THE MARLBOROUGH CHURCH OF ENGLAND SCHOOL
16-19 BURSARY FUND APPLICATION
FORM

Personal data is processed by The Marlborough School in accordance with our Privacy Notice (available on our website), and with all applicable data protection legislation, including the UK General Data Protection Regulation 2021 and the Data Protection Act 2018

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Full Name *
Date of Birth *
MM
/
DD
/
YYYY
Current Address *
Telephone number *
Your parent(s)/carer(s) name(s) and address(es) *
E-mail address *
'A' Level Subjects taken *
ENTITLEMENT BURSARY
Are you (the student) *
Is your household in receipt of one or more of the following benefits (please tick all that apply): *
Required
Or, If your household is not in receipt of one of the benefits listed above, but parent(s)/carer(s) are employed or selfemployed with a gross household income of less than £25,000. If you live with two parents or carers we take the income of each person into account. *
Funding requirements:  Do you need help with travel costs? *
If yes, how do you intend to travel to school? *
Please estimate how much your travel will be per week? *
Do you need help with any other costs?  Please tick all that apply *
Required
Please itemise amounts (£) *
Additional Information : Please provide any further information you think may support your application: *
By submitting this form I hereby certify that the information given is correct to the best of my knowledge.   I understand that payments are dependent upon the fulfilment of contract terms re: minimum attendance and meeting of deadlines. *
Required
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