Scholarship Application for Drawing Club (aged 10 - 14 year olds) Notting Dale Campus
This course is designed for those in school years 5 - 9. Please fill in all relevant sections and press "Submit".
About You
Please tell us how you heard about our Scholarship Programme
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Name of Student
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First Name
Last Name
Student's Date of Birth
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Month
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Day
Year
Date
Age when starting course (20th January 2023):
Students Gender
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Male
Female
Self Identify
Students Address
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Street Address
Street Address Line 2
City
County
Post Code
Name of student's school
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Town of student's school
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School Year (e.g. Year 10)
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Name of Parent or Primary Carer
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First Name
Last Name
Relationship to student
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Parent/Carer's Phone Number
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Parent/Carer's Email
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Name of 2nd Parent or Emergency Contact if Primary Carer is not available
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First Name
Last Name
Relationship to student
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2nd Parent/Carer's Phone Number
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Choose one option that best describes your ethnic group or background:
White
English/Welsh/Scottish/Northern Irish/British Irish
Gypsy or Irish Traveller
Any other White background, please describe
Mixed/Multiple ethnic groups
White and Black Caribbean
White and Black African
White and Asian
Any other Mixed/Multiple ethnic background, please describe
Asian/Asian British
Indian
Pakistani
Bangladeshi
Chinese
Any other Asian background, please describe
Black/African/Caribbean/Black British
African
Caribbean
Any other Black/African/Caribbean background, please describe
Other ethnic group
Arab
Any other Ethnic group, please describe
Prefer not to say
Permissions & Additional Needs
Please just check one box on each line. Your answers will not affect the likelihood of receiving a scholarship!
If your child receives a place, will they be independent, or will you supervise?
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Independent Traveler
Collected by an adult
Drawing Outside: Tutors will supervise students whilst drawing outside nearby to the venue's location or we may go on preplanned trips if they are further afield.
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I give permission
I do not give permission
Permission given for use of photos taken during lessons
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I give permission
I do not give permission
Permission given for use of videos taken during lessons
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I give permission
I do not give permission
Please give details of any medical issue, disability, educational issue, allergy or other requirement or write "none". If your child has a serious condition which may affect them during class, please give as much detail as you can, so we can best prepare our tutors to support them.
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Bursary Application Information
To apply for the 100% scholarship, your child must be a recipient of Free School Meals or parents / carers must be in receipt of Tax Credits. You must provide evidence of this by uploading a scan or photograph.
Type of bursary you would like to apply for:
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100% Scholarship
Upload a scan or photograph of your Free School Meals / Tax Credits notification letter. If we do not receive evidence of Free School Meals / Tax Credits / Universal Credit or details regarding extenuating circumstances, we will not be able to consider your application.
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We will also consider applications from Young Artists who do not fit the above criteria. If you would like to apply and are not in receipt of tax credits/universal credit or free school meals please detail below how your Young Artist would benefit from this course and any extenuating circumstances.
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If we are able to offer your child a place, please help us to assign them to a course by checking the boxes below.
NB: We cannot guarantee that your child will be assigned their preferred course although we will do our best to accommodate.
Please confirm which programme you are applying for :
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Drawing Club Notting Dale Campus (10 - 14 years old) 11.00am - 1.00pm (Saturdays during Term Time)
PLEASE NOTE:
We will review your application as soon as possible.
If you/your Young Artist qualifies for a place and there is space on the course we will contact you with further details.
Signature
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