GRANT APPLICATION FORM Accessability: Please contact Jane Angell-Payne on 0787 246 4195 if for any reason you are unable to complete this application yourself. You will be put in touch with an independent mentor who will assist in the form completion. This will in not effect your application

Name of Applicant Date of Birth (where under 25)

Name of Parent or Guardian (if applicant under 16)

Job Title/Current Educational Establishment of Applicant

Address of Applicant/Parent or Guardian Awards are for young people who live or are educated (or had secondary education) in Kent and East Sussex. Over 25’s should be planning to teach/train in Kent and East Sussex

Telephone: Email: Website:

Have you applied to us before: Yes □ No □ If yes give details

Do you have any previous connection to Bedgebury School or are you a dependent child of Cof E clergy|?

Please read our guidelines and indicate which programme area best fits your application: Vocational □ Additional Needs □ Special Project □

1. Please describe yourself or your child – who you/they are and what you/they do; for group volunteer projects please describe the group

1 2. What are you asking the Foundation to support? E.g tutorials, training, equipment costs, placement fees? Who will provide the goods or services?

3. When will the support be required and for how many months/years will it last?

4. Tell us what it is that makes you qualify for support:

5. What do you want to achieve and what difference will it make to you?

6. What other options have you considered to reach your goals?

7. How do you propose that others could benefit from this project?

Important tip Please include as much information as possible as to why you deserve funding from us and what difference it will make. Include copies of assessments summaries or testamonials. This will help trustees in comparing applications for limited funds.

8 Financial requirement

What is the total cost of the proposed £

2 project or support per year; for group volunteer projects please give the cost per person and number of young people involved Is a one of payment required or regular support. If regular support state how many years you are applying for What size of grant are you seeking from the £ Foundation? When is the first payment needed?

If not covered above please explain how the costs build up. How much (if anything) have you raised so far?

And from whom?

What is your remaining shortfall? £

Who else have you asked to help?

We may find it helpful to discuss your application with your existing or potential funders, please indicate if you have any objections:

9. Please give a summary of your most recent income for your HOUSEHOLD: (parents or guardian if applicant under 25 ). The application cannot be assessed without this information. Evidence will be required if a grant is awarded for example copy P60 Section 9 is not required for Special Projects/Volunteer placements

Sources of regular annual income: Salary/wages 1 (before tax) Salary/wages 2 (before tax) Adults in household Children 0-4 in household Children Primary School Children Senior School Other Dependents (give details)

Exceptional expenditure:

3 Total investments and savings (exclude property):

10 Please tell us how you heard about us Name of Person Completing Form and where relevent relationship with applicant/ beneficiary

Our preference if for electronic communication Please email your application to [email protected] Alternatively Post to Bedgebury Foundation Priory Cottage, Romford Road, Pembury, Kent TN2 4JD

Please email from the email address given on the first page References: Please give names and addresses. For most applicants we will not contact referees unless a grant is proposed. For special projects/placements referees will be sort for short listed applicants. Character reference (a person who is a professional or has traceable role and has known you for at least three years, not a relative)

Project reference: (a person who can give an expert opinion on the appropriateness of the project to you)

Please keep a copy for your records

Please complete Equality and Diversity questionnaire on next page

Equality & Diversity Information Bedgebury Foundation is committed to equality of opportunity for all its beneficiaries, employees. To assist us to monitor the effectiveness of our equality and diversity practices, we would encourage you to complete this monitoring form. The information you provide will be treated as sensitive data under the Data Protection Act 1998 and will be held on a central database. It will not be used in the evaluation of applications. 4 Please complete for the beneficiary and highlight answer in grey if completing electronically Gender:  Male  Female Is your gender identity the same as the gender you were assigned at birth?  Yes  No Marital Status:  Civil Partnership  Divorced  Married  Partner  Single  Widowed  Prefer not to say Religion:  Buddhist  Christian  Hindu  Jewish  Muslim  No religion  Sikh  Spiritual  Other religion or belief  Prefer not to say Ethnic Origin:  White – British  White – Irish  Other white background  Black or Black British – Caribbean  Black or Black British – African  Other black background  Asian or Asian British – Indian  Asian or Asian British – Pakistani  Asian or Asian British – Bangladeshi  Chinese  Other Asian background  Mixed – white and black Caribbean  Mixed – white and black African  Mixed – white and Asian  Other mixed background  Other background  Prefer not to say Disability: The Equality Act 2010 defines disability as a physical or mental impairment which has a substantial long-term, adverse effect on a person’s ability to carry out normal day-to-day activities. Do you have a disability as defined by the Disability Discrimination Act?  Yes  No If you have answered yes above, please give details:  Specific learning disability (e.g. dyslexia, dyspraxia)  General learning disability (e.g. Down's syndrome)  Cognitive impairment (e.g. autistic spectrum disorder, resulting from head injury)  Long-standing illness or health condition (e.g. cancer, HIV, diabetes, chronic heart disease, epilepsy)  Mental health condition (e.g. depression, schizophrenia)  Physical impairment or mobility issues  Deaf or serious hearing impairment  Blind or serious visual impairment  Other type of disability  Multiple disabilities

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