MILLFIELD ENGLISH LANGUAGE HOLIDAY COURSES 2018

STRICTLY CONFIDENTIAL

APPLICATION FOR ANENGLISH MENTOR SCHOLARSHIP 2018

Parental/Guardian permission is needed to support this application:

I support (name of candidate) ………………………………………... and give my support in their application.
Parent/Guardian
Name:…………………………………………...(PRINT) Signed:………………………….. Date:….../….../……
Could the candidate please complete this form in BLACK ink or typescript as it may be photocopied. If any sections are not applicable mark them N/A. Completed applications should be returned, either by post to Zoe Barker, Millfield Enterprises, Millfield School, Street, Somerset, BA16 0YD or by email to
How did you learn about the English Mentor Role?
If from a person please give their name: / Current School/College:
Title: / Surname: / Forenames:
Permanent Address (inc. Post Code): / Home phonenumber:
Mobile phone number:
Nationality:
Email (Please write clearly):
If successful with your application, when could you start (please give a date)?
Please give details of any holidays including dates:
Which campus/campuses are you interested in being an English Mentor at(please circle):
BRUTON GLASTONBURY STREET

MILLFIELD ENGLISH LANGUAGE HOLIDAY COURSES

ANY DETAILS OF EDUCATION, EMPLOYMENT OR EXTRA-CURRICULAR ACTIVITIES SINCE PREVIOUS APPLICATION.
(Including any volunteer work, coaching qualifications and/or Duke of Edinburgh awards)

SUPPORTING INFORMATION

(Briefly explain what you think makes a good English mentor and why you would like to return)

SUPPORTER

Please give the name and contact details of a teacher or family member who will support your application. Ideally, this will be your present headmaster or headmistress. Please ensure that your supporter is happy to do this and the contact details are correct.

Name:
Position:
Capacity known:
Email:
Tel:
Please note we may contact supporters prior to interview and they will be asked specifically if there is any reason why you should not be considered for the role of the English Mentor.
Declaration – This must be signed by your parent or guardian.
I declare, that to the best of my knowledge, the information given in this application form is correct. I understand that deliberate omissions and incorrect statements could lead to my child / ward’s application being rejected or any offer of a scholarship being withdrawn.
Signed:
Print: / Date:
If you are sending this application to the School via email please note that in the absence of your signature, the emailing of this application constitutes your personal certification that the details are correct.