The Journey at Embercombe - Application for a Bursary Place
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/
* Required
Email address
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Phone Number (home/mobile)
*
Your answer
Month and year in which the course you are applying for takes place
*
Your answer
Are you applying for a place under the BIPOC fund?
Yes
No
Clear selection
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)
No
Further details for the previous question
Your answer
How do you expect to benefit from this course?
*
Your answer
How do you intend to use your experience on the course back in your community or work?
*
Your answer
Please explain how you qualify for a bursary place.
*
Your answer
Anything else you'd like to let us know or ask
Your answer
Send me a copy of my responses.
Submit
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