The Journey at Embercombe - Application for a Bursary Place

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This form is to apply for consideration of a bursary place on an Embercombe programme. Bursaries will be reviewed and assigned according to the number of full price places booked. As such please be aware that you may not hear from us until at least 4 weeks before the start of the course. If you would like to secure a full price place on the programme in case you are not successful with your application then please pay the deposit.

We respect your privacy. We will only collect, store and use your personal information for defined purposes. We do not, and will not sell your personal information. To find out more visit our Privacy Policy at https://embercombe.org/privacy-policy/

Email *

First Name *

Last Name *

Phone Number (home/mobile) *

Month and year in which the course you are applying for takes place *

Are you applying for a place under the BIPOC fund?

Yes

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Do you have any previous relationship with Embercombe? *

Yes as a residental volunteer /assistant/coordinator/apprentice

Yes as a member of the Embercombe Education Team

Yes as part of a visiting group. (Please specify below)

Yes as a participant on a programme. (Please specify below)

Further details for the previous question

How do you expect to benefit from this course? *

How do you intend to use your experience on the course back in your community or work? *

Please explain how you qualify for a bursary place. *

Anything else you'd like to let us know or ask

Send me a copy of my responses.

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