATIONSHIP:______________________________ OCCUPATION:_______________________________________

E. DETAILS OF OTHER FAMILY MEMBERS (grandfather, sisters, etc) SUPPORTED BY PARENTS/

FINANCIAL SPONSOR

NAME 1 OCCUPATION/SCHOOL1

RELATIONSHIP 1 AGE 1

NAME 2 OCCUPATION/SCHOOL2

RELATIONSHIP 2 AGE 2

NAME 3 OCCUPATION/SCHOOL3

RELATIONSHIP 3 AGE 3

NAME 4 OCCUPATION/SCHOOL4

RELATIONSHIP 4 AGE 4

Note: Incomplete application forms will not be considered for selection

F. ACADEMIC RECORDS

HIGHEST TERM EXAMINATION PASSED: SPM/O-Levels STPM/A-Levels UEC (Senior Middle 3)

SPM/O-LEVELS: SCHOOL/INSTITUTION__________________________________YEAR _________

NO. SUBJECT GRADE NO SUBJECT GRADE

1 8

2 9

3 10

4 11

5 12

6 13

7 14

STPM/A-LEVELS: SCHOOL/INSTITUTION__________________________________YEAR ________

NO. SUBJECT GRADE NO SUBJECT GRADE

1 6

2 7

3 8

4 9

5 10

UEC (SENIOR MIDDLE 3): SCHOOL/INSTITUTION____________________________________YEAR ________

NO. SUBJECT GRADE NO SUBJECT GRADE

1 6

2 7

3 8

4 9

5 10

NOTE:

Please attach CERTIFIED TRUE COPIES of results/transcripts with this application form.

ENGLISH TEST SCORE TOEFL GCE 1119 IELTS

Note: Incomplete application forms will not be considered for selection

G. EXTRA-CURRICULAR ACTIVITIES
(Complete this section in detail. You may attach a separate sheet, if required)

NO. GAMES/SOCIETIES LEADERSHIP POSITION YEAR

HELD

NO. OTHERS (eg School Prefect, Editorial LEADERSHIP POSITION YEAR

Board/Awards/Achievements, etc) HELD

NOTE:

Please attach CERTIFIED TRUE COPIES of certificates of ECA achievements with this application form.
Note: Incomplete application forms will not be considered for selection
H. PERSONAL MOTIVATION/OBJECTIVES (State briefly your career aspirations. You may attach a separate
sheet, if required)

You must complete both sections (i) and (ii).

Note: Incomplete application forms will not be considered for selection
 I. DECLARATION

I, the undersigned, declare that the particulars given by me in this application form are correct, that I have read and agree to abide by the terms and
conditions of the scholarship/financial assistance. I understand that the award can be withdrawn if any information given in this form is found to be
incorrect. I have read and understood the conditions of the award as stated in the application form and the attached Terms and Conditions.

Applicant's Signature Date

Form Received by Registry Date

J. FOR OFFICE USE ONLY

ACADEMIC DEPARTMENT REGISTRY CEO’S APPROVAL

Recommended by Scholarship Committee Meeting Approved by

Signature Date Signature

Amount recommended Approved/Rejected
Scholarship

Financial Assistance
Date
Reason for recommendation Registrar’s or Designates Signature Remarks :

Signature

Note: Incomplete application forms will not be considered for selection

 TERMS AND CONDITIONS OF SCHOLARSHIP

1) The scholarships specified herein, are open to SPM and STPM examinations in 2010 for 2011
academic year’s admission.
2) For Pre-university Arts stream courses the minimum grade requirement for partial scholarship
application is 5 subjects with grade ‘A’ including a credit in English and a pass in BM.
3) For Pre-university Science stream courses the minimum grade requirement for partial scholarship
application is 5 subjects with grade ‘A’ including credits in Maths, one science subject, English
and a pass in BM.
4) For Diploma in Engineering programs the minimum grade requirement for partial scholarship
application is 5 subjects with grade ‘A’ including credits in Maths, Physics, English and a pass in
BM.
5) For bachelor courses, the minimum grade requirement for full scholarship application is HELP
Foundation in Arts/Science with CGPA 6.0 or equivalent.
6) For bachelor courses, the minimum grade requirement for partial scholarship application is HELP
Foundation in Arts/Science with CGPA 5.5 or equivalent.
7) The scholarship awarded shall be reviewed yearly where attainment of a minimum CGPA 2.75 is
required to be eligible for the following year’s scholarship.
8) For postgraduate courses, the minimum grade requirement for partial scholarship application is
Second class upper or equivalent.
9) Applicants must fulfill the specific entry requirements of the program.
10) Applicants who do not fulfill condition of the above minimum requirements shall be deemed as
exceptional cases and shall receive recommendations by the Principal.
11) Repeating subjects fees are to be borne by the students.
12) The scholarship does not include admission fees, external fees incurred and other administrative
charges.
13) Other terms and conditions of HELP scholarship shall apply.

Note: Incomplete application forms will not be considered for selection