WSCC/DOE/SF8

Funding Application Form for a Young Person

Please complete ALL sections of this form, including a statement on why you are applying to:

West Sussex DofE Office, 2nd Floor The Grange, County Hall, Chichester, West Sussex, PO19 1RF or E-mail and

Part 1 – to be filled out by the young person
Surname:
Forenames:
Address:
Post Code:
Telephone: (Daytime)
(Evening)
E-mail:
DofE Centre:
Please make sure you fill in every section below
Which Award level are you doing?
What is the funding for?
Please tell us why you want this funding?
How will you benefit from receiving this funding?
What other options for funding have you tried? (eg http://www.dofe.info/go/sef/)
Amount requested / £ / Cheque Payable to:

ADD ADDITIONAL SHEETS IF REQUIRED

To be completed by young person:

I have read and acknowledge the receipt of the terms and conditions as outlined in the details received with this application form and had the opportunity to have any questions answered.

Signed by: Date:

(Enter e-mail address if sending form electronically)

Part 2 – to be filled out by the DofE Leader

Name of DofE Centre Co-ordinator:

Name of DofE Centre:

Please make sure you fill in every section below
Please supply a short statement on the activity/equipment the grant being applied for and confirm why the young person has a need for external support.
Total cost of activity/resource applied for
Please tell us why think this young person ought to receive funding?
What other options for funding have you tried? (eg http://www.dofe.info/go/sef/)
Is there any other information you can give to support this application?

I can confirm that the above applicant is an active DofE Participant and requires the assistance detailed to continue with their DofE Programme.

Signed by:

(Enter e-mail address if sending form electronically)

Print Name:

Terms and Conditions

·  Applications for funding does not guarantee that funds will be granted;

·  All funding is subject to funds being available to the County Committee which are limited and at times financial constraints may result in all applications being declined;

·  All applications must be endorsed by the registered DofE Centre Co-ordinator;

·  Applicants or their DofE Centre Co-ordinator may be requested to provide additional information to progress an application;

·  Grant applications will only be discussed at West Sussex DofE County Committee meetings unless they are time critical in which case Chairman’s Action will be sort;

·  Grants are subject to the information contained with the ‘Funding to Support and Individual Young Person’ document;

·  Any funds granted will be paid by cheque directly to the DofE Centre or the Provider/Retailer, funds will not be directly paid to any DofE Participant;

·  Only applications from individuals will be considered;

·  Feedback and confirmation of spending from the DofE Participant and/or DofE Centre Co-ordinator will be requested to allow reports to external funding partners to be prepared.

Version 3.0 November 2015