Application form - High Ham School Trust Grant

Charity Commission No. 1027314

HIGH HAM TRUST

 

APPLICTION FOR A PERSONAL GRANT

Please use black ink

 

SECTION 1: PERSONAL INFORMATION – Please fill in all relevant sections

 

A} PERSONAL DETAILS

SURNAME:

FIRST NAME:

HOME ADDRESS:

 

 

 

 

POST CODE:

 

TELEPHONE: Home:

                          Mobile:

 

DATE OF BIRTH:                            AGE:

 

 

Are you a former pupil of High Ham Church of England School?   Yes / No   (please circle)

 

ADDRESS FOR CORRESPONDENCE (if different)

 

 

 

 

 

POST CODE:

 

 

 

 

 

 

 

 

 

 

 

 

B) PRESENT SITUATION

Please give details of your present education or employment

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C) REFEREES

Please give the names and addresses of two referees who are prepared write in support of your application.

Name and Title:

 

 

Address:

 

 

 

 

Telephone No.

 

Name and title:

 

 

Address:

 

 

 

 

Telephone No.

SECTION 2: INFORMATION ABOUT THE APPLICATION

 

ADETAILS CONCERNING GRANT APPLICATION

The Grant can be applied for in one or more of the following objectives:

a) In providing for the School such special benefits of any  kind not normally provided by the local education authority, as may from time to time be agreed between the Governors of the School and the Managing Trustees:
b) In promoting the education (including social and physical training) of persons under the age of 25 years, who are in need of financial assistance and who are attending or who have attended the School, or are resident in the Parish of High Ham:
c) In promoting the religious education of persons under the age of 25 years, who are resident in the Parish of High Ham, in accordance with the principles and doctrines of the Church of England by means of a Sunday School or otherwise:

 

I am applying for a grant under objective:  a)        b)        c)         (please tick)

 

Below, please provide some information about the project for which the grant will be used.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Continue on additional sheet if necessary)

 

B) FINANCE

What is the estimated total cost of the course, project or activity which you wish to undertake?

 

ESTIMATED TOTAL£

 

Grants between £200-£500 are usually awarded. How much are you requesting from the High Ham Trust?

 

£

 

 

C) ADDITIONAL SUPPORTINGSTATEMENT

Please tell us any particular circumstances relevant to your application

 

 

 

 

 

 

 

 

 

 

(Continue on additional sheet if necessary)

 

 

D) APPLICANT DECLARATION 

 

I certify that to the best of my knowledge, the details provided by me on this application form are correct.

 

Signature of applicant: ………………………………………………..

 

Signature or parent (if applicant is under 18) …………………………………………………

 

Date……………………………………

 

 

 

PLEASE RETURN THIS FORM TO: Sally Roy, The Old Schoolhouse, High Ham TA10 9BZ.

 

 

 

 

 

For High Ham Trustees administration only

 

Date of Trustee meeting, grant considered……………………

 

Decision of trustees to award the grant: YES  /  NO (please circle)

 

Total grant awarded: £________

 

Signature…………………………….     (Trustee)