Bursary Funding Form
We are pleased to announce that eligibility for a part-funded place on the TLC Caring for the Dying Holistic Education Course is available for individuals living in Cornwall who meet the following criteria:Those who are currently in a caring role and are on a low income or seeking employment.Individuals living in Cornwall who aspire to become end-of-life companions and wish to enhance their skills for providing support and companionship to others in the future.
Please complete the form as fully as possible. Thank you for your time.
Personal data will not be shared with any third parties. All responses are confidential. The results of this bursary form will be collated into anonymised insights and data, which may be used in funding applications to continue growing the companionship referral scheme.Personal data will not be shared with any third parties. All responses are confidential. You have the right to request that any personal data held about you is deleted. This is your “right to be forgotten” under GDPR. If you wish to exercise this right, please contact us. No personal identifying information will be included in any public reports, presentations, or funding applications.
Name
First Name
Last Name
Please select your gender?
Male
Female
Non-binary
prefer not to say
Other
Ethnicity/ Cultural Background?
White Cornish
White British
White Other
Asian or Asian British
Black or Black British
Mixed or multiple ethnic groups
Prefer not to say
Other
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
What is your age?
18-24
25-34
35-44
45-54
55-64
65-74
75 and over
Disability Status:
Yes, I have a disability or long term health condition
No, I do not have a disability or long term health condition
Prefer not to say
Relationship Status:
Single
In a relationship
Married/ Civil Partnership
Separated/ divorced
Widowed
Prefer not to say
Other
Living arrangements
Living alone
Living with partner/ spouse
Living with family/ relatives
Living with friends
In supported living
Live in carer for friend/ neighbour/ family member
Prefer not to say
Other
Please describe your current situation
Full time employed
Part time employed
Self-employed
Long term unemployed
Full time/ part time student
Looking for work
Full time carer
Tick any or all that apply to you
Im on a low income/unemployed and caring for a friend, family member or neighbour with a life limiting condition and would like a "part-funded" place on the course
Im on a low income/ unemployed and wanting to train as an end of life companion and would like a "part-funded" place on the course.
Which date would you like to attend the TLC Course? Sunday 18th January '26? OR Sunday 1st March OR Sunday 10th May
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Month
-
Day
Year
Date
Could you explain your current circumstances and the reasons you are seeking a fully or partially funded place on the course?
What aspects of the TLC: Caring for the Dying Holistic Education Course resonate with you or spark your curiosity?
In what ways do you believe participating in the TLC: Caring for the Dying Holistic Education Course will enhance your life and the lives of those you care about, both now and in the future?
At NODAC, we are proud to be a Community Interest Company dedicated to supporting others while operating on a not-for-profit basis. We rely on funding to enable our services to thrive, and your participation in our programs is crucial to our mission.If you are allocated a part bursary for the TLC Caring for the Dying Holistic Education Course, we kindly ask that you provide a review on Google after completing the course. A link will be provided after the course for your convenience. If you feel you cannot give us a 5-star review, please reach out to NODAC directly to share your feedback. We genuinely value your thoughts as they help us improve the course for future attendees.At the end of the training day, you will also be required to complete an evaluation form, which we can provide in a digital or paper format based on your preference. The TLC course continues to pride itself on being person-centered, and we are committed to enhancing our services based on the feedback we receive.Additionally, if you're comfortable providing a video testimonial, we would greatly appreciate it, although this is entirely optional. Everything we do is community-facing, and we need your help to ensure our offerings thrive and reach more hearts and minds in our community.Thank you for your support, and together, we can make a lasting impact!
GOOGLE review (part of the agreement)
Facebook review
Short video testimonial
Written testimonial
Profile photo and testimonial
Audio testimonial.
Are you open to the idea of becoming an end-of-life companion for individuals in your neighborhood or community when it feels like the right time for you?
Yes
No
Maybe
Signature
Thank you for completing the form.
We look forward to sending you more information about the course soon.
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