Application forms

Application for Financial Assistance -
under 16 years of age

Application form to be completed for an individual applicant under the age of 16 years.

If you are applying for a laptop grant, please make your application through your child’s school who will apply on your behalf.

Please answer all the questions.

Applicant details

Child’s Full Legal Surname:

Full Legal Forenames:

Cheque to be written in the name of:

Address:

Post Code:

Parent/Guardian National Insurance Number:

Have you received a grant before? Yes No

Age details

Child’s date of birth (dd/mm/year):

Age (years):

Education History

Schools attended:

Name of school	From (year)	To (year)

Family/Guardian details

Occupation of father or guardian:

Occupation of mother or guardian:

Total combined gross income of parents/guardians:
If self-employed please attach copy of last accounts, but if employed supply copies of your last P60

Details of major outgoings (e.g. mortgage, rent):

Item	Cost (£)






Total

Numbers of brothers and sisters (in age order):

Name	Age





Not applicable:

Details of assistance required:

Brief but essential details including name and address of any relevant teacher or coach:

Details of main items (fares, subsistence, etc) with cost involved:

Item	Cost (£)






Total

Amount raised by applicants own efforts (£):

Not applicable:

Details of other financial support already promised:

Item	Cost (£)






Total
Not applicable:

Details of other financial support applied for:

Item	Cost (£)






Total
Not applicable:

Date (dd/mm/year):

Submitted by:

Parents' Email Address’:

I believe the information given in the form is true and correct to the best of my knowledge and belief:

Initials: