Personal Information:

This is HUC-JIR Scholarship Application. The deadline to apply is February 15, 2019


If you have any problems with the application or need to leave and complete it later, please click "Review" on the top of your screen, and then "Save and Close" at the bottom of the screen that follows.


Please contact us at admissions@huc.edu if you have any questions.

Name
First Name
Middle Name

Last Name

Any Prior Last Name(s)

Preferred Name (Nickname)

Birthdate
  (mm/dd/yyyy)

Email
Email

Address
Current Address
Unit/Apt.

Current City

State
Postal Code

Country of Current Address

Phone
Phone Number




Please choose the program or school to which you have applied/been accepted to.
Program


    required and     optional