THE FRANCIS BERNARD CAUNT EDUCATION TRUST

Registered Charity Number 1108858

GRANT APPLICATION

Francis Bernard Caunt was a resident of Newark who sadly passed away leaving no immediate family. He decided to leave the bulk of his estate to create an educational Trust Fund which could help the residents of Newark and surrounding areas to progress with either their academic or vocational education.

The Trust Fund is administered by Trustees (who are representative of the Newark and Sherwood community) who will consider any application for a Grant against the following criteria:

  • This application form must be completed
  • The applicant should be aged between 16 and 25 years
  • The applicant should live in Newark or the surrounding areas and attend Newark schools or colleges or Southwell or Tuxford schools. The applicant must have attended one of those institutions in the previous 8 years and for a period of at least 2 years.
  • The applicant should be intending to study either part-time or full-time for at least 1 year on a recognised academic/vocational course.
  • The application should be supported by a letter of reference on headed notepaper, signed personally by the referee. The referee should be one of the following:
  • A Head Teacher/Principal
  • Current Employer
  • Other appropriate person eg Career Adviser; Faith Leader or person approved by the Trustees
  • It is essential that the completed application form be returned before the closing date – if necessary the references can be submitted later, although the Trustees would prefer the reference to accompany the application.

The Trustees have absolute discretion and their decision shall be final and binding.

Notes:-

  1. It should be noticed that the size of the grants might be reduced from the previous level of a minimum of £500 and a maximum of £2,000 although the Trustees retain an absolute discretion on these amounts.
  2. If you have any queries about completing this form then please call Larken & Co on 01636 703333 –

e-mail:

  1. APPLICATIONS MUST BE COMPLETED IN FULL AND RETURNED TO 10 LOMBARD STREET NEWARK NOTTS NG24 1XE BY 30TH JUNE 2017.

Your Details

Title (Miss/Mr/Mrs/Ms): / Address:
Forename(s):
Surname: / Post Code:
E-mail:
Date of Birth: / Tel No (daytime please):
College/School detailsPlease complete if still in education. If not in education please provide details of the last place of education attended
Name of Institution: / If this is not the first year of a course, please have the following completed by your tutor or teacher.
The applicant has satisfactorily completed the previous year of the course.
Address:
Year:
Signed:
Name:
Tel No: / Job Title:
Date:
Contact Name (if available): / (Please attach any details you feel will help the Trustees consider this application)

Course Details

Full title of Course you wish to take: / Course start date:
Briefly describe the Course: / Course end date:
Full-time/Part-time [delete as appropriate]
If part-time, state the number of hours:
Institution Name: / Date of Study:-
From:
To:
Address:

INFORMATION ABOUT YOU

Previous Study

School/College / Dates Attended / Qualifications Gained

Work Experience

Employer / Dates Attended / Describe Responsibilities

References

Please provide details of a person you have indicated as your referee.
Name:
Address
Telephone No
Please provide details of your proposed course/project and what you hope to achieve with the qualification (word limit 500 words)

Financial Details

Please provide details of the expenses which you wish the Francis Bernard Caunt Educational Trust to fund. Provide any details that you feel may be of help.
Course Fees
Books/Equipment
Exceptional Expenses / £
AMOUNT REQUESTED FOR GRANT / ======

Your Declaration

I confirm that:
  • I have attended schools/colleges in Newark Southwell or Tuxford during the previous 8 years and for a period of 2 years
  • the information provided is accurate and complete
  • I am intending to study either full or part-time for at least 1 year on a recognised academic/vocational course
  • you are authorised to contact my present school/employer/referee
  • any grant awarded will be spent solely for the purpose specified or otherwise repaid
  • I will provide receipts for the costs, if requested
  • if requested, I will provide a brief report at the end of the Course
  • should I withdraw from the Course, if requested, I will repay the grant, pro rata for the course days remaining
  • I attach a letter of reference from:-

Signed / Date