Educational Grants
Educational Grants

I

The John Mathews Educational Charity

Grant Application Form

 

Surname : ___________________________

 

Forenames  : ____________________________

 

Date of Birth : ____________________________

 

Home Address : _______________________________________________________________________________________ 

  

No of years resident at his address  : ____________________________

 

Are you on the electoral register for this address : ____________________________

 

Correspondence address ( If different to above) : ____________________________

 

Telephone number : ____________________________

 

Mobile number  : ____________________________

 

Email Address : ____________________________

 

Place of Birth : ____________________________

 

Have you, or a relative, previously applied to the charity for an award? Give full details if Yes  __________________________________

 

 

 

Degrees / diplomas / Academic Qualifications already achieved. Please state university / college and dates awarded. : ____________________________________________________________________________________________________________

 

 

What is your current / proposed course and university / college of study? : ____________________________

 

Is your current / proposed course full or part time. If PT how many hours per week and weeks per year? : ________________________

 

Date of commencement of current / proposed course (month & year) : ____________________________

 

Date of completion (month & year) : ____________________________

 

How do you propose to fund your course (ie student loan, parental help, grant etc) ? : ____________________________  

 

    

Please specify as fully as possible the costs of your course and any specialised materials or equipment required. Differentiate between expected course fees, materials, books and subsistence costs. : ____________________________

 

Please provide details of your financial circumstances. : ____________________________  

 

What level of support are you seeking from the Charity? : ____________________________

 

Are you receiving, or expecting to receive, funding from other sources? Please specify. : ____________________________

 

What are your career aspirations after completion of the course.? : ____________________________

 

How did you hear about the John Mathews Educational Charity? : ____________________________

 

I confirm that the above information is accurate and fully reflects my current circumstances. I also confirm that I have read the Privacy and Data Protection Policy on the application requirements page, and agree to my data being used as described therein. I also confirm I am enclosing Proof of Residence and a personal letter, as required in the Application Requirements section. If these documents are not seperately received by the Charity, your application WILL NOT be considered. They can be emailed to the address noted on the contact page.

 

 

 

 

 

 

 

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                              Signature                               Date                                Print name

 

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