ASSIST Scholars

Thank you for your Interest in the ASSIST Program. After submitting this short form, you can expect to hear from us with updates and important program information.

Details regarding the processing of your personal data: ASSIST Data Protection Information Form

Are you a prospective applicant or a prospective parent?

Please select the country where you live:

Please Specify

Please indicate which of the following programs you are interested in learning more about. You may select more than one option.

I am aware that HMC Projects' Privacy Notice applies to HMC Projects' processing of my personal data.

Click here for more information: www.hmc.org.uk

I would like to:

Tell us more:

What questions can we answer?

Student Information

Name

First

Middle

Last

Suffix

Preferred Name

Gender

Date of Birth

mm/dd/yyyy

Current Grade

Interested in Grade

For the Fall of

Student Email

Current School

Please specify school name

Current School City

Parent/Guardian Information

Name

Title

First

Middle

Last

Suffix

Preferred Name

Relationship to Student

Parent/Guardian Email

Mailing Address

How did you hear about ASSIST?

I heard about ASSIST through:

Please specify