Application forms

Application form for Financial Assistance

This form to be used by young people between the ages of 16 and 24 residing in the Borough of Maidenhead or the Ancient Parish of Bray (which includes Bray, Holyport, Cox Green and Fifield).

Please provide all supporting documentation in a separate email direct to the clerk.

Section A - Particulars of Applicant and Course

Applicant details
Please answer all the questions.


Yes No

If you are applying for help with an apprenticeship go to Section A2.

Section A1 - Course Details

Please answer all the questions if applying for this award.
Full details of COURSE OF STUDY OR ACTIVITY for which award is needed, including:

Yes No

Please email a copy of your student finance summary. If you have not applied for student finance please visit their website www.slc.co.uk to establish your level of eligibility.
If you have received any other funding please give details in Section D ‘Declaration of financial circumstances’.

Section A2 - Apprenticeship Details

Please answer all the questions if applying for this award.
Full details of APPRENTICESHIP for which award is needed, including:

Yes No

Please email a letter from your school/college to confirm you are attending an interview.
OR
Email a letter from your employer confirming you have started an apprenticeship.

If your application is successful you will need a bank account.

Section B - Education

Education History

Give details of Secondary Schools attended since the age of 11:

Name and Address of School Date of entry Date of leaving

Give details of 6th Form College/College of Further Education since the age of 16:

Name and Address of College Date of entry Date of leaving Full Time (F) Part Time (P) Evening (E)

Give details of public examinations taken.
All examinations attempted should be recorded with result (pass or fail) and grade obtained:

GCSE

_
Date Subject Pass/Fail Grade Date Subject Pass/Fail Grade

AS Level

Date Subject Pass/Fail Grade Date Subject Pass/Fail Grade

A Level

Date Subject Pass/Fail Grade Date Subject Pass/Fail Grade

Other Academic or Professional Examinations

Date Name of Examination Subject Result Grade

Section C - Employment

Employment

Particulars of Employment since leaving School or College

Name & Address of Employer Dates From - To Position Held Full Time (F)
Part Time (P)		 Salary

Declaration

I declare that to the best of my knowledge and belief the foregoing information is correct and complete in every respect. In the event of my ceasing to attend the approved course chosen or my course changing before the prescribed finishing date, I will repay the Trustees (within 14 days of their written request) the sum they determine is owing to them after my last attendance.

Section D - Declaration of Financial Circumstances

Parents

Income

  Mother (£) Father (£)

Please note:
If self-employed please emai copy of last accounts, but if employed supply copies of your last P60.

If in receipt of benefits please emai a letter confirming your benefits.

Other Children (who will be totally or partially dependent during the current year)

Full Name Age School or College Attended Occupation (if working) Estimated gross income in current year
Applicant

Applicant’s sources of income

Income

Item Cost (£)

Trustees welcome any further personal relevant information, i.e. exceptional expenses/family circumstances.

Declaration to be completed by Parents or Guardians

We declare that to the best of our knowledge and belief the information in this form is correct and complete in every repect and contains a full statement of our income from all sources during the period showm.

Initials of Parents or Guardians:

Full Names of Parents or Guardians: