Working Communities Bursary Application form
By NHG Aylesbury Regeneration Team
Working Communities Bursary
Notting Hill Genesis Housing is offering Working Communities Bursaries of up to £250 for Southwark residents who would benefit from financial help securing a job or gaining a qualification.
Are you applying on behalf of someone else?
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Yes
No
Please state your organisation's name
Please state your full name
First Name
Last Name
Please state your work email address.
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example@example.com
Applicant deatils
The Working Communities Bursary is only open to residents of London Borough of Southwark.
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Please state the applicant's full name
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First Name
Last Name
Please enter a valid email address
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example@example.com
Please state your phone number.
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Please enter a valid phone number.
Please enter the applicant's full address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please state the amount requested
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Please state any contribution from applicant.
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What will the bursary be used for?
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How will this support the applicant?
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What is the applicant's age
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What is the applicant's ethnicity?
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What is the applicant's gender?
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Is the applicant a lone parent?
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Yes
No
Please state if the applicant has any disabilities.
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Is the applicant considered to be low skilled
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Yes
No
Please upload a recent copy of your bank statement.
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I would like to offer a bursary of?
Team member awarding the bursary?
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Date bursary awarded
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