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Application Form THE JOHN NOWES EXHIBITION FOUNDATION Registered Charity No: 309984 The conditions upon which an award may be given are as follows:- 1. Candidates must be between the ages of 16 and 25 on the 31st July of the year of the commencement of the course applied for; must have a household income of less than £33,000; and must be a permanent resident (live) in the borough of Yeovil or in the Parishes of Alvington, Barwick, Brympton, Chilthorne Domer, East Coker, Limington, Mudford, Preston Plucknett, Yeovil Without or West Coker. 2. An award may be made under one or more of the following headings:- (a) The award of Scholarships, Bursaries or Maintenance Allowances for any School, University or other place of learning; (b) Financial assistance for clothing, equipment or books to enable beneficiaries to prepare for or assist their entry into work; (c) The award of Scholarships or Maintenance Allowances to enable beneficiaries to travel abroad to pursue their education; (d) Financial assistance towards facilities of any kind not normally provided by the Local Education Authority for recreation, social and physical training, including coaching in athletics, sports and games for beneficiaries who are receiving primary, secondary or further education; and (e) Financial assistance to enable beneficiaries to study music or other arts. All the questions on the attached Form of Application must be answered including the Declaration by the Parents, evidence of all household income (including Benefits) and the reference from the Head of the current educational establishment who must also certify the Applicant's attendance there. The deadline for submission of all applications is Monday 31st August 2020. If required, further information can be obtained from the Clerk to the Trustees: Amanda Goddard, Battens Solicitors Limited, Mansion House, Princes Street, Yeovil, Somerset BA20 1EP; Tel: 01935 846225; email: [email protected] or alternatively, Gemma Hart on [email protected]. THE JOHN NOWES EXHIBITION FOUNDATION FORM OF APPLICATION FOR A GRANT (to be completed by the candidate) The completed form must be returned to the Clerk, Amanda Goddard, Battens Solicitors Limited, Mansion House, Princes Street, Yeovil, Somerset BA20 1EP no later than 31st August 2020. Name of Applicant: ……………………………………………………………….. Address: ……………………………………………………………….. ……………………………………………………………….. ……………………………………………………………….. Do you live with your parents? YES NO IF NO Please provide independent written evidence from a social worker, connexions coordinator, college chaplin etc that you are estranged from your parents for more then 3 months, and state who has provided the evidence that you are enclosing: ……………………………………………………………….. Date of Birth: ……………………………………………………………….. Contact telephone number: ……………………………………………………………….. Number of previous successful applications to the Foundation for a grant: ................ Colleges or schools attended in the last three years (with dates): …………………………………………………………………..……………………………… …………………………………………………………………..……………………………… …………………………………………………………………..……………………………… Examination results (GCSE, A Level, etc) already achieved or anticipated (anticipated results should be marked with an "a"): …………………………………………………………………..……………………………… …………………………………………………………………..……………………………… …………………………………………………………………..……………………………… Details of Courses or Training applied for and at which University or College: …………………………………………………………………..……………………………… …………………………………………………………………..……………………………… …………………………………………………………………..……………………………… Under which category (a to e) on Page 1 are you applying for a grant? Please detail your reasons for the application: …………………………………………………………………..……………………………… …………………………………………………………………..……………………………… If the grant is to help towards a trip please show educational relevance: …………………………………………………………………..……………………………… Please provide independent written evidence from a lecturer, connexions coordinator, teacher etc. of the clear educational benefit of the trip, and state who has provided the evidence that you are enclosing: ……………………………………………………………….. What is your annual income? Please include income from:- investments; holiday jobs; and part time employment £ …………………… Detail any grant, with amount, awarded to you from any other source or any financial assistance available to you, other than from your parents, step parents or grandparents: £……………………………………………………. Do you receive EMAs? YES NO If yes what level ………… … Have you applied for a student loan? YES NO If yes for what amount £ ………… … What is your estimated annual expenditure while on the attended course for:- Accommodation Tuition Fees £…………………… £…………………… Books, Equipment, Materials etc Travel £…………………… £…………………… Trips Other (please specify) £…………………… £…………………… Any further information that you consider may be helpful to the Trustees in considering your application: …………………………………………………………………..……………………………… …………………………………………………………………..……………………………… …………………………………………………………………..……………………………… I confirm that I am normally resident (live) in the Borough/Parish of (see Para.1 on Page 1): …………………………………………………..………………….. Signed: …………………….. Date: …………………….. PLEASE COMPLETE THE FOLLOWING SECTION IF YOU ARE SUPPORTED IN ANY WAY BY YOUR PARENTS DECLARATION by the PARENTS of the APPLICANT Name and Address of both parents: ……………………………………………… …………………………………………… ……………………………………………… …………………………………………… ……………………………………………… …………………………………………… ……………………………………………… …………………………………………… ……………………………………………… …………………………………………… Parents' Occupation: ……………………………………………… …………………………………………… Number of Dependants including the Applicant: ………………. What is your estimated annual Household income:- Income Benefits £…………………… £…………………… Maintenance Other (please specify) £…………………… £…………………… Please provide evidence of household income (e.g. recent P60 or Tax Return if self- employed and proof of benefits), and state what form of evidence you are enclosing: …………………………………………………………………..……………………………… Signature of a parent : .............................. Date : ........................................................ THE JOHN NOWES EXHIBITION FOUNDATION REFERENCE (Strictly Confidential) (To be completed by the Head or Principal of the last or current educational establishment attended by the Applicant.) Please give a detailed reference in the space provided below, including details of anticipated examination results if the Applicant is entered for any examinations. I certify that Attended School/College From To Signed Date Name: Position School/College Stamp: .
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