Section One to be completed by all. Section Two to be completed by individual applicants or parents. Section Three to be completed by applicants representing organisations.
Please state (where relevant) details of course and institution. If you are applying for a grant for vocational purposes in connection with education, please provide as much detail as possible.
If different to parent no. 1
Please list the names and ages of all dependent children, including the child or children in respect of whom this application is made.
Please state the amount of any grant being made by any authority to or in respect of the student
Please state the amount of any personal income, if any, received by the student not included in the income section below
If parents or guardians desire to bring to the notice of the Governors any special circumstances affecting this application, please detail here
Mother or adoptive parent or guardian
Father or adoptive parent or guardian
Annual figure (if no income write NONE)
Annual figure (if no income write NONE)
Annual figure (if no income write NONE)
Annual figure (if no income write NONE)
Annual figure (if no income write NONE)
Annual figure (if no income write NONE)
Annual figure (if no income write NONE)
Annual figure (if no income write NONE)
Annual figure (if no income write NONE)
Annual figure (if no income write NONE)
Annual figure (if no income write NONE)
Annual figure (if no income write NONE)
Annual figure (if no income write NONE)
Annual figure (if no income write NONE)
Annual figure (if no income write NONE)
Annual figure (if no income write NONE)
Annual figure (if no income write NONE)
Annual figure (if no income write NONE)
Annual figure (if no income write NONE)
If either parent is deceased, this fact should be stated. In the event of either parent working or serving abroad, the signature of one parent may be accepted. By printing name here, I/we declare that the particulars given are correct and include a complete statement of my/our total income from all sources. I/we understand that under the terms of the scheme of the foundation, the Governors are obliged to consider whether an applicant is in need of financial assistance and that the Governors may ask for FURTHER EVIDENCE (e.g. Income Tax P60, certified accounts etc.) and I/we agree to provide these if so required by the Governors.
If either parent is deceased, this fact should be stated. In the event of either parent working or serving abroad, the signature of one parent may be accepted. By printing name here, I/we declare that the particulars given are correct and include a complete statement of my/our total income from all sources. I/we understand that under the terms of the scheme of the foundation, the Governors are obliged to consider whether an applicant is in need of financial assistance and that the Governors may ask for FURTHER EVIDENCE (e.g. Income Tax P60, certified accounts etc.) and I/we agree to provide these if so required by the Governors.
This can be provided by email to enquiries@alvechurchgst.org.uk if preferred.
By printing my name here, I declare the information given above to be correct to my knowledge.
E.g. Governor, Trustee