Bursary Application

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Application date: Thursday 21st November 2024

Candidate

First names

Surname

Date of birth

Other Dependent Children

Parent / Guardian 1

Title

First names

Surname

Occupation

Mobile telephone number

Please use numbers and spaces only.

Email address

Home Address

Address line 1

Address line 2

Town

County

Postcode

Parent / Guardian 2

Title

First names

Surname

Occupation

Mobile telephone number

Please use numbers and spaces only.

Email address

Home Address

Address line 1

Address line 2

Town

County

Postcode

Financial Information for Parent / Guardian 1

Gross Annual Taxable Income

Salaries

Pensions

Investment income

Rental profit income

Social services benefits / tax credits

Business or professional profits

Maintenance payments / separation allowance

Total gross annual taxable income

Capital Assets (total market value)

Investments (ISAs etc.)

Principal owned residence

Any other properties (UK or overseas)

Other Sources of Financial Support

Grandparents / other contributors

Trust funds

Awards from school or other charities, scholarships, or bursaries awarded to applicant

Expenditure

Basic annual housing costs (mortgage / rent)

Financial Information for Parent / Guardian 2

Gross Annual Taxable Income

Salaries

Pensions

Investment income

Rental profit income

Social services benefits / tax credits

Business or professional profits

Maintenance payments / separation allowance

Total gross annual taxable income

Capital Assets (total market value)

Investments (ISAs etc.)

Principal owned residence

NOTE: Do not complete if living with parent / guardian 1

Any other properties (UK or overseas)

Other Sources of Financial Support

Grandparents / other contributors

Trust funds

Awards from school or other charities, scholarships, or bursaries awarded to applicant

Expenditure

Basic annual housing costs (mortgage / rent)

NOTE: Do not complete if living with parent / guardian 1

Details of Current School

Current school name

Email contact at current school for testimonial

Amount of yearly tuition fees at current school, if any

Current School Address

Address line 1

Address line 2

Town

County

Postcode

Details of Proposed School

Proposed school name

Email contact at proposed school for bursary award

Yearly fees at proposed school

Bursary awarded from proposed school

Proposed School Address

Address line 1

Address line 2

Town

County

Postcode

Reason for Application

Please detail, in fewer than 50 words your reason for application based on our selection criteria

Questions about Application

Has the applicant been accepted at the proposed school?

Does acceptance depend on an entrance exam?

Are any other family members a current or past Ewelme scholar?

How did you find out about the Ewelme Exhibition Endowment?

I am applying to continue my bursary to 6th form

Supporting Documents

Passport sized photo

Image or PDF accepted, 4 MiB max filesize

Covering letter

Image or PDF accepted, 4 MiB max filesize

P60, year end payslip, or annual accounts (parent 1)

Image or PDF accepted, 4 MiB max filesize

P60, year end payslip, or annual accounts (parent 2)

Image or PDF accepted, 4 MiB max filesize

Declaration and Data Protection Consent

Yes

We agree to the above statements

We confirm that the information provided on the form is wholly accurate and that any misrepresentation will invalidate the application.

Data Protection Privacy Notice

Governors are responsible for ensuring bursary award applicants are suitably qualified, under the terms of the charity’s governing document. Governors may need to investigate the personal circumstances of an applicant's parent or guardian. The personal data supplied on this form and other information relating to the application will be held securely. We may check information provided with appropriate organisations. Access to your personal information will be provided on request. A further Privacy Notice will be issued to successful applicants.

Unless otherwise requested, documents for unsuccessful applications will be retained for one year for use if parent/guardian circumstances change and a reapplication is made in the following year.

Consent

I/We give consent for our personal data to be retained and processed for the use of the Governors of the Ewelme Exhibition Endowment as stated above.