Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                

The Grundy Educational Trust: Application Form Academic Year

Download as doc, pdf, or txt
Download as doc, pdf, or txt
You are on page 1of 6

THE GRUNDY EDUCATIONAL TRUST

APPLICATION FORM ACADEMIC YEAR /

Please affix photograph here

Please note that only students with a demonstrable financial need will be considered for an award, and that the financial details on this application form should be completed accurately and fully as they will be examined closely in any interview that is granted.
PLEASE COMPLETE IN BLOCK LETTERS: A. PERSONAL DETAILS Forenames:

Surname: (Mr/Mrs/Ms/Miss) Any Previous Surname: Date of Birth: Present Nationality: Dependants (Give names and ages of children):

Country of Birth: Marital Status: Email address:

Address for Correspondence: (Term Time)

Telephone No:

Home Address (this address should, wherever Telephone No: possible, be different to your term time address and should be of a more permanent nature e.g. family home):

Grundy Educational Trust

B.

ACADEMIC HISTORY

DEGREE/FORMAL QUALIFICATIONS (Give name of awarding body and college, subjects, year of award(s) and grade)

SCHOOLS ATTENDED AFTER THE AGE OF FOURTEEN (Give names, towns and dates)

A Level/A/S Level/G.C.S.E./OTHER EXAMS PASSED (Give subjects, grades, levels and dates)

C.

EMPLOYMENT HISTORY (if any)

PAID JOBS HELD including casual employment (give details and dates)

Grundy Educational Trust

D.

COURSE OF STUDY FOR WHICH YOU ARE SEEKING AN AWARD

Name and Town of University/College:

Whether accepted *Firmly/*Conditionally:

Title or subject of Course:

Qualification Sought:

Duration of Course:

Stage Reached Now:

Purpose of Undertaking Course:

E.

GRANT SUPPORT

Have you applied for all grants or awards for which you might be *Yes/*No eligible?

If so, please give particulars and current status of application:

Grundy Educational Trust

F. (a)

ESTIMATED EXPENDITURE for this academic Year TUITION FEES

(b)

RESIDENCE FEES

(c)

LIVING EXPENSES

(d)

OTHER (e.g. books, instruments)

TOTAL EXPENDITURE G.

SUMMARY OF RESOURCES AVAILABLE (give sources and amounts for one year)

GRANTS:

ANTICIPATED LOANS/OVERDRAFTS FOR THIS YEAR:

ACCUMULATED STUDENT LOANS/OVERDRAFTS FROM PAST YEARS: (for information only, not to be included in total resources) ___________ PARENTAL OR OTHER FAMILY CONTRIBUTIONS: (e.g. Partners earnings, childrens allowances)

OWN EARNINGS:

Grundy Educational Trust

OWN SAVINGS: (Anticipated amount to be used this Year)

OTHER RESOURCES (e.g. interest, dividends) TOTAL RESOURCES H. ESTIMATED FINANCIAL ASSISTANCE REQUIRED (One Academic Year)

I.

REFERENCES (Names, addresses and occupation of two independent persons to whom reference may be made about your attainments, capacity for further study, and your financial position. At least one of these referees should normally be someone with direct knowledge of your academic progress.)

1.

2.

J.

ANY ADDITIONAL RELEVANT INFORMATION

Grundy Educational Trust

K.

GIVE REASONS WHY YOU SHOULD BE CONSIDERED FOR AN AWARD

L.

HOW DID YOU HEAR OF THE GRUNDY EDUCATIONAL TRUST?

(e.g. University Funds Officer or other equivalent; Tutor; Departmental notice board; internet search; Charities Register; other)

M.

CERTIFICATE

I certify that the above statements are true, that all my sources of income for the year have been declared, and I undertake to submit documentary evidence if required. I have no objection to the Trustees seeing any further information from such sources as they consider appropriate.

Signature:

Date:

Please affix a photograph of yourself to the front page where indicated and when completed this form should be returned to:-

Pursuant to the Data Protection Act 1998, the information you provide to us will be kept strictly confidential and secure within the Trust, and will not be disclosed to any third party without your permission, other than for purposes of contacting referees, verifying your application and/or verifying your progress on your chosen course should you be granted an award.
Grundy Educational Trust

You might also like