Online Application

Personal Details
Current Education / Training
Education / Training for which grant is sought
£
Are fees covered by a government loan or similar?
Course / Training Costs: How do you intend to use a grant? Please provide as much detail as possible. You may attach any proof, such as a course equipment list.
Books
£
 
£
 
£
 
£
 
£
 
Special clothing
£
 
£
 
£
 
£
 
£
 
Tools
£
 
£
 
£
 
£
 
£
 
Other materials
£
 
£
 
£
 
£
 
£
 
Trips / visits
£
 
£
 
£
 
£
 
£
 
Other (please specify)
£
 
£
 
£
 
£
 
£
 
Supporting declaration We require confirmation that you are taking part in the course/training for which this grant is sought and that the expenditure required is reasonable. Please provide contact details of your tutor/mentor. If you are yet to enrol at the College/University/Provider for which this grant is sought, then please provide details (ie the admission dept) so that we can contact them once you have taken up your place.
I agree to ACTET contacting my college/university, provider, and seeking confirmation that I have enrolled on the course for which this grant is sought.
Digital signature
I declare that the information given in support of this application is correct and complete to the best of my knowledge and belief.
Household / Personal Financial Circumstances (1 of 2)

Do you live independently of parents/guardians when in Dorchester and self-supporting?

To be completed by the applicant.

I am currently in Local Authority Care

I am currently living independently having left Local Authority Care

I am currently in receipt of Income Support/Universal Credit and financially supporting myself and/or a dependent (ie child or partner)

I am in receipt of Disability Living Allowance or Personal Independence Payments and Employment Support Allowance or Universal Credit in my own right

I currently live independently of any family or other support

Please upload copies of any written evidence of circumstances to support your application at the end of this form.

Household / Personal Financial Circumstances (2 of 2)

To be completed by parent/guardian or applicant if self-supporting.

The applicant receives/received free school meals

The applicant receives/received the 16-19 bursary (or similar)

The applicant has caring responsibilities for anyone in the family

Please indicate which suggested evidence of financial circumstances you can provide and ensure that full copies of Tax Credit/Universal Credit awards, or other supporting documents are provided where possible. The more accurate picture of financial circumstances provided, the easier it will be for a decision to be reached on the award of grants.

Income Support

Child Tax Credit

Working Tax Credit

Job Seekers' Allowance

Universal Credit

Pension Guarantee Credit

Employment and Support Allowance

Support under Part IV of the Immigration and Asylum Act 1999

Most recent P60 or Salary Statement

This page was completed by:

Supporting Documentation

Photos or screenshots are acceptable

Alternatively, you can send copies of supporting documentation to:

Email: info@actet.org.uk

Address:
Mrs. Christine Bussell
Clerk to the Trustees
Ashley, Churchill & Thorner Educational Trust
West Holm
4 Warne Hill
Bridport DT6 4AQ

Please send any queries to info@actet.org.uk or telephone 01308 423906 (please leave a message).

Confirmation

Data Protection Statement

It is part of the Trustees responsibilities to ensure that applicants for grants are suitably qualified under the terms of the Charity’s Governing Instrument. Trustees therefore need to make appropriate investigations of each applicant. The personal data supplied on this form will be held on file and be used for the sole purpose of the Trustees of the Charity of ACTET to determine any award and will not be disclosed to any other individual or organisation.

Do not hesitate to contact us if you have any questions or queries.