Grant Application

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Application date: Thursday 21st November 2024

Details of Applicant

First names

Surname

Mobile telephone number

Please use numbers and spaces only.

Email address

Date of birth

Home Address

Address line 1

Address line 2

Town

County

Postcode

Details of Current Education or Employment

Current school, college, or occupation

Enter email address of teacher, tutor, or supervisor

Are you in full time education?

Income

Total parental income

Total personal income

Reason for Application

Please detail, in fewer than 50 words your reason for application

Application Details

Activities or courses for which grant is requested

Title of sponsoring charity, organisation, or college

Total cost of activity, course, or equipment / instruments

Funds raised so far towards this cost

Parental contribution promised or anticipated

Other organisations approached for funds towards this cost

How did you find out about the Ewelme Exhibition Endowment?

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

Parent / guardian income must be completed for applicants under 18 or if applicant is in full time education.

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

Contributions from school, or other organisations, charities

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

Contributions from school, or other organisations, charities

Expenditure

Basic annual housing costs (mortgage / rent)

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

Supporting Documents

Passport sized photo

Image or PDF accepted, 4 MiB max filesize

Covering letter

Image or PDF accepted, 4 MiB max filesize

Please provide links to the items or activities so we can see costings

Please enter each link on a new line

Declaration and Data Protection Consent

I am applying for a grant towards the cost of

Travel

Vocational training, music, art, or sports course

An activity or expedition

Instruments, tools, or equipment required in a course for which I have been accepted

If awarded a grant towards the course or activity, I will provide a short written report to the Governors of the Ewelme Exhibition Endowment within a month of its conclusion, including details of any personal achievements or qualifications gained.

If granted an award towards instruments, tools or equipment, I will provide copies of the relevant invoices within a month of purchase to the Governors of the Ewelme Exhibition Endowment.

I will inform the Governors immediately if any circumstances alter the activity, course or objects for which this application is made.

Declaration

I confirm that the information I have provided is true and that I accept the above conditions.

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

Consent

I give consent for my personal data to be retained and processed for the use of the Governors of the Ewelme Exhibition Endowment.

I am over 18, or have received consent from my parents.