Application Form

Kenya Highlands University Online Application Form

Please fill this form completely and accurately to avoid delay in processing your application
Full Name *

First Name Last Name
Gender *
Birth Date *

Day Month Year
E-mail *
example@example.com
Phone Number *
Place of Birth
County of Residence *
Marital Status
Nationality *
Religion
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Education Background

List your previous schools and colleges attended

High School Information
High School name *
Mean Grade Attained in High School *
Grades attained in each subject
Grade in Maths *
Grade in English *
Grade in Kiswahili
Grade in Physics
Grade in Chemistry
Grade in Biology
Grade in Geography
Grade in History
Grade in Agriculture
Grade in CRE
Grade in Business
Other Subject (please indicate the subject with the grade)
Graduation date from High School

Day Month Year

Other qualifications/certification after High School
Please list all other qualification or training attained after High School
Programme or Course you are applying for
Please choose the programme or course you are applying *
Hobbies and Interests
Brief description of hobbies, activities, academic and other interests
Tell us why you want to join this Institution
How did you hear about us? *
Enter the message as it's shown *
Should be Empty: