Christopher Eden Trust Individual Application

Part 1: About You

First name *

Last name *

Age *

Your address *

Your telephone/mobile number *

Your email *

Your Parent’s or Carer’s address: (if different from yours) *

Name to whom the cheque should be made payable. If applicant is under 16 years and does not have a bank account the cheque is made payable to their parent/carer *

Part 2: Tell us about your education?

Which School, College, University or place of work do you attend? *

Are you a full or part-time student? *
—Please choose an option—Full-timePart-time

Which courses or subject(s) are you/will you be studying? *

Which year of the course have you reached? *

Part 3: Your circumstances (Must be completed by all applicants)

Although our grants are not solely dependent on financial circumstances, in order for us to allocate our grants in the fairest way, it would be helpful if you could share any information about your or your family’s personal and financial circumstances which might help the trustees to make a decision on your application. *

Part 4: Costs

Please tell us the estimated cost of the items that you need the grant for e.g. Laptop, course equipment, access to sport activities etc *

Please attach any book lists, receipts or acceptance letters/emails to support your application here.

Attach files

Declaration

Declaration Date *

I declare that to the best of my knowledge the above information is correct. I understand that the trustees may require evidence that the grant has been used for the purpose for which it was given. If the trustees are not satisfied I undertake to repay the grant.

I agree to Christopher Eden Educational Foundation storing my contact details. We will only use your contact details for the purpose of correspondence.

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