Educational Grants
Educational Grants

 

 

 

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.

 

 

 

 

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                              Signature                               Date                                Print name

 

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