Book Grant Application

Book Grant Application

The grant scheme is mainly aimed at pupils from low-income families and families experiencing significant financial hardship.
Confidential

Bremore Educate Together Secondary School Book Grant Scheme 2021/2022

PLEASE NOTE:
• All sections must be completed in full.
• A separate form must be completed for each applicant/student
• Closing Date for Applications is 9th of April 2021
• Applications must be submitted on an annual basis
• An application does not guarantee a place on the scheme.

Student's Name *

First Name Last Name
Student's Date of Birth *

Day Month Year
Date
Address *

Street Address

Street Address Line 2

Town/City County

Postal / Eir Code
Year Group of student *

1st Year 2021/22 2nd Year 2021/22 3rd Year 2021/22 4th Year 2021/22 5th Year 2021/22 6th Year 2021/22
Parent/Guardian 1 Name *

First Name Last Name
Parent/Guardian 1 Phone Number *

Area Code Phone Number
Parent/Guardian 1 Email *
example@example.com
Parent/Guardian 2 Name

First Name Last Name
Parent/Guardian 2 Phone Number

Area Code Phone Number
Parent/Guardian 2 Email
example@example.com
Number of Dependant Children in the Family *
Please select the reason for application *

Hardship Due to Unemployment Illness of Parent / Guardian Large Family Inadequate Means Financial Hardship due to other reasons (please indicate below)
Please include other reasons or relevant information that you feel should be taken into consideration. (Supporting documentation can be sent by email to bookgrants@bremoreetss.com): *
I, the undersigned, apply for the school book grant scheme on behalf of the above named pupil and I certify that all information given is true to the best of my knowledge. I have read the Book Grant Policy on the school website www.bremoreetss.ie.
Parent/Guardian 1 *

First Name Last Name
Parent/Guardian 2

First Name Last Name
Date *

Day Month Year
Date
Should be Empty: