Application Form for Scholarship Grant Name * First Name Last Name Personal email address * Educational establishment email address * Mobile Phone * (###) ### #### Home Phone * (###) ### #### National Insurance number * Current address * Address 1 Address 2 City State/Province Zip/Postal Code Country Parent/Guardian address (if different from the above) Your current income in £ * Under 5,000 5,000 - 10.000 10,000 - 15,000 15,000 - 20,000 Over 20,000 Parent/Guardian household income in £ * Under 20,000 20,000-30,000 30,000-40,000 40,000-50,000 50,000-60,000 60,000-70,000 70,000-80,000 over 80,000 Have you applied for any other grants/scholarships? * Yes No If yes, which grants and for how much? Have your parents/guardians had a university level education? * Yes No Have you applied or been accepted onto a UK full time university level programme of study? * Yes No Name of university/educational establishment * Full name of course (including qualification) (e.g. BA (Hons) Spanish and French) * When does your course start? * MM DD YYYY When does your course finish? * MM DD YYYY How much are the tuition fees per year? Set out your reasons why you think you deserve to be awarded a scholarship grant from WEST? (minimum 200 words) * How will receiving a scholarship grant benefit you and others from the British African Caribbean community? (minimum 200 words) * Thank you!
