Application Form for Individuals

First name *

Last name *

Age *

How long have you lived in Leven? *

Your address *

Your telephone/mobile number *

Your email *

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

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

Please give the full name of the person to whom any cheque should be addressed. *

Why do you need this grant?*

Please give an estimated cost. *

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

Attach files

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 The Wray Educational Trust storing my contact details. We will only use your contact details for the purpose of correspondence.

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