James Brownhill Memorial Fund - Scottish Winter Mountaineering Bursary Application

James Brownhill Memorial Fund - Scottish Winter Mountaineering

Bursary Application Form
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityCounty

Postcode
Date of birth*

DayMonthYear
Date
Email*
example@example.com
Phone Number*
Please describe your reasons for applying for a place on the James Brownhill Memorial Fund Scottish Winter Mountaineering course, how you would benefit from securing a place, and what you would intend to do with your new knowledge, skills and experience:*
You must be a member of a university mountaineering club to be eligible for the bursary. Please provide the following details:
Name of club:*
Name of supporting referee:*

First NameLast Name
Email address of referee:*
example@example.com
Brief statement of support from referee:*
Please note: The JBMF Trustees welcome testimonials from recipients after they have attended the course as they are used to refresh the website. Trustees may contact you for information about the usefulness of the course.

I consent to my details being shared with the trustees of the James Brownhill Memorial Fund.
Please tell us how you heard about the James Brownhill Memorial Fund Scottish Winter Mountaineering bursary:*
The full value of a place on this course is £1045; the James Brownhill Memorial Fund will make a contribution of £645 per place, leaving a student contribution of £400.
Please confirm the name of the individual or organisation who will be making the balance payment of £400 in the event your application is successful:
Should be Empty: