Bursary Award
Application form
The Springvale Bursary Initiative was set up to enable our students to be able to continue their career development after they leave us. By providing financial assistance to students from West Belfast is the main aim of this bursary programme and will benefit our vocational Learners in both our Skills for Life and Work Programme and our Apprenticeships.
Mandatory Eligibility Criteria, Please tick where appropriate:
Applicants must be resident in the West Belfast Westminster Parliamentary Electoral Constituency. (Use the following website to check your postcode to confirm parliamentary constituency: http://www.parliament.uk/about/how/elections-and-voting/constituencies/ )
Applicants must be preparing to study or be currently studying on a full-time or part-time further education, higher education or vocational training course.
Additional Criteria, please note that the list below is not exhaustive and applicants are not required to meet all additional criteria listed below but it is preferable to meet at least two.
Lone Parent
Disability/Health Issues - Physical/Mental/Emotional
Carer Responsibility
Additional Educational Needs e.g Dyslexia
Low Income Family
First in family to study at 3rd level education
Mature Student
Conflict legacy issue
Other
Student Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Date of Birth
-
Month
-
Day
Year
Date
Marital Status
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Employment Status
Employed Full-time
Employed Part-time
Unemployed
Other
Please Attach evidence required Proof of Address and Photo ID
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EDUCATIONAL COURSE FOR WHICH YOU ARE SEEKING BURSARY (Current or intended) Tick as appropriate :
Skills for Life & Work
Apprenticeship
Full Time
Part Time
What is the name of your course?
Start date of course
-
Month
-
Day
Year
Date
Expected end date of course
-
Month
-
Day
Year
Date
Please attached proof of course(Email or letter from place of study)
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EDUCATIONAL HISTORYPost Primary (Secondary) School Attended:
Please indicate GCSEs, A-levels and other accredited/non-accredited courses obtained to date (if any).
Have you applied to, or received finance from any other organisation towards your course of study?
Yes
No
Have you received a bursary before?
Have you received a Bursary Before? Is so how much for?
£500
£1000
Not Applicable
Other
USE OF SPRINGVALE BURSARY Outline below the ways in which this Aisling Bursary will help you undertake your studies(Max300 words)
PERSONAL STATEMENT Please state how you meet the additional criteria? (Max 300 words)
DECLARATION The 2018 General Data Protection Regulation (GDPR) requires us to have your written consent to hold your personal information within our records. Your information will be used by Springvale Learning to process your application, by the independent panel to assess your application, and to ensure that the bursary sponsor is content that you receive their Bursary. Your information will be retained by Springvale Learning for a six month period.
I consent to Springvale Learning holding details provided in this form.
I consent that information provided will be shared with the independent judging panel and relevant Springvale Bursary Award sponsor.
I confirm that all information provided on this form andthat any supporting documentation is correct to the best of my knowledge.
I confirm that all information provided on this form and that any supporting documentation is correct to the best of my knowledge.
Date
-
Month
-
Day
Year
Date
Terms & Conditions:
All applications are considered, with special consideration given to candidates who have significant barriers and hardship preventing them from realising their full potential through education, for example through economic or family circumstances. Bursaries of £500 - £1000 will be awarded to successful applicants.
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