DR. NICK’S EMPOWERMENT SCHOLARSHIP

FOR OUR YOUTH & FAMILY MENTORING BUSINESS DEVELOPMENT PROGRAMME

APPLICATION FORM

To apply please answer the following questions:

First Name

Last Name

Company or Trade Name (if applicable)

Address

Contact Number

Website (if any)

What is your vision for impacting & contributing to the lives of children, parents and young people as a Youth & Family Mentor?

How will our scholarship help you to achieve your vision?

This scholarship aims to provide partial financial assistance to help you develop your Youth & Family Mentoring Business. An investment will also be required from you to cover the remainder of the Business Development Programme fee.

Please only continue with this application if you are able to provide
the remaining financial investment required.

I can afford to make the remaining investment if I am awarded this scholarship.

If you are awarded this scholarship, you must be able to make the required investment promptly and booked onto the next available programme. Failure to do this will result in the cancelation of your scholarship.

* The remaining investment can be paid in monthly instalments or as a one-off-payment.

A Fast Action Discount is available if the remaining investment is paid off in full (T&Cs apply):

I would like to claim the Fast Action Discount by paying off the remaining investment in full (T&Cs apply). I would like to skip the Fast Action Discount and pay off the remaining investment in monthly instalments.

Thank you for applying for Dr. Nick's Empowerment Scholarship, if you are successful, a member of our team will contact you.