The Angela Uzielli Bursary Application Form

The Applicant must be female, in or entering full-time Higher Education at a British University or College (after school academic year 12) and be studying a non- related qualification.

Name:

Address:

Postcode:

Telephone Mobile Number: Number: Email Address: Date of Birth:

Age:

Proposed Educational Establishment: Study Course:

Period of Study From: To:

Golf County: : Club:

County/ or Course Tutor:

Period Covered by this Application From: To:

Applicant’s Date: Signature:

Note to Applicant: This form must be submitted to your County Junior Organiser with an accompanying letter from yourself supporting your application. Please allow sufficient time for your sponsor to complete and return the form to the Golf Office by the last Friday in September.

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Applicant’s Name: Please list your golfing achievements and progress over the last two years:

Do you receive or have you applied for other grants? If the answer is yes please state which:

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Comments from County/Golf Club or Date Received: Course Tutor:

Signature: Date:

Print Name: Position:

Comments from Trustee of the England Golf Trust:

Name:

Forms and supporting documents must be returned to: England Golf Trust, The National Golf Centre, Woodhall Spa, Lincolnshire LN10 6PU or via email to [email protected]

Deadline to submit applications is the last Friday in September. The Angela Uzielli Bursary Application Form Page 3 of 3